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基于纳米技术的药物输送系统在抗病毒感染方面的最新进展。

Recent Advancement in Nanotechnology-Based Drug Delivery System Against Viral Infections.

机构信息

School of Pharmaceutical Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.

School of life sciences, Central University Rajasthan, Ajmer, India.

出版信息

AAPS PharmSciTech. 2021 Jan 14;22(1):47. doi: 10.1208/s12249-020-01908-5.

Abstract

In the last few decades, the exponential rise in the incidence of viral infections sets a global health emergency across the world. The biomimetic architecture, the ability to hijack host immune responses, continuous antigen shifting, and drafting are the major critical factors that are responsible for the unavailability of a concrete therapeutic regimen against viral infections. Further, inappropriate pharmacodynamic physicochemical and biological parameters such as low aqueous solubility, poor permeability, high affinity for plasm proteins, short biological half-lives, and fast elimination from the systemic circulation are the major critical factors that govern the suboptimal drug concentration at the target site that leads to the development of drug resistance. To address this issue, nanotechnology-based drug delivery approach is emerged as an altering method to attain the optimal drug concentration at the target site for a prolonged period by integrating the nanoengineering tools in the synthesis of nanoparticles. Nanodimensional configuration with enhanced permeability and retention effect, increased surface-area-to-volume ratio, provision for surface functionalization, etc., are the privileged aspects that make it an effective drug delivery system for dispensing the antiviral therapeutics. However, size, shape, charge, and surface topology of nanoparticles are the greater influential factors that determine target-specific drug delivery, optimum cellular uptake, degree of opsonization by the host immune cells, drug retention time, transcytosis, the extension of biological half-life, in vivo stability, and cytotoxicity. The review will enlighten the elaborative role of nanotechnology-based drug delivery and the major challenging aspect of clinical safety and efficacy.

摘要

在过去的几十年中,病毒感染发病率的指数级增长在全球范围内引发了一场卫生紧急事件。仿生结构、劫持宿主免疫反应的能力、持续的抗原转变和设计是导致针对病毒感染缺乏具体治疗方案的主要关键因素。此外,不适当的药效学物理化学和生物学参数,如低水溶解度、差渗透性、对血浆蛋白的高亲和力、短生物半衰期和从全身循环中快速消除,是控制药物在靶部位的浓度不理想的主要关键因素,导致耐药性的产生。为了解决这个问题,基于纳米技术的药物输送方法已经成为一种改变的方法,通过在纳米粒子的合成中整合纳米工程工具,在靶部位实现长时间的最佳药物浓度。具有增强的渗透性和保留效应的纳米尺寸结构、增加的表面积与体积比、提供表面功能化等,是使其成为一种有效的药物输送系统,用于分配抗病毒治疗药物的特权方面。然而,纳米粒子的大小、形状、电荷和表面拓扑结构是决定靶向药物输送、最佳细胞摄取、宿主免疫细胞的调理作用程度、药物滞留时间、转胞吞作用、生物半衰期的延长、体内稳定性和细胞毒性的更大影响因素。本综述将阐明基于纳米技术的药物输送的详尽作用以及临床安全性和疗效的主要挑战方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a4/7808403/d949abca257c/12249_2020_1908_Fig1a_HTML.jpg

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