Department of Pharmaceutics, Delhi Pharmaceutical Sciences and Research University, New Delhi, India.
Institute of Nuclear Medicine & Allied Sciences (INMAS-DRDO), Ministry of Defence, Brig. SK Mazumdar Marg, Lucknow Road, Timarpur, Delhi-110054, India.
Naunyn Schmiedebergs Arch Pharmacol. 2023 Oct;396(10):2287-2310. doi: 10.1007/s00210-023-02514-5. Epub 2023 May 11.
Rheumatoid arthritis is a hyperactive immune disorder that results in severe inflammation in synovial joints, cartilage, and bone deterioration, resulting in immobilization of joints. Traditional approaches for the treatment of rheumatoid arthritis are associated with some limiting factors such as suboptimal patient compliance, inability to control the progression of disorder, and safety concerns. Therefore, innovative drug delivery carriers for efficient therapeutic delivery at inflamed synovial sites with better safety assessment are urgently needed to address these issues. From this perspective, nanotechnology is an outstanding alternative to traditional drug delivery approaches, and it has shown great promise in developing novel carriers to treat rheumatoid arthritis. Considering the current research and future application of nanocarriers, it is believed that nanocarriers can be a crucial element in rheumatoid arthritis treatment. This paper covers all currently available pathophysiological aspects of rheumatoid arthritis and treatment options. Future research for the reduction of synovial inflammation should focus on developing multifunction nanoparticles capable of delivering therapeutic agents with improved safety, efficacy, and cost-effectiveness to be commercialized.
类风湿性关节炎是一种免疫活性过度的疾病,会导致滑膜关节、软骨和骨恶化严重炎症,从而导致关节僵硬。传统的类风湿性关节炎治疗方法存在一些限制因素,如患者顺应性差、无法控制疾病进展和安全性问题。因此,迫切需要创新的药物输送载体,以便在发炎的滑膜部位高效输送治疗药物,并进行更好的安全性评估。从这个角度来看,纳米技术是传统药物输送方法的一种卓越替代品,它在开发治疗类风湿性关节炎的新型载体方面显示出了巨大的潜力。考虑到纳米载体的当前研究和未来应用,相信纳米载体可以成为类风湿性关节炎治疗的关键因素。本文涵盖了类风湿性关节炎的所有现有病理生理方面和治疗选择。未来针对减少滑膜炎症的研究应集中于开发多功能纳米粒子,以能够将具有改善的安全性、疗效和成本效益的治疗剂递送至商业化。