Department of Biomedical Engineering, Bangladesh University of Engineering and Technology (BUET), Dhaka 1205, Bangladesh.
ACS Appl Bio Mater. 2024 Aug 19;7(8):4923-4943. doi: 10.1021/acsabm.3c00731. Epub 2023 Nov 17.
Antimicrobial peptides (AMPs), distinguished by their cationic and amphiphilic nature, represent a critical frontier in the battle against antimicrobial resistance due to their potent antimicrobial activity and a broad spectrum of action. However, the clinical translation of AMPs faces hurdles, including their susceptibility to degradation, limited bioavailability, and the need for targeted delivery. Transdermal delivery has immense potential for optimizing AMP administration for wound management. Leveraging the skin's accessibility and barrier properties, transdermal delivery offers a noninvasive approach that can circumvent systemic side effects and ensure sustained release. Biomaterial-based delivery systems, encompassing nanofibers, hydrogels, nanoparticles, and liposomes, have emerged as key players in enhancing the efficacy of transdermal AMP delivery. These biomaterial carriers not only shield AMPs from enzymatic degradation but also provide controlled release mechanisms, thereby elevating stability and bioavailability. The synergistic interaction between the transdermal approach and biomaterial-facilitated formulations presents a promising strategy to overcome the multifaceted challenges associated with AMP delivery. Integrating advanced technologies and personalized medicine, this convergence allows the reimagining of wound care. This review amalgamates insights to propose a pathway where AMPs, transdermal delivery, and biomaterial innovation harmonize for effective wound management.
抗菌肽 (AMPs) 因其阳离子性和两亲性而备受关注,由于其强大的抗菌活性和广谱作用,成为对抗抗菌药物耐药性的重要前沿。然而,抗菌肽的临床转化面临诸多挑战,包括易降解、生物利用度有限以及需要靶向递送。经皮给药在优化抗菌肽用于伤口管理方面具有巨大潜力。利用皮肤的可及性和屏障特性,经皮给药提供了一种非侵入性的方法,可以避免全身副作用并确保持续释放。基于生物材料的递送系统,包括纳米纤维、水凝胶、纳米颗粒和脂质体,已成为增强经皮抗菌肽递送效果的关键因素。这些生物材料载体不仅可以保护抗菌肽免受酶的降解,还可以提供控制释放机制,从而提高稳定性和生物利用度。经皮给药方法与生物材料促进制剂的协同相互作用提出了一种很有前途的策略,可以克服抗菌肽递送相关的多方面挑战。整合先进技术和个性化医疗,这种融合为有效的伤口护理提供了新的思路。本综述综合了相关见解,提出了一个途径,即抗菌肽、经皮给药和生物材料创新协同作用,以实现有效的伤口管理。