Das Amit, Shahriar Talukder Galeeb, Zehravi Mehrukh, Sweilam Sherouk Hussein, Alshehri Mohammed Ali, Ahmad Irfan, Nafady Mohamed H, Emran Talha Bin
Department of Pharmacy, Faculty of Pharmacy, University of Dhaka, Dhaka, 1000, Bangladesh.
Department of Clinical Pharmacy, College of Dentistry & Pharmacy, Buraydah Private Colleges, Buraydah, 51418, Saudi Arabia.
Naunyn Schmiedebergs Arch Pharmacol. 2025 Jan;398(1):329-349. doi: 10.1007/s00210-024-03376-1. Epub 2024 Aug 21.
Eye diseases, such as age-related macular degeneration (AMD) and diabetic retinopathy (DR), impose a substantial health cost on a worldwide scale. Carotenoids have emerged as intriguing candidates for pharmacological treatment of various disorders. Their therapeutic effectiveness, however, is hindered by poor solubility and vulnerability to degradation. Nanocarriers, such as nanoparticles, liposomes, and micelles, provide a transformational way to overcome these limits. This review explores the pharmacological potential of carotenoids, namely lutein, zeaxanthin, and astaxanthin, to treat several ocular disorders. The main emphasis is on their anti-inflammatory and antioxidant actions, which help to counteract inflammation and oxidative stress, crucial factors in the development of AMD and DR. The review evaluates the significant benefits of nano-formulated carotenoids, such as improved bioavailability, higher cellular absorption, precise administration to particular ocular tissues, and greater biostability, which make them superior to conventional carotenoids. Some clinical studies on the beneficial properties of carotenoids in eye diseases are discussed. Furthermore, safety and regulatory concerns are also taken into account. Ultimately, carotenoids, especially when created in their nano form, have significant potential for safeguarding eyesight and enhancing the overall well-being of several individuals afflicted with vision-endangering eye diseases.
眼部疾病,如年龄相关性黄斑变性(AMD)和糖尿病性视网膜病变(DR),在全球范围内造成了巨大的健康成本。类胡萝卜素已成为治疗各种疾病的有趣候选药物。然而,它们的治疗效果受到溶解度低和易降解的阻碍。纳米载体,如纳米颗粒、脂质体和胶束,提供了一种变革性的方法来克服这些限制。本综述探讨了类胡萝卜素,即叶黄素、玉米黄质和虾青素治疗几种眼部疾病的药理学潜力。主要重点是它们的抗炎和抗氧化作用,这有助于对抗炎症和氧化应激,而炎症和氧化应激是AMD和DR发展的关键因素。该综述评估了纳米配方类胡萝卜素的显著益处,如提高生物利用度、更高的细胞吸收、对特定眼部组织的精确给药以及更高的生物稳定性,这使得它们优于传统类胡萝卜素。还讨论了一些关于类胡萝卜素对眼部疾病有益特性的临床研究。此外,还考虑了安全性和监管问题。最终,类胡萝卜素,尤其是以纳米形式制备时,在保护视力和改善患有危及视力的眼部疾病的多个人的整体健康方面具有巨大潜力。