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纳米医学在治疗干眼病方面的最新进展。

Recent progress of nanomedicine in managing dry eye disease.

作者信息

Lv Zeen, Li Su, Zeng Guixiang, Yao Ke, Han Haijie

机构信息

Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Zhejiang Provincial Key Laboratory of Ophthalmology, Zhejiang Provincial Clinical Research Center for Eye Diseases, Zhejiang Provincial Engineering Institute on Eye Diseases, Hangzhou, 310009, China.

Department of Pediatrics, No. 903 Hospital of PLA Joint Logistic Support Force, Hangzhou, 310013, China.

出版信息

Adv Ophthalmol Pract Res. 2024 Jan 29;4(1):23-31. doi: 10.1016/j.aopr.2024.01.008. eCollection 2024 Feb-Mar.

Abstract

BACKGROUND

Dry eye disease (DED) is a commonly reported ocular complaint that has garnered significant attention in recent research. The global occurrence of DED ranges from 5% to 50%, impacting a substantial proportion of individuals worldwide with increasing frequency. Although topical administration remains the mainstream drug delivery method for ocular diseases, it suffers from drawbacks such as low bioavailability, rapid drug metabolism, and frequent administration requirements. Fortunately, the advancements in nanomedicine offer effective solutions to address the aforementioned issues and provide significant assistance in the treatment of DED.

MAIN TEXT

DED is considered a multifactorial disease of the ocular surface and tear film, in which the integrity of tear film function and structure plays a crucial role in maintaining the homeostasis of the ocular surface. The conventional treatment for DED involves the utilization of artificial tear products, cyclosporin, corticosteroids, mucin secretagogues, and nonsteroidal anti-inflammatory drugs. Furthermore, nanomedicine is presently a significant field of study, with numerous clinical trials underway for various nanotherapeutics including nanoemulsions, nanosuspensions, liposomes, and micelles. Notably, some of these innovative nanoformulations have already received FDA approval as novel remedies for DED, and the advancement of nanomedicine is poised to offer enhanced prospects to solve the shortcomings of existing treatments for DED partially.

CONCLUSIONS

This article provides an overview of the latest advancements in nanomedicine for DED treatment, while the field of DED treatment is expected to witness a remarkable breakthrough shortly with the development of nanomedicine, bringing promising prospects for patients worldwide suffering conditions.

摘要

背景

干眼疾病(DED)是一种常见的眼部病症,在近期研究中受到了广泛关注。全球范围内干眼疾病的发病率在5%至50%之间,且呈上升趋势,影响着世界上相当一部分人群。尽管局部给药仍然是眼部疾病的主流给药方式,但它存在生物利用度低、药物代谢快以及给药频率高的缺点。幸运的是,纳米医学的进展为解决上述问题提供了有效的解决方案,并在干眼疾病的治疗中提供了重要帮助。

正文

干眼疾病被认为是一种眼表和泪膜的多因素疾病,其中泪膜功能和结构的完整性在维持眼表的稳态中起着关键作用。干眼疾病的传统治疗方法包括使用人工泪液产品、环孢素、皮质类固醇、粘蛋白分泌促进剂和非甾体抗炎药。此外,纳米医学目前是一个重要的研究领域,有许多针对各种纳米疗法的临床试验正在进行,包括纳米乳剂、纳米混悬剂、脂质体和胶束。值得注意的是,其中一些创新的纳米制剂已经获得美国食品药品监督管理局(FDA)批准,作为干眼疾病的新型治疗方法,纳米医学的发展有望部分解决现有干眼疾病治疗方法的缺点,带来更好的前景。

结论

本文概述了纳米医学在干眼疾病治疗方面的最新进展,随着纳米医学的发展,干眼疾病治疗领域有望在不久后取得重大突破,为全球患有该疾病的患者带来充满希望的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51c9/10864857/e541f2dc1f85/gr1.jpg

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