Univ Angers, INSERM, CNRS, MINT, SFR ICAT, 49000, Angers, France.
Institut Universitaire de France (IUF), Paris, France.
Drug Deliv Transl Res. 2024 Aug;14(8):2276-2297. doi: 10.1007/s13346-024-01590-1. Epub 2024 Apr 8.
Over the past decades, research on nanomedicines as innovative tools in combating complex pathologies has increased tenfold, spanning fields from infectiology and ophthalmology to oncology. This process has further accelerated since the introduction of SARS-CoV-2 vaccines. When it comes to human health, nano-objects are designed to protect, transport, and improve the solubility of compounds to allow the delivery of active ingredients on their targets. Nanomedicines can be administered by different routes, such as intravenous, oral, intramuscular, or pulmonary routes. In the latter route, nanomedicines can be aerosolized or nebulized to reach the deep lung. This review summarizes existing nanomedicines proposed for inhalation administration, from their synthesis to their potential clinical use. It also outlines the respiratory organs, their structure, and particularities, with a specific emphasis on how these factors impact the administration of nanomedicines. Furthermore, the review addresses the organs accessible through pulmonary administration, along with various pathologies such as infections, genetic diseases, or cancer that can be addressed through inhaled nanotherapeutics. Finally, it examines the existing devices suitable for the aerosolization of nanomedicines and the range of nanomedicines in clinical development.
在过去的几十年中,作为治疗复杂疾病的创新工具,纳米医学的研究呈指数级增长,涵盖了从传染病学和眼科学到肿瘤学等多个领域。自 SARS-CoV-2 疫苗问世以来,这一进程进一步加速。在涉及人类健康时,纳米物体旨在保护、输送和提高化合物的溶解度,以实现活性成分在其靶标上的传递。纳米药物可以通过不同的途径给药,如静脉内、口服、肌肉内或肺途径。在后一种途径中,可以将纳米药物气溶胶化或雾化以到达肺部深处。本综述总结了已提出用于吸入给药的现有纳米药物,从其合成到潜在的临床应用。它还概述了呼吸器官及其结构和特殊性,特别强调了这些因素如何影响纳米药物的给药。此外,该综述还探讨了通过肺部给药可到达的器官,以及可通过吸入纳米疗法治疗的各种疾病,如感染、遗传疾病或癌症。最后,它还研究了适合纳米药物气溶胶化的现有设备以及处于临床开发阶段的纳米药物范围。
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