Magee-Womens Research Institute, Pittsburgh, PA 15213, United States; Department of Pharmaceutical Sciences, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA 15213, United States.
Magee-Womens Research Institute, Pittsburgh, PA 15213, United States; Department of Pharmaceutical Sciences, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA 15213, United States; Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, United States.
Adv Drug Deliv Rev. 2021 Oct;177:113955. doi: 10.1016/j.addr.2021.113955. Epub 2021 Sep 1.
The female upper genital tract (UGT) hosts important reproductive organs including the cervix, uterus, fallopian tubes, and ovaries. Several pathologies affect these organ systems such as infections, reproductive issues, structural abnormalities, cancer, and inflammatory diseases that could have significant impact on women's overall health. Effective disease management is constrained by the multifaceted nature of the UGT, complex anatomy and a dynamic physiological environment. Development of drug delivery strategies that can overcome mucosal and safety barriers are needed for effective disease management. This review introduces the anatomy, physiology, and mucosal properties of the UGT and describes drug delivery barriers, advances in drug delivery technologies, and opportunities available for new technologies that target the UGT.
女性上生殖道(UGT)是包括宫颈、子宫、输卵管和卵巢在内的重要生殖器官的所在地。多种病理学影响这些器官系统,如感染、生殖问题、结构异常、癌症和炎症性疾病,这些都会对女性的整体健康产生重大影响。有效的疾病管理受到 UGT 的多方面性质、复杂的解剖结构和动态生理环境的限制。需要开发能够克服黏膜和安全性障碍的药物输送策略,以实现有效的疾病管理。本综述介绍了 UGT 的解剖、生理学和黏膜特性,并描述了药物输送障碍、药物输送技术的进展,以及针对 UGT 的新技术的机会。