Department of Orthopaedics, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, China.
Department of Rehabilitation, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, China.
Biomed Pharmacother. 2023 Sep;165:115013. doi: 10.1016/j.biopha.2023.115013. Epub 2023 Jul 31.
Bone-related disorders treatment is a serious public health concern, imposing a significant social and economic burden on patients and healthcare systems. Although conventional drug delivery systems have made advances in bone diseases prevention and management, the limited delivery efficiency and convoluted focal environment lead to inadequate drug absorption and lack of specificity to achieve the intended therapeutic impact. Microneedle-based therapy represents an extraordinarily safe and well-tolerable therapeutic approach for treating bone disorders, providing improved efficacy by breaking down the barriers and delivery of therapeutic components to the target sites with programable release profiles in a less invasive manner. Over the past decades, numerous significant achievements in the development of various types of drug-carried microneedles have been made to address the obstacles encountered in the bone-treating procedure, enabling the microneedle-based therapy to take an important step in practical applications. In this light, this review summarizes these remarkable researches in terms of microneedles types and drug delivery strategies, with the goal of demonstrating the benefits of exploiting microneedle-based therapy as a novel strategy for treating bone-related disorders. The remaining challenges and future perspectives are also discussed in the hope of inspiring more efficient and intelligent bone treatment strategies.
骨相关疾病的治疗是一个严重的公共卫生问题,给患者和医疗系统带来了巨大的社会和经济负担。尽管传统的药物输送系统在预防和管理骨疾病方面取得了进展,但有限的输送效率和复杂的局部环境导致药物吸收不足,缺乏特异性,无法实现预期的治疗效果。基于微针的治疗方法为治疗骨疾病提供了一种极其安全且耐受性良好的治疗方法,通过打破障碍并以可编程的释放方式将治疗成分递送到靶位,提供了更好的疗效,从而改善了疗效。在过去的几十年中,为了解决骨治疗过程中遇到的障碍,已经在各种载药微针的开发方面取得了许多重大进展,使基于微针的治疗方法在实际应用中迈出了重要的一步。有鉴于此,本文综述了这些在微针类型和药物输送策略方面的显著研究,旨在展示利用基于微针的治疗方法作为治疗骨相关疾病的新策略的优势。本文还讨论了剩余的挑战和未来展望,以期激发更高效和智能的骨治疗策略。