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类风湿关节炎治疗的药物递送系统方法:综述。

Drug Delivery System Approaches for Rheumatoid Arthritis Treatment: A Review.

机构信息

Department of Pharmaceutical Sciences, Dr. Harisingh Gour University (A Central University), Sagar (MP), India.

出版信息

Mini Rev Med Chem. 2024;24(7):704-720. doi: 10.2174/1389557523666230913105803.

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disease that has traditionally been treated using a variety of pharmacological compounds. However, the effectiveness of these treatments is often limited due to challenges associated with their administration. Oral and parenteral routes of drug delivery are often restricted due to issues such as low bioavailability, rapid metabolism, poor absorption, first-pass effect, and severe side effects. In recent years, nanocarrier-based delivery methods have emerged as a promising alternative for overcoming these challenges. Nanocarriers, including nanoparticles, dendrimers, micelles, nanoemulsions, and stimuli-sensitive carriers, possess unique properties that enable efficient drug delivery and targeted therapy. Using nanocarriers makes it possible to circumvent traditional administration routes' limitations. One of the key advantages of nanocarrier- based delivery is the ability to overcome resistance or intolerance to traditional antirheumatic therapies. Moreover, nanocarriers offer improved drug stability, controlled release kinetics, and enhanced solubility, optimizing the therapeutic effect. They can also protect the encapsulated drug, prolonging its circulation time and facilitating sustained release at the target site. This targeted delivery approach ensures a higher concentration of the therapeutic agent at the site of inflammation, leading to improved therapeutic outcomes. This article explores potential developments in nanotherapeutic regimens for RA while providing a comprehensive summary of current approaches based on novel drug delivery systems. In conclusion, nanocarrier-based drug delivery systems have emerged as a promising solution for improving the treatment of rheumatoid arthritis. Further advancements in nanotechnology hold promise for enhancing the efficacy and safety of RA therapies, offering new hope for patients suffering from this debilitating disease.

摘要

类风湿性关节炎(RA)是一种慢性自身免疫性疾病,传统上采用多种药理化合物进行治疗。然而,由于这些治疗方法的给药存在挑战,其效果往往受到限制。由于生物利用度低、代谢快、吸收差、首过效应和严重的副作用等问题,口服和肠胃外给药途径往往受到限制。近年来,基于纳米载体的递药方法作为克服这些挑战的一种有前途的替代方法出现了。纳米载体包括纳米粒子、树枝状大分子、胶束、纳米乳液和刺激敏感载体,具有高效药物传递和靶向治疗的独特性质。使用纳米载体可以克服传统给药途径的局限性。基于纳米载体的递药的一个关键优势是能够克服对传统抗风湿治疗的耐药性或不耐受性。此外,纳米载体提供了改善的药物稳定性、控制释放动力学和增强的溶解度,优化了治疗效果。它们还可以保护包封的药物,延长其循环时间并促进在靶部位的持续释放。这种靶向递药方法确保了在炎症部位有更高浓度的治疗剂,从而改善了治疗效果。本文探讨了类风湿关节炎纳米治疗方案的潜在发展,并对基于新型药物传递系统的当前方法进行了全面总结。总之,基于纳米载体的药物传递系统已成为改善类风湿关节炎治疗的有前途的解决方案。纳米技术的进一步发展有望提高 RA 治疗的疗效和安全性,为患有这种致残性疾病的患者带来新的希望。

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