Advanced Pharmaceutics and Drug Delivery Laboratory, Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College Street, Toronto, Ontario M5S 3M2, Canada.
Departments of Medical Biophysics and Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, Ontario M5G 2M9, Canada.
Mol Pharm. 2022 Jun 6;19(6):1722-1765. doi: 10.1021/acs.molpharmaceut.2c00038. Epub 2022 May 19.
Globally, a rising burden of complex diseases takes a heavy toll on human lives and poses substantial clinical and economic challenges. This review covers nanomedicine and nanotechnology-enabled advanced drug delivery systems (DDS) designed to address various unmet medical needs. Key nanomedicine and DDSs, currently employed in the clinic to tackle some of these diseases, are discussed focusing on their versatility in diagnostics, anticancer therapy, and diabetes management. First-hand experiences from our own laboratory and the work of others are presented to provide insights into strategies to design and optimize nanomedicine- and nanotechnology-enabled DDS for enhancing therapeutic outcomes. Computational analysis is also briefly reviewed as a technology for rational design of controlled release DDS. Further explorations of DDS have illuminated the interplay of physiological barriers and their impact on DDS. It is demonstrated how such delivery systems can overcome these barriers for enhanced therapeutic efficacy and how new perspectives of next-generation DDS can be applied clinically.
全球范围内,复杂疾病负担不断增加,给人类生命带来了沉重的代价,并带来了巨大的临床和经济挑战。本综述涵盖了纳米医学和纳米技术支持的先进药物传递系统(DDS),旨在满足各种未满足的医疗需求。重点讨论了目前在临床上用于解决这些疾病的一些关键纳米医学和 DDS,重点介绍了它们在诊断、抗癌治疗和糖尿病管理方面的多功能性。我们自己实验室的第一手经验和其他人的工作被呈现出来,以提供关于设计和优化纳米医学和纳米技术支持的 DDS 以增强治疗效果的策略的见解。计算分析也作为一种合理设计控制释放 DDS 的技术进行了简要回顾。对 DDS 的进一步探索阐明了生理屏障及其对 DDS 的影响之间的相互作用。展示了这些输送系统如何克服这些障碍以提高治疗效果,以及如何将下一代 DDS 的新观点应用于临床。