Nagasa Gamachu Diba, Belete Anteneh
Department of Pharmacy, Ambo University, Ambo, Ethiopia.
Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, Addis Ababa University, Addis Ababa, Ethiopia.
J Multidiscip Healthc. 2022 Aug 27;15:1819-1840. doi: 10.2147/JMDH.S359282. eCollection 2022.
Fungal infections are human infections that topically affect the skin, mucous membranes, or more serious, invasive, and systemic diseases of the internal organs. The design and advancement of the formulation and approach of administration for therapeutic agents depend on many variables. The correlation between the formulations, mode of administration, pharmacokinetics, toxicity and clinical indication must be thoroughly studied for the successful evolution of suitable drug delivery systems. There are several NP formulations that serve as good delivery approaches for antifungal drugs. This paper covers various groups of nanoparticles utilized in antifungal drug delivery, such as phospholipid-based vesicles (nanovesicles), non-phospholipid vesicles, polymeric nanoparticles, inorganic nanoparticles and dendrimers, whereby their advantages and drawbacks are emphasized. Many in vitro or cell culture studies with NP formulations achieve an adequate high drug-loading capacity; they do not reach the clinically significant concentrations anticipated for in vivo studies. Because of this, the transfer of these nano-formulations from the laboratory to the clinic could be aided by focusing studies on overcoming problems related to nanoparticle stability, drug loading, and high production and standardization costs.
真菌感染是指局部影响皮肤、黏膜,或更严重的、侵袭性的以及累及内部器官的全身性疾病的人类感染。治疗药物的制剂设计与给药方式的进展取决于许多变量。为成功开发合适的药物递送系统,必须深入研究制剂、给药方式、药代动力学、毒性与临床适应症之间的相关性。有几种纳米颗粒制剂可作为抗真菌药物的良好递送方法。本文涵盖了用于抗真菌药物递送的各类纳米颗粒,如基于磷脂的囊泡(纳米囊泡)、非磷脂囊泡、聚合物纳米颗粒、无机纳米颗粒和树枝状大分子,并强调了它们的优缺点。许多关于纳米颗粒制剂的体外或细胞培养研究实现了足够高的载药量;但它们未达到体内研究预期的具有临床意义的浓度。因此,通过集中研究克服与纳米颗粒稳定性、载药量以及高生产成本和标准化成本相关的问题,可有助于将这些纳米制剂从实验室转化到临床应用。