Han Haijie, Li Su, Xu Mingyu, Zhong Yueyang, Fan Wenjie, Xu Jingwei, Zhou Tinglian, Ji Jian, Ye Juan, Yao Ke
Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou 310009, People's Republic of China; Zhejiang Provincial Key Lab of Ophthalmology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou 310009, People's Republic of China.
Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, 88 Jiefang Road, Hangzhou 310009, People's Republic of China.
Adv Drug Deliv Rev. 2023 May;196:114770. doi: 10.1016/j.addr.2023.114770. Epub 2023 Mar 7.
Ocular diseases seriously affect patients' vision and life quality, with a global morbidity of over 43 million blindness. However, efficient drug delivery to treat ocular diseases, particularly intraocular disorders, remains a huge challenge due to multiple ocular barriers that significantly affect the ultimate therapeutic efficacy of drugs. Recent advances in nanocarrier technology offer a promising opportunity to overcome these barriers by providing enhanced penetration, increased retention, improved solubility, reduced toxicity, prolonged release, and targeted delivery of the loaded drug to the eyes. This review primarily provides an overview of the progress and contemporary applications of nanocarriers, mainly polymer- and lipid-based nanocarriers, in treating various eye diseases, highlighting their value in achieving efficient ocular drug delivery. Additionally, the review covers the ocular barriers and administration routes, as well as the prospective future developments and challenges in the field of nanocarriers for treating ocular diseases.
眼部疾病严重影响患者的视力和生活质量,全球失明发病率超过4300万。然而,由于多种眼部屏障会显著影响药物的最终治疗效果,因此高效药物递送治疗眼部疾病,尤其是眼内疾病,仍然是一项巨大挑战。纳米载体技术的最新进展提供了一个有前景的机会,通过增强渗透、增加滞留、改善溶解性、降低毒性、延长释放以及将负载药物靶向递送至眼部来克服这些屏障。本综述主要概述了纳米载体,主要是基于聚合物和脂质的纳米载体,在治疗各种眼部疾病方面的进展和当代应用,突出了它们在实现高效眼部药物递送方面的价值。此外,该综述还涵盖了眼部屏障和给药途径,以及纳米载体在治疗眼部疾病领域未来的潜在发展和挑战。