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纳米和微粒药物输送系统治疗布鲁氏菌感染。

Nano and microparticle drug delivery systems for the treatment of Brucella infections.

机构信息

Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Nephrology and Urology Research Center,Clinical Science Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

Biomed Pharmacother. 2023 Dec 31;169:115875. doi: 10.1016/j.biopha.2023.115875. Epub 2023 Nov 16.

Abstract

Nano-based drug delivery systems are increasingly used for diagnosis, prevention and treatment of several diseases, thanks to several beneficial properties, including the ability to target specific cells or organs, allowing to reduce treatment costs and side effects frequently associated with chemotherapeutic medications, thereby improving treatment compliance of patients. In the field of communicable diseases, especially those caused by intracellular bacteria, the delivery of antibiotics targeting specific cells is of critical importance to maximize their treatment efficacy. Brucella melitensis, an intracellular obligate bacterium surviving and replicating inside macrophages is hard to be eradicated, mainly because of the low ability of antibiotics to enter these phagocityc cells . Although different antibiotics regimens including gentamicin, doxycycline and rifampicin are in fact used against the Brucellosis, no efficient treatment has been attained yet, due to the intracellular life of the respective pathogen. Nano-medicines responding to environmental stimuli allow to maximize drug delivery targeting macropages, thereby boosting treatment efficacy. Several drug delivery nano-technologies, including solid lipid nanoparticles, liposomes, chitosan, niosomes, and their combinations with chitosan sodium alginate can be employed in combination of antibiotics to successfully eradicate Brucellosis infection from patients.

摘要

基于纳米的药物输送系统由于具有多种有益特性,越来越多地用于多种疾病的诊断、预防和治疗,包括靶向特定细胞或器官的能力,从而能够降低治疗成本和经常与化疗药物相关的副作用,从而提高患者的治疗依从性。在传染病领域,特别是由细胞内细菌引起的传染病中,针对特定细胞的抗生素的输送对于最大限度地提高其治疗效果至关重要。布鲁氏菌属,一种在巨噬细胞内生存和复制的细胞内专性细菌,很难被根除,主要是因为抗生素进入这些吞噬细胞的能力较低。尽管实际上使用了包括庆大霉素、强力霉素和利福平在内的不同抗生素方案来对抗布鲁氏菌病,但由于各自病原体的细胞内生活,尚未获得有效的治疗方法。对环境刺激有响应的纳米药物能够最大限度地提高针对巨噬细胞的药物输送,从而提高治疗效果。几种药物输送纳米技术,包括固体脂质纳米粒、脂质体、壳聚糖、尼诺霉素及其与海藻酸钠壳聚糖的组合,可以与抗生素联合使用,成功地从患者中根除布鲁氏菌病感染。

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