Landh Emelie, Wang Roger, Moir Lyn M, Traini Daniela, Young Paul M, Ong Hui Xin
Respiratory Technology Woolcock Institute of Medical Research, University of Sydney, Glebe, NSW, Australia.
Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Sydney, Australia.
Expert Opin Drug Deliv. 2022 Jan;19(1):75-86. doi: 10.1080/17425247.2022.2029401. Epub 2022 Jan 21.
Lymphangioleiomyomatosis (LAM) is a rare lung disease that is characterized by smooth muscle-like cell growth in the lungs. The current available oral treatment rapamycin slows down the disease progression but does not result in a cure. Rapamycin is also limited by its low bioavailability and dose-related adverse side effects. New treatments are, therefore, underway to investigate alternative targets and combination therapies for LAM. In recent years, much focus has been on the development of therapies based on inhaled nanotechnology using carriers to deliver drugs, as it is shown to improve drug solubility, local targeted treatment, and bioavailability.
This review, therefore, focuses on future prospective treatments for LAM using nanoparticles and lipid-based nanocarriers, including liposomes, solid lipid nanoparticles, micelles, and polymeric nanoparticles. It also investigates how nanoparticles' physicochemical factors such as size and charge can affect the treatment of both pulmonary and extrapulmonary LAM.
Advanced clinical research is still needed to demonstrate the full potential and drive future commercialization of LAM treatments delivered via inhaled lipid nanobased formulations. If successful, the resultant effects will be seen in the improvement in the life expectancy and life quality of LAM patients.