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干粉吸入器的技术和实际障碍,以及即将出现的平台策略。

Dry Powder Inhaler with the technical and practical obstacles, and forthcoming platform strategies.

机构信息

Department of Pharmaceutics, Sanjivani College of Pharmaceutical Education and Research, At Sahajanandnagar, Post-Shinganapur, Tal-Kopargaon, Dist-Ahmednagar, Maharashtra 423603, India; Department of Pharmaceutics, MET's Institute of Pharmacy, Affiliated to Savitribai Phule Pune University, Bhujbal Knowledge City, Adgaon, Nashik 422003, India.

Department of Pharmaceutics, Sanjivani College of Pharmaceutical Education and Research, At Sahajanandnagar, Post-Shinganapur, Tal-Kopargaon, Dist-Ahmednagar, Maharashtra 423603, India.

出版信息

J Control Release. 2023 Mar;355:292-311. doi: 10.1016/j.jconrel.2023.01.083. Epub 2023 Feb 9.


DOI:10.1016/j.jconrel.2023.01.083
PMID:36739908
Abstract

A Dry Powder Inhaler (DPI) is a technique as well as a device used to inhale formulation which is in the form of dry powder, and is inhaled through the nose or mouth. It was developed for the purpose of treating conditions like chronic obstructive pulmonary disease (COPD), Asthma, and even cystic fibrosis etc. The aim of the review is to discuss the different methods of preparation of dry powders along with the characterization of DPI. Here we present the outline of different methods like supercritical fluid extraction (SCF), spray drying, and milling. The review focussed on various devices including single and multi-dose devices used in the DPI. It also highlights on recent advances in the DPI including nano particulate system, siRNA-based medication, liposomes, and pro-liposomes based delivery. In COVID-19 silver nanoparticles-based DPIs provide very prominent results in the infected lungs. Moreover, this review states that the AI-based DPI development provides and improvement in the bioavailability and effectiveness of the drug along with the role of artificial neural networks (ANN). The study also showed that nasally administered drugs (nose to brain) can easily cross the blood-brain barrier (BBB) and enter the central nervous system (CNS) through the olfactory and trigeminal pathway which provides effective CNS concentrations at lower dosage. It is suggested that DPIs not only target respiratory complications but also treat CNS complications too. This review provides support and guides the researcher in the recent development and evaluation of DPI.

摘要

干粉吸入器(DPI)是一种技术和设备,用于吸入呈干粉形式的配方,并通过鼻子或口腔吸入。它是为了治疗慢性阻塞性肺疾病(COPD)、哮喘甚至囊性纤维化等疾病而开发的。本次综述的目的是讨论干粉的不同制备方法以及 DPI 的特性。这里我们介绍了不同方法的概述,如超临界流体萃取(SCF)、喷雾干燥和研磨。该综述重点介绍了 DPI 中使用的各种装置,包括单剂量和多剂量装置。它还强调了 DPI 的最新进展,包括纳米颗粒系统、基于 siRNA 的药物、脂质体和基于前体脂质体的递药系统。在 COVID-19 中,基于银纳米颗粒的 DPI 在感染的肺部中提供了非常显著的效果。此外,该综述指出,基于人工智能的 DPI 开发提高了药物的生物利用度和有效性,并介绍了人工神经网络(ANN)的作用。该研究还表明,经鼻腔给予的药物(从鼻子到大脑)可以通过嗅觉和三叉神经途径轻易穿过血脑屏障(BBB)并进入中枢神经系统(CNS),从而以较低剂量达到有效的 CNS 浓度。有观点认为,DPI 不仅针对呼吸并发症,也针对中枢神经系统并发症。本综述为 DPI 的最新发展和评估提供了支持和指导。

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[10]
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