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纳米技术在治疗呼吸道感染方面的新兴策略:实现当前趋势,展望未来临床应用。

Emerging strategies in nanotechnology to treat respiratory tract infections: realizing current trends for future clinical perspectives.

机构信息

Emergency & Intensive Care Unit Center, Department of Intensive Care Unit, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China.

Department of Pharmacy, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Drug Deliv. 2022 Dec;29(1):2442-2458. doi: 10.1080/10717544.2022.2089294.

Abstract

A boom in respiratory tract infection cases has inflicted a socio-economic burden on the healthcare system worldwide, especially in developing countries. Limited alternative therapeutic options have posed a major threat to human health. Nanotechnology has brought an immense breakthrough in the pharmaceutical industry in a jiffy. The vast applications of nanotechnology ranging from early diagnosis to treatment strategies are employed for respiratory tract infections. The research avenues explored a multitude of nanosystems for effective drug delivery to the target site and combating the issues laid through multidrug resistance and protective niches of the bacteria. In this review a brief introduction to respiratory diseases and multifaceted barriers imposed by bacterial infections are enlightened. The manuscript reviewed different nanosystems, i.e. liposomes, solid lipid nanoparticles, polymeric nanoparticles, dendrimers, nanogels, and metallic (gold and silver) which enhanced bactericidal effects, prevented biofilm formation, improved mucus penetration, and site-specific delivery. Moreover, most of the nanotechnology-based recent research is in a preclinical and clinical experimental stage and safety assessment is still challenging.

摘要

呼吸道感染病例的激增给全球医疗系统带来了社会经济负担,尤其是在发展中国家。有限的替代治疗选择对人类健康构成了重大威胁。纳米技术在制药行业带来了巨大的突破。纳米技术的广泛应用从早期诊断到治疗策略,都被用于治疗呼吸道感染。研究途径探索了多种纳米系统,以将药物有效递送到靶位,并解决通过多药耐药性和细菌的保护小生境而产生的问题。在这篇综述中,简要介绍了呼吸道疾病和细菌感染带来的多方面障碍。本文综述了不同的纳米系统,如脂质体、固体脂质纳米粒、聚合物纳米粒、树枝状大分子、纳米凝胶和金属(金和银),这些纳米系统增强了杀菌效果,防止了生物膜的形成,改善了黏液穿透性,并实现了靶向递药。此外,大多数基于纳米技术的最新研究处于临床前和临床实验阶段,安全性评估仍然具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfd/9341380/47f00bdd3f36/IDRD_A_2089294_F0001_C.jpg

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