Lopes Sílvio André, Roque-Borda Cesar Augusto, Duarte Jonatas Lobato, Di Filippo Leonardo Delello, Borges Cardoso Vinícius Martinho, Pavan Fernando Rogério, Chorilli Marlus, Meneguin Andréia Bagliotti
Department of Drugs and Medicines, School of Pharmaceutical Sciences, Sao Paulo State University (UNESP), Araraquara 14800-903, Brazil.
Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04000, Peru.
Pharmaceutics. 2023 Nov 8;15(11):2600. doi: 10.3390/pharmaceutics15112600.
Inflammatory bowel disease (IBD) is a chronic inflammatory disorder, most known as ulcerative colitis (UC) and Crohn's disease (CD), that affects the gastrointestinal tract (GIT), causing considerable symptoms to millions of people around the world. Conventional therapeutic strategies have limitations and side effects, prompting the exploration of innovative approaches. Probiotics, known for their potential to restore gut homeostasis, have emerged as promising candidates for IBD management. Probiotics have been shown to minimize disease symptoms, particularly in patients affected by UC, opening important opportunities to better treat this disease. However, they exhibit limitations in terms of stability and targeted delivery. As several studies demonstrate, the encapsulation of the probiotics, as well as the synthetic drug, into micro- and nanoparticles of organic materials offers great potential to solve this problem. They resist the harsh conditions of the upper GIT portions and, thus, protect the probiotic and drug inside, allowing for the delivery of adequate amounts directly into the colon. An overview of UC and CD, the benefits of the use of probiotics, and the potential of micro- and nanoencapsulation technologies to improve IBD treatment are presented. This review sheds light on the remarkable potential of nano- and microparticles loaded with probiotics as a novel and efficient strategy for managing IBD. Nonetheless, further investigations and clinical trials are warranted to validate their long-term safety and efficacy, paving the way for a new era in IBD therapeutics.
炎症性肠病(IBD)是一种慢性炎症性疾病,最常见的是溃疡性结肠炎(UC)和克罗恩病(CD),它会影响胃肠道(GIT),给全球数百万人带来相当严重的症状。传统治疗策略存在局限性和副作用,这促使人们探索创新方法。益生菌以其恢复肠道内环境稳定的潜力而闻名,已成为治疗IBD的有希望的候选者。益生菌已被证明可以减轻疾病症状,尤其是在UC患者中,为更好地治疗这种疾病带来了重要机遇。然而,它们在稳定性和靶向递送方面存在局限性。正如多项研究表明的那样,将益生菌以及合成药物封装到有机材料的微米和纳米颗粒中,为解决这一问题提供了巨大潜力。它们能够抵抗上消化道部分的恶劣条件,从而保护内部的益生菌和药物,使足够量的药物能够直接递送至结肠。本文概述了UC和CD、使用益生菌的益处以及微纳封装技术在改善IBD治疗方面的潜力。这篇综述揭示了负载益生菌的纳米和微米颗粒作为一种治疗IBD的新型高效策略的巨大潜力。尽管如此,仍需要进一步的研究和临床试验来验证它们的长期安全性和有效性,为IBD治疗的新时代铺平道路。