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关于眼科治疗革新的综述:揭示壳聚糖、透明质酸、纤维素、环糊精和泊洛沙姆在眼病治疗中的潜力。

A review on revolutionizing ophthalmic therapy: Unveiling the potential of chitosan, hyaluronic acid, cellulose, cyclodextrin, and poloxamer in eye disease treatments.

机构信息

Department of Ophthalmology, Taipei Medical University Hospital, Taipei 11031, Taiwan; Department of Ophthalmology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan.

Graduate Institute of Biomedical Materials and Tissue Engineering, College of Biomedical Engineering, Taipei Medical University, New Taipei City, Taiwan; International Ph.D. Program in Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, New Taipei City, Taiwan.

出版信息

Int J Biol Macromol. 2024 Jul;273(Pt 2):132700. doi: 10.1016/j.ijbiomac.2024.132700. Epub 2024 Jun 15.

Abstract

Ocular disorders, encompassing both common ailments like dry eye syndrome and more severe situations for instance age-related macular degeneration, present significant challenges to effective treatment due to the intricate architecture and physiological barriers of the eye. Polysaccharides are emerging as potential solutions for drug delivery to the eyes due to their compatibility with living organisms, natural biodegradability, and adhesive properties. In this review, we explore not only the recent advancements in polysaccharide-based technologies and their transformative potential in treating ocular illnesses, offering renewed optimism for both patients and professionals but also anatomy of the eye and the significant obstacles hindering drug transportation, followed by an investigation into various drug administration methods and their ability to overcome ocular-specific challenges. Our focus lies on biological adhesive polymers, including chitosan, hyaluronic acid, cellulose, cyclodextrin, and poloxamer, known for their adhesive characteristics enhancing drug retention on ocular surfaces and increasing bioavailability. A detailed analysis of material designs used in ophthalmic formulations, such as gels, lenses, eye drops, nanofibers, microneedles, microspheres, and nanoparticles, their advantages and limitations, the potential of formulations in improving therapeutic outcomes for various eye conditions. Moreover, we underscore the discovery of novel polysaccharides and their potential uses in ocular drug delivery.

摘要

眼部疾病包括干眼症综合征等常见疾病以及年龄相关性黄斑变性等更严重的情况,由于眼睛的复杂结构和生理屏障,给有效治疗带来了重大挑战。多糖由于与生物体的相容性、天然可生物降解性和黏附特性,成为眼部药物输送的潜在解决方案。在这篇综述中,我们不仅探讨了基于多糖的技术的最新进展及其在治疗眼部疾病方面的变革性潜力,为患者和专业人士带来了新的希望,还探讨了眼部解剖结构以及阻碍药物输送的重大障碍,随后研究了各种药物给药方法及其克服眼部特定挑战的能力。我们的重点是生物黏附性聚合物,包括壳聚糖、透明质酸、纤维素、环糊精和泊洛沙姆,它们具有黏附特性,可以增加药物在眼部表面的滞留时间并提高生物利用度。我们还详细分析了眼科配方中使用的材料设计,如凝胶、隐形眼镜、滴眼液、纳米纤维、微针、微球和纳米颗粒,及其优缺点,以及这些配方在改善各种眼部疾病治疗效果方面的潜力。此外,我们还强调了新型多糖的发现及其在眼部药物输送中的潜在用途。

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