Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM's Narsee Monjee Institute of Management Studies, Mumbai, India.
Naunyn Schmiedebergs Arch Pharmacol. 2024 Jan;397(1):77-97. doi: 10.1007/s00210-023-02662-8. Epub 2023 Aug 19.
Fungal infections impose a significant impact on global health and encompass major expenditures in medical treatments. Human mycoses, a fungal co-infection associated with SARS-CoV-2, is caused by opportunistic fungal pathogens and is often overlooked or misdiagnosed. Recently, there is increasing threat about spread of antimicrobial resistance in fungus, mostly in hospitals and other healthcare facilities. The diagnosis and treatment of fungal infections are associated with several issues, including tedious and non-selective detection methods, the growth of drug-resistant bacteria, severe side effects, and ineffective drug delivery. Thus, a rapid and sensitive diagnostic method and a high-efficacy and low-toxicity therapeutic approach are needed. Nanomedicine has emerged as a viable option for overcoming these limitations. Due to the unique physicochemical and optical properties of nanomaterials and newer biosensing techniques, nanodiagnostics play an important role in the accurate and prompt differentiation and detection of fungal diseases. Additionally, nano-based drug delivery techniques can increase drug permeability, reduce adverse effects, and extend systemic circulation time and drug half-life. This review paper is aimed at highlighting recent, promising, and unique trends in nanotechnology to design and develop diagnostics and treatment methods for fungal diseases.
真菌感染对全球健康造成重大影响,并在医疗治疗方面带来巨大支出。人类真菌感染是一种与 SARS-CoV-2 相关的真菌合并感染,由机会性真菌病原体引起,常被忽视或误诊。最近,真菌中抗微生物药物耐药性的传播威胁日益增加,主要发生在医院和其他医疗机构。真菌感染的诊断和治疗存在几个问题,包括繁琐和非选择性的检测方法、耐药菌的生长、严重的副作用和无效的药物输送。因此,需要一种快速和敏感的诊断方法以及高效低毒的治疗方法。纳米医学已成为克服这些限制的可行选择。由于纳米材料的独特物理化学和光学特性以及新型生物传感技术,纳米诊断在准确和及时区分和检测真菌病方面发挥着重要作用。此外,基于纳米的药物输送技术可以提高药物渗透性,减少副作用,并延长系统循环时间和药物半衰期。本文旨在强调纳米技术的最新、有前途和独特趋势,以设计和开发真菌病的诊断和治疗方法。