Department of Pharmaceutical Sciences, Maharshi Dayanand University, Rohtak 124001, India.
Department of Life Sciences, School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia.
Life Sci. 2021 Nov 15;285:119969. doi: 10.1016/j.lfs.2021.119969. Epub 2021 Sep 20.
Inflammatory lung diseases related morbidity and mortality impose a significant financial burden. Inflammation is a hallmark of many diseases of the respiratory system which is directly or indirectly linked to adverse health conditions, air pollution, rapid lifestyle changes, and regular outbreaks of microbial infections. The unique anatomical and physiological features of the lungs make them an ideal target organ in the treatment of inflammatory respiratory disease and with the help of inhaled therapy lungs can be targeted directly. The principal objective of this review is to present the comprehensive role of inhaled nano-based therapeutics such as liposomes, niosomes, nanoparticles, nanoemulsion, nanosuspension, and exosomes in the treatment and management of inflammatory respiratory diseases. Inhaled nanomedicines provide targeted diagnosis and treatment, improved drug solubility and distribution, prevent first-pass hepatic metabolism, improved patient compliance, and reduced drug side effects. They overcome several biological barriers in the human body and provide immediate, and quick-onset of action. Future research should be focused on improving the therapeutic efficiency of inhaled nanocarriers and to carry out in-depth mechanistic studies to translate current scientific knowledge for the efficient management of inflammatory lung diseases with minimal or no toxicity.
与炎症性肺病相关的发病率和死亡率给医疗保健带来了沉重的经济负担。炎症是许多呼吸系统疾病的特征,这些疾病与不良健康状况、空气污染、生活方式的快速变化以及微生物感染的频繁爆发直接或间接相关。肺部独特的解剖学和生理学特征使其成为治疗炎症性呼吸疾病的理想靶器官,借助吸入疗法可以直接靶向肺部。本综述的主要目的是介绍脂质体、非离子型脂质体、纳米粒、纳米乳、纳米混悬剂和外泌体等吸入型纳米治疗药物在治疗和管理炎症性呼吸疾病中的综合作用。吸入型纳米药物提供了靶向诊断和治疗、提高了药物的溶解度和分布、防止了首过肝代谢、提高了患者的顺应性并降低了药物的副作用。它们克服了人体中的多种生物学屏障,可立即产生快速的作用效果。未来的研究应集中于提高吸入型纳米载体的治疗效率,并进行深入的机制研究,以便将当前的科学知识转化为炎症性肺病的有效管理,尽量减少或避免毒性。