Grosso Roberto, de-Paz M-Violante
Departamento de Química Orgánica y Farmacéutica, Facultad de Farmacia, Universidad de Sevilla, 41012 Sevilla, Spain.
Pharmaceutics. 2022 Jun 24;14(7):1340. doi: 10.3390/pharmaceutics14071340.
Even though general improvement of quality of life has happened around the globe, statistics show that gastric cancer is still a very serious medical concern in some regions of the world. A big portion of malignant neoplasms that develop inside the stomach are linked to an infection of ; in fact, this pathogen has already been categorized as a group 1 carcinogen by the World Health Organization (WHO). Still, the efficacy of current anti- therapeutic approaches is insufficient and follows a worrying decreasing trend, mainly due to an exponential increase in resistance to key antibiotics. This work analyzes the clinical and biological characteristics of this pathogen, especially its link to gastric cancer, and provides a comprehensive review of current formulation trends for eradication. Research effort has focused both on the discovery of new combinations of chemicals that function as optimized antibiotic regimens, and on the preparation of gastroretentive drug delivery systems (GRDDSs) to improve overall pharmacokinetics. Regarding the last topic, this review aims to summarize the latest trend in amoxicillin-loaded GRDDS, since this is the antibiotic that has shown the least bacterial resistance worldwide. It is expected that the current work could provide some insight into the importance of innovative options to combat this microorganism. Therefore, this review can inspire new research strategies in the development of efficient formulations for the treatment of this infection and the consequent prevention of gastric cancer.
尽管全球范围内生活质量普遍有所提高,但统计数据表明,胃癌在世界某些地区仍是一个非常严重的医学问题。胃内发生的大部分恶性肿瘤与一种感染有关;事实上,这种病原体已被世界卫生组织(WHO)列为1类致癌物。然而,目前的抗治疗方法效果不佳,且呈令人担忧的下降趋势,主要原因是对关键抗生素的耐药性呈指数级增长。这项工作分析了这种病原体的临床和生物学特征,特别是其与胃癌的联系,并对目前根除幽门螺杆菌的制剂趋势进行了全面综述。研究工作既集中在发现作为优化抗生素方案的新化学组合上,也集中在制备胃滞留药物递送系统(GRDDS)以改善整体药代动力学上。关于最后一个主题,本综述旨在总结载阿莫西林GRDDS的最新趋势,因为这是全球范围内显示出最低细菌耐药性的抗生素。预计当前的工作可以为对抗这种微生物的创新选择的重要性提供一些见解。因此,本综述可以激发新的研究策略,以开发治疗这种感染并预防胃癌的有效制剂。