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用于口服递送的纳米颗粒:炎症性肠病的靶向治疗。

Nanoparticles for oral delivery: targeted therapy for inflammatory bowel disease.

机构信息

Department of Gastroenterology, Shenzhen People's Hospital (the Second Clinical Medical College, Jinan University, the First Affiliated Hospital, Southern University of Science and Technology), No. 1017, Dongmen North Road, Luohu District, Shenzhen 518020, Guangdong, China.

Department of Hematology, Yantian District People's Hospital, Shenzhen 518020, Guangdong, China.

出版信息

J Mater Chem B. 2022 Aug 10;10(31):5853-5872. doi: 10.1039/d2tb01190e.

Abstract

As a group of chronic and idiopathic gastrointestinal (GI) disorders, inflammatory bowel disease (IBD) is characterized by recurrent intestinal mucosal inflammation. Oral administration is critical for the treatment of IBD. Unfortunately, it is difficult to target the bowel located in the GI tract due to multiple physical barriers. The unique physicochemical properties of nanoparticle-based drug delivery systems (DDSs) and their enhanced permeability and retention effects in the inflamed bowel, render nanomedicines to be used to implement precise drug delivery at diseased sites in IBD therapy. In this review, we described the pathophysiological features of IBD, and designed strategies to exploit these features for intestinal targeting. In addition, we introduced the types of currently developed nano-targeted carriers, including synthetic nanoparticle-based and emerging naturally derived nanoparticles (, extracellular vesicles and plant-derived nanoparticles). Moreover, recent developments in targeted oral nanoparticles for IBD therapy were also highlighted. Finally, we presented challenges associated with nanotechnology and potential directions for future IBD treatment.

摘要

作为一组慢性和特发性胃肠道 (GI) 疾病,炎症性肠病 (IBD) 的特征是反复发作的肠道黏膜炎症。口服给药对 IBD 的治疗至关重要。然而,由于存在多种物理屏障,位于胃肠道中的肠道难以成为靶向部位。基于纳米颗粒的药物递送系统 (DDS) 的独特物理化学性质及其在炎症肠道中的增强渗透和保留作用,使得纳米药物可用于在 IBD 治疗中实现疾病部位的精确药物递送。在这篇综述中,我们描述了 IBD 的病理生理学特征,并设计了利用这些特征进行肠道靶向的策略。此外,我们介绍了目前开发的纳米靶向载体的类型,包括合成纳米颗粒基和新兴的天然衍生纳米颗粒(细胞外囊泡和植物衍生纳米颗粒)。此外,还强调了针对 IBD 治疗的靶向口服纳米颗粒的最新进展。最后,我们提出了与纳米技术相关的挑战和未来 IBD 治疗的潜在方向。

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