Department of Pharmaceutics, L. M. College of Pharmacy, Ahmedabad, India.
Department of Pharmacology & Pharmacy practices, L. M. College of Pharmacy, Ahmedabad, India.
Expert Opin Drug Deliv. 2024 May;21(5):695-712. doi: 10.1080/17425247.2024.2358886. Epub 2024 May 27.
Retinal drug delivery has witnessed significant advancements in recent years, mainly driven by the prevalence of retinal diseases and the need for more efficient and patient-friendly treatment strategies.
Advancements in nanotechnology have introduced novel drug delivery platforms to improve bioavailability and provide controlled/targeted delivery to specific retinal layers. This review highlights various treatment options for retinal diseases. Additionally, diverse strategies aimed at enhancing delivery of small molecules and antibodies to the posterior segment such as implants, polymeric nanoparticles, liposomes, niosomes, microneedles, iontophoresis and mixed micelles were emphasized. A comprehensive overview of the special technologies currently under clinical trials or already in the clinic was provided.
Ideally, drug delivery system for treating retinal diseases should be less invasive in nature and exhibit sustained release up to several months. Though topical administration in the form of eye drops offers better patient compliance, its clinical utility is limited by nature of the drug. There is a wide range of delivery platforms available, however, it is not easy to modify any single platform to accommodate all types of drugs. Coordinated efforts between ophthalmologists and drug delivery scientists are necessary while developing therapeutic compounds, right from their inception.
近年来,视网膜药物输送取得了重大进展,主要是由于视网膜疾病的流行和对更有效、更适合患者的治疗策略的需求。
纳米技术的进步为提高生物利用度和提供对特定视网膜层的控制/靶向输送提供了新的药物输送平台。这篇综述强调了各种治疗视网膜疾病的选择。此外,还强调了各种旨在增强小分子和抗体向后节输送的策略,如植入物、聚合物纳米粒、脂质体、非诺霉素、微针、离子电渗和混合胶束。提供了对当前正在临床试验或已在临床应用的特殊技术的全面概述。
理想情况下,用于治疗视网膜疾病的药物输送系统在性质上应具有较小的侵入性,并表现出长达数月的持续释放。虽然以眼药水形式进行局部给药能提高患者的依从性,但由于药物的性质,其临床应用受到限制。有各种各样的输送平台,但要修改任何单一平台以适应所有类型的药物并不容易。在开发治疗化合物时,眼科医生和药物输送科学家之间需要进行协调努力,从一开始就进行。