School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK.
School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK; Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Aleppo University, Syria.
Eur J Pharm Biopharm. 2021 Feb;159:44-76. doi: 10.1016/j.ejpb.2020.12.006. Epub 2020 Dec 24.
The development of microneedles (MNs) assisted drug delivery technologies have been highly active for more than two decades. The minimally invasive and self-administered MN technology bypasses many challenges associated with injectable drug delivery systems, by delivering the therapeutic materials directly into the dermal and ocular space and allowing the release of the active ingredient in a sustained or controlled manner. Different types of MNs (biodegradable solid/dissolving MNs and nanoparticle loaded/coated polymeric MNs or delivery by hollow MNs) have been envisioned for long-acting sustained delivery of therapeutic payloads, with the aim of reducing the side effects and administration frequency to improve the patient compliance. In this review, we covered the different types of MNs loaded with different nano/biotherapeutics for long-acting delivery for a wide range of potential clinical applications. We also outlined the future development scenario of such long-acting MN delivery systems for different disease conditions to achieve improved clinical benefit. Finally, we discussed the challenges lie ahead to realize the full potential of sustained-release long-acting MNs in the clinic.
微针(MNs)辅助药物输送技术的发展已经活跃了二十多年。微创和自我给药的 MN 技术通过将治疗材料直接递送至皮肤和眼部空间,并以持续或控制的方式释放有效成分,避免了与可注射药物输送系统相关的许多挑战。不同类型的 MN(可生物降解的固体/溶解 MN 和载药/涂层聚合物 MN 或通过空心 MN 进行给药)已经被设想用于治疗有效载荷的长效持续输送,旨在减少副作用和给药频率,以提高患者的依从性。在这篇综述中,我们涵盖了不同类型的 MN 负载不同的纳米/生物治疗剂,用于广泛的潜在临床应用的长效输送。我们还概述了这种长效 MN 输送系统在不同疾病情况下的未来发展前景,以实现更好的临床获益。最后,我们讨论了在临床上实现长效 MN 持续释放的全部潜力所面临的挑战。