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基于微粒和纳米粒的方法改善感染的口服治疗。

Microparticles and nanoparticles-based approaches to improve oral treatment of infection.

机构信息

School of Pharmaceutical Science, Sao Paulo State University (UNESP), Araraquara, Brazil.

Federal University of Espirito Santo (UFES), Vitória, Brazil.

出版信息

Crit Rev Microbiol. 2024 Sep;50(5):728-749. doi: 10.1080/1040841X.2023.2274835. Epub 2023 Oct 28.

Abstract

is a gram-negative, spiral-shaped, flagellated bacterium that colonizes the stomach of half the world's population. infection causes pathologies of varying severity. Standard oral therapy fails in 15-20% since the barriers of the oral route decrease the bioavailability of antibiotics and the intrinsic factors of bacteria increase the rates of resistance. Nanoparticles and microparticles are promising strategies for drug delivery into the gastric mucosa and targeting . The variety of building blocks creates systems with distinct colloidal, surface, and biological properties. These features improve drug-pathogen interactions, eliminate drug depletion and overuse, and enable the association of multiple actives combating on several fronts. Nanoparticles and microparticles are successfully used to overcome the barriers of the oral route, physicochemical inconveniences, and lack of selectivity of current therapy. They have proven efficient in employing promising anti- compounds whose limitation is oral route instability, such as some antibiotics and natural products. However, the current challenge is the applicability of these strategies in clinical practice. For this reason, strategies employing a rational design are necessary, including in the development of nano- and microsystems for the oral route.

摘要

是一种革兰氏阴性、螺旋形、鞭毛状细菌,定植在世界上一半人口的胃中。 感染会导致不同严重程度的病理。由于口服途径的屏障会降低抗生素的生物利用度,而细菌的内在因素会增加耐药率,因此标准的口服治疗在 15-20%的情况下失败。纳米粒子和微粒子是将药物递送到胃黏膜并靶向 的有前途的策略。各种构建块可创建具有独特胶体、表面和生物学特性的系统。这些特性可改善药物-病原体相互作用,消除药物耗竭和滥用,并能够结合多种针对 的活性剂,从多个方面进行治疗。纳米粒子和微粒子已成功用于克服口服途径、物理化学不便和当前治疗缺乏选择性的障碍。它们已被证明在使用具有口服途径不稳定性的有前途的抗化合物方面非常有效,例如一些抗生素和天然产物。然而,当前的挑战是这些策略在临床实践中的适用性。出于这个原因,有必要采用合理设计的策略,包括开发用于口服途径的纳米和微系统。

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