Shafiq Muhammad, Rafique Muhammad, Cui Yingkun, Pan Li, Do Chi-Wai, Ho Emmanuel A
Department of Chemical Engineering, Faculty of Engineering, Graduate School, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, Japan; United Graduate School of Drug Discovery and Medical Information Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, Japan.
Key Laboratory of Bioactive Materials (Ministry of Education), State Key Laboratory of Medicinal Chemical Biology, College of Life Sciences, Nankai University, Tianjin 300071, China.
J Control Release. 2023 Oct;362:446-467. doi: 10.1016/j.jconrel.2023.08.041. Epub 2023 Sep 8.
Presently, different types of eye diseases, such as glaucoma, myopia, infection, and dry eyes are treated with topical eye drops. However, due to ocular surface barriers, eye drops require multiple administrations, which may cause several risks, thereby necessitating additional strategies. Some of the key characteristics of an ideal ocular drug delivery system are as follows: (a) good penetration into cornea, (b) high drug retention in the ocular tissues, (c) targetability to the desired regions of the eye, and (d) good bioavailability. It is worthy to note that the corneal epithelial tight junctions hinder the permeation of therapeutics through the cornea. Therefore, it is necessary to design nanocarriers that can overcome these barriers and enhance drug penetration into the inner parts of the eye. Moreover, intelligent multifunctional nanocarriers can be designed to include cavities, which may help encapsulate sufficient amount of the drug. In addition, nanocarriers can be modified with the targeting moieties. Different types of nanocarriers have been developed for ocular drug delivery applications, including emulsions, liposomes, micelles, and nanoparticles. However, these formulations may be rapidly cleared from the eye. The therapeutic use of the nanoparticles (NPs) is also hindered by the non-specific adsorption of proteins on NPs, which may limit their interaction with the cellular moieties or other targeted biological factors. Functional drug delivery systems (DDS), which can offer targeted ocular drug delivery while avoiding the non-specific protein adsorption could exhibit great potential. This could be further realized by the on-demand DDS, which can respond to the stimuli in a spatio-temporal fashion. The cell-mediated DDS offer another valuable platform for ophthalmological drug delivery.
目前,青光眼、近视、感染和干眼症等不同类型的眼部疾病都通过局部滴眼剂进行治疗。然而,由于眼表屏障的存在,滴眼剂需要多次给药,这可能会带来一些风险,因此需要其他策略。理想的眼部药物递送系统的一些关键特性如下:(a) 对角膜有良好的渗透性;(b) 在眼部组织中有较高的药物保留率;(c) 能够靶向眼部的特定区域;(d) 具有良好的生物利用度。值得注意的是,角膜上皮紧密连接阻碍了治疗药物透过角膜。因此,有必要设计能够克服这些屏障并增强药物渗透到眼内部的纳米载体。此外,可以设计智能多功能纳米载体,使其包含空腔,这可能有助于封装足够量的药物。另外,纳米载体可以用靶向部分进行修饰。已经开发了不同类型的纳米载体用于眼部药物递送应用,包括乳剂、脂质体、胶束和纳米颗粒。然而,这些制剂可能会从眼中迅速清除。纳米颗粒(NPs)的治疗应用也受到蛋白质在NPs上的非特异性吸附的阻碍,这可能会限制它们与细胞部分或其他靶向生物因子的相互作用。能够提供靶向眼部药物递送同时避免非特异性蛋白质吸附的功能性药物递送系统(DDS)可能具有巨大潜力。这可以通过按需DDS进一步实现,按需DDS能够以时空方式对刺激做出反应。细胞介导的DDS为眼科药物递送提供了另一个有价值的平台。