Department of Respiratory Medicine, Key Laboratory of Organ Regeneration & Transplantation of the Ministry of Education, The First Hospital of Jilin University, Changchun, 130061, People's Republic of China.
Department of Pharmacy, Faculty of Health & Medical Sciences, University of Copenhagen, 2100, Copenhagen, Denmark.
J Nanobiotechnology. 2020 Oct 19;18(1):145. doi: 10.1186/s12951-020-00703-5.
Oxidative stress is significantly involved in the pathogenesis and progression of chronic obstructive pulmonary disease (COPD). Combining antioxidant drugs or nutrients results in a noteworthy therapeutic value in animal models of COPD. However, the benefits have not been reproduced in clinical applications, this may be attributed to the limited absorption, concentration, and half-life of exogenous antioxidants. Therefore, novel drug delivery systems to combat oxidative stress in COPD are needed. This review presents a brief insight into the current knowledge on the role of oxidative stress and highlights the recent trends in novel drug delivery carriers that could aid in combating oxidative stress in COPD. The introduction of nanotechnology has enabled researchers to overcome several problems and improve the pharmacokinetics and bioavailability of drugs. Large porous microparticles, and porous nanoparticle-encapsulated microparticles are the most promising carriers for achieving effective pulmonary deposition of inhaled medication and obtaining controlled drug release. However, translating drug delivery systems for administration in pulmonary clinical settings is still in its initial phases.
氧化应激在慢性阻塞性肺疾病(COPD)的发病机制和进展中起着重要作用。将抗氧化药物或营养素联合使用,在 COPD 的动物模型中具有显著的治疗价值。然而,这种益处并未在临床应用中得到重现,这可能归因于外源性抗氧化剂的吸收、浓度和半衰期有限。因此,需要新型的药物输送系统来对抗 COPD 中的氧化应激。本文简要介绍了氧化应激的作用的最新知识,并重点介绍了新型药物输送载体的最新趋势,这些载体可能有助于对抗 COPD 中的氧化应激。纳米技术的引入使研究人员能够克服许多问题,并提高药物的药代动力学和生物利用度。大孔微孔颗粒和多孔纳米颗粒包封的微孔颗粒是实现吸入药物有效肺部沉积和获得控制药物释放的最有前途的载体。然而,将药物输送系统转化为用于肺部临床应用的药物仍处于起步阶段。
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