Institute of Bioscience, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Nanomaterials Synthesis and Characterization Laboratory (NSCL), Institute of Nanoscience and Nanotechnology (ION2), Universiti Putra Malaysia, UPM Serdang, Selangor, Malaysia.
Int J Nanomedicine. 2023 Mar 8;18:1159-1191. doi: 10.2147/IJN.S364634. eCollection 2023.
Tuberculosis (TB), derived from bacterium named , has become one of the worst infectious and contagious illnesses in the world after HIV/AIDS. Long-term therapy, a high pill burden, lack of compliance, and strict management regimens are disadvantages which resulted in the extensively drug-resistant (XDR) along with multidrug-resistant (MDR) in the treatment of TB. One of the main thrust areas for the current scenario is the development of innovative intervention tools for early diagnosis and therapeutics towards (MTB). This review discusses various nanotherapeutic agents that have been developed for MTB diagnostics, anti-TB drugs and vaccine. Undoubtedly, the concept of employing nanoparticles (NPs) has strong potential in this therapy and offers impressive outcomes to conquer the disease. Nanocarriers with different types were designed for drug delivery applications via various administration methods. Controlling and maintaining the drug release might be an example of the benefits of utilizing a drug-loaded NP in TB therapy over conventional drug therapy. Furthermore, the drug-encapsulated NP is able to lessen dosage regimen and can resolve the problems of insufficient compliance. Over the past decade, NPs were developed in both diagnostic and therapeutic methods, while on the other hand, the therapeutic system has increased. These "theranostic" NPs were designed for nuclear imaging, optical imaging, ultrasound, imaging with magnetic resonance and the computed tomography, which includes both single-photon computed tomography and positron emission tomography. More specifically, the current manuscript focuses on the status of therapeutic and diagnostic approaches in the treatment of TB.
结核病(TB)是由一种名为结核分枝杆菌的细菌引起的,它已经成为继艾滋病之后世界上最严重的传染病和传染性疾病之一。长期的治疗、高剂量的药物负担、缺乏依从性以及严格的管理方案等缺点导致了耐多药结核病(MDR-TB)和广泛耐药结核病(XDR-TB)的广泛出现。当前的主要重点领域之一是开发创新的干预工具,用于结核病的早期诊断和治疗。本文讨论了为结核病诊断、抗结核药物和疫苗而开发的各种纳米治疗剂。毫无疑问,在这种治疗中,使用纳米颗粒(NPs)的概念具有强大的潜力,并为克服该疾病提供了令人印象深刻的结果。设计了不同类型的纳米载体用于通过各种给药途径进行药物输送应用。控制和维持药物释放可能是在结核病治疗中使用载药 NP 优于传统药物治疗的一个优势。此外,载药 NP 能够减少剂量方案,并解决依从性不足的问题。在过去的十年中,NP 已经在诊断和治疗方法中得到了发展,而另一方面,治疗系统也得到了发展。这些“治疗诊断”NP 被设计用于核成像、光学成像、超声、磁共振成像和计算机断层扫描,包括单光子计算机断层扫描和正电子发射断层扫描。更具体地说,本文重点介绍了治疗和诊断方法在结核病治疗中的现状。