College of Pharmacy, Skaggs Pharmaceutical Sciences Center, The University of Arizona, Tucson, Arizona, USA.
The BIO5 Research Institute, The University of Arizona, Tucson, Arizona, USA.
J Aerosol Med Pulm Drug Deliv. 2024 Aug;37(4):202-218. doi: 10.1089/jamp.2024.29117.mk.
An increasing growth in nanotechnology is evident from the growing number of products approved in the past decade. Nanotechnology can be used in the effective treatment of several pulmonary diseases by developing therapies that are delivered in a targeted manner to select lung regions based on the disease state. Acute or chronic pulmonary disorders can benefit from this type of therapy, including respiratory distress syndrome (RDS), chronic obstructive pulmonary disease (COPD), asthma, pulmonary infections (e.g. tuberculosis, infection, fungal infections, bacterial infections, and viral infections), lung cancer, cystic fibrosis (CF), pulmonary fibrosis, and pulmonary arterial hypertension. Modification of size and surface property renders nanoparticles to be targeted to specific sites, which can serve a vital role in innovative pulmonary drug delivery. The nanocarrier type chosen depends on the intended purpose of the formulation and intended physiological target. Liquid nanocarriers and solid-state nanocarriers can carry hydrophilic and hydrophobic drugs (e.g. small molecular weight drug molecules, large molecular weight drugs, peptide drugs, and macromolecular biological drugs), while surface modification with polymer can provide cellular targeting, controlled drug release, and/or evasion of phagocytosis by immune cells, depending on the polymer type. Polymeric nanocarriers have versatile architectures, such as linear, branched, and dendritic forms. In addition to the colloidal dispersion liquid state, the various types of nanoparticles can be formulated into the solid state, offering important unique advantages in formulation versatility and enhanced stability of the final product. This chapter describes the different types of nanocarriers, types of inhalation aerosol device platforms, liquid aerosols, respirable powders, and particle engineering design technologies for inhalation aerosols.
从过去十年中批准的越来越多的产品可以明显看出,纳米技术的应用正在不断增加。纳米技术可以通过开发靶向治疗方法来有效治疗多种肺部疾病,这些治疗方法可以根据疾病状态以靶向方式递送到选择的肺部区域。急性或慢性肺部疾病都可以受益于这种治疗方法,包括呼吸窘迫综合征(RDS)、慢性阻塞性肺疾病(COPD)、哮喘、肺部感染(例如肺结核、感染、真菌感染、细菌感染和病毒感染)、肺癌、囊性纤维化(CF)、肺纤维化和肺动脉高压。通过改变尺寸和表面性质,使纳米颗粒能够靶向特定部位,这在创新的肺部药物输送中可以发挥重要作用。选择的纳米载体类型取决于制剂的预期目的和预期的生理靶标。液体纳米载体和固态纳米载体可以携带亲水性和疏水性药物(例如,小分子药物分子、大分子药物、肽药物和大分子生物药物),而通过聚合物进行表面修饰可以提供细胞靶向性、控制药物释放和/或逃避免疫细胞的吞噬作用,具体取决于聚合物类型。聚合物纳米载体具有多种结构,如线性、支化和树突状形式。除了胶体分散液状态外,各种类型的纳米颗粒还可以被配制成固态,为制剂的多功能性和最终产品的稳定性提供重要的独特优势。本章介绍了不同类型的纳米载体、吸入气溶胶装置平台、液体气溶胶、可吸入粉末以及吸入气溶胶的颗粒工程设计技术。