de Melo Demis Ferreira, Alves Larissa Pereira, da Silva Natalia Millena, Barros Silva Laysa Creusa Paes Barreto, de Lima Arruda Holanda Bruna Fernanda, de Souza Myla Lôbo, Rolim Larissa Araujo, Neto Pedro Jose Rolim
Laboratory of Drug Technology, Department of Pharmaceutical Sciences, Federal University of Pernambuco. Av. Prof. Artur de Sá - Cidade Universitária, Recife, Pernambuco, Brazil.
Drug, Medicine and Food Analytical Center; College of Pharmaceutical Sciences, Federal University of Vale do São Francisco. Av. José de Sá Maniçoba, Petrolina, Brazil.
Curr Med Chem. 2025;32(17):3466-3492. doi: 10.2174/0109298673318410240627031819.
BACKGROUND: Neglected Tropical Diseases (NTD) are chronic infectious conditions that primarily affect marginalized populations. The chemotherapeutic arsenal available for treating NTD is limited and outdated, which poses a challenge in controlling and eradicating these diseases. This is exacerbated by the pharmaceutical industry's lack of interest in funding the development of new therapeutic alternatives. In addition, a considerable number of drugs used in NTD therapy have low aqueous solubility. To address this issue, solubility enhancement strategies, such as the use of inclusion complexes with cyclodextrins (CD) can be employed. OBJECTIVE: Therefore, this systematic review aims to present the application of CD in complexing with drugs and chemotherapeutic compounds used in the therapy of some of the most prevalent NTD worldwide and how these complexes can enhance the treatment of these diseases. METHODS: Two bibliographic databases, Science Direct and PubMed, were used to conduct the search. The selection of studies and the writing of this systematic review followed the criteria outlined by the PRISMA guidelines. RESULTS: From a total of 978 articles, 23 were selected after applying the exclusion criteria. All the studies selected were consistent with the use of CD as a strategy to increase the solubility of therapeutic agents used in NTD. CONCLUSION: The results indicate that CD can enhance the solubility of chemotherapeutic agents for the treatment of Neglected Tropical Diseases (NTD). This review presents data that clearly highlights the potential use of CD in the development of new treatments for neglected tropical diseases. It can assist in the formulation of future treatments that are more effective and safer.
背景:被忽视的热带病(NTD)是主要影响边缘化人群的慢性传染病。可用于治疗NTD的化疗药物有限且过时,这给控制和根除这些疾病带来了挑战。制药行业对资助新治疗方案开发缺乏兴趣,这使情况更加恶化。此外,NTD治疗中使用的相当一部分药物水溶性较低。为解决这一问题,可采用溶解度增强策略,如使用与环糊精(CD)形成的包合物。 目的:因此,本系统评价旨在介绍CD与用于治疗全球一些最常见NTD的药物和化疗化合物形成复合物的应用,以及这些复合物如何增强对这些疾病的治疗效果。 方法:使用两个文献数据库Science Direct和PubMed进行检索。本系统评价的研究选择和撰写遵循PRISMA指南概述的标准。 结果:在总共978篇文章中,应用排除标准后筛选出23篇。所选的所有研究均与使用CD作为增加NTD治疗中所用治疗剂溶解度的策略一致。 结论:结果表明,CD可提高用于治疗被忽视热带病(NTD)的化疗药物的溶解度。本综述提供的数据清楚地突出了CD在开发被忽视热带病新疗法方面的潜在用途。它有助于制定更有效、更安全的未来治疗方案。
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