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2019冠状病毒病的最新进展:聚焦吸入疗法——纳米结构与靶向系统

Recent updates in COVID-19 with emphasis on inhalation therapeutics: Nanostructured and targeting systems.

作者信息

Abdellatif Ahmed A H, Tawfeek Hesham M, Abdelfattah Ahmed, El-Saber Batiha Gaber, Hetta Helal F

机构信息

Department of Pharmaceutics, College of Pharmacy, Qassim University, Buraydah, 51452, Saudi Arabia.

Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Al-Azhar University, Assiut, 71524, Egypt.

出版信息

J Drug Deliv Sci Technol. 2021 Jun;63:102435. doi: 10.1016/j.jddst.2021.102435. Epub 2021 Feb 19.

Abstract

The current world health threat posed by the novel coronavirus disease of 2019 (COVID-19) calls for the urgent development of effective therapeutic options. COVID-19 needs daunting routes such as nano-antivirals. Hence, the role of nanotechnology is very critical in combating this nano-enemy "virus." Although substantial resources are under ongoing attention for prevention and care, we would like to start sharing with readers our vision of the role of inhaled nanomaterials and targeting systems that can play an important role in the fight against the COVID-19. In this review, we underline the genomic structure of COVID-19, recent modes of virus transmission with measures to control the infection, pathogenesis, clinical presentation of SARS-CoV-2, and how much the virus affects the lung. Additionally, the recent therapeutic approaches for managing COVID-19 with emphasis on the value of nanomaterial-based technical approaches are discussed in this review. This review also focuses on the safe and efficient delivery of useable targeted therapies using designed nanocarriers. Moreover, the effectiveness and availability of active targeting of certain specific receptors expressed on the coronavirus surfaces via tailored ligand nanoparticles are manipulated. It was also highlighted in this review the role of inhaled medicines including antivirals and repurposed drugs for fighting the associated lung disorders and efficiency of developed vaccines. Moreover, the inhalation delivery safety techniques were also highlighted.

摘要

2019年新型冠状病毒病(COVID-19)对当前世界健康构成的威胁,要求我们迫切开发有效的治疗方案。COVID-19需要纳米抗病毒药物等令人畏惧的途径。因此,纳米技术在对抗这种纳米敌人“病毒”方面的作用至关重要。尽管目前大量资源都在关注预防和护理,但我们希望开始与读者分享我们对吸入纳米材料和靶向系统作用的看法,这些在抗击COVID-19中可以发挥重要作用。在这篇综述中,我们强调了COVID-19的基因组结构、近期病毒传播方式及控制感染的措施、SARS-CoV-2的发病机制、临床表现,以及该病毒对肺部的影响程度。此外,本综述还讨论了近期治疗COVID-19的方法,重点是基于纳米材料的技术方法的价值。这篇综述还聚焦于使用设计的纳米载体安全有效地递送可用的靶向疗法。此外,通过定制配体纳米颗粒对冠状病毒表面表达的某些特定受体进行主动靶向的有效性和可行性也进行了探讨。本综述还强调了吸入药物(包括抗病毒药物和重新利用的药物)在对抗相关肺部疾病中的作用以及已开发疫苗的有效性。此外,还强调了吸入给药安全技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ce1/7894098/572df68dda2a/fx1_lrg.jpg

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