基于纳米和微粒的方法在特定支气管扩张剂治疗哮喘中的应用。

Application of nano- and micro-particle-based approaches for selected bronchodilators in management of asthma.

作者信息

Singh Sukhbir, Sharma Neelam, Gupta Jitendra, Kyada Ashishkumar, Nathiya Deepak, Behl Tapan, Gupta Sumeet, Anwer Md Khalid, Gulati Monica, Sachdeva Monika

机构信息

Department of Pharmaceutics, MM College of Pharmacy, Maharishi Markandeshwar (Deemed to Be University), Mullana-Ambala, 133207 Haryana India.

Institute of Pharmaceutical Research, GLA University, Mathura, 281406 Uttar Pradesh India.

出版信息

3 Biotech. 2024 Sep;14(9):208. doi: 10.1007/s13205-024-04051-1. Epub 2024 Aug 23.

Abstract

Asthma is a chronic inflammatory condition that affects the airways, posing a substantial health threat to a large number of people worldwide. Bronchodilators effectively alleviate symptoms of airway obstruction by inducing relaxation of the smooth muscles in the airways, thereby reducing breathlessness and enhancing overall quality of life. The drug targeting to lungs poses significant challenges; however, this issue can be resolved by employing nano- and micro-particles drug delivery systems. This review provides brief insights about underlying mechanisms of asthma, including the role of several inflammatory mediators that contribute to the development and progression of this disease. This article provides an overview of the physicochemical features, pharmacokinetics, and mechanism of action of particular groups of bronchodilators, including sympathomimetics, PDE-4 inhibitors (phosphodiesterase-4 inhibitors), methylxanthines, and anticholinergics. This study presents a detailed summary of the most recent developments in incorporation of bronchodilators in nano- and micro-particle-based delivery systems which include solid lipid nanoparticles, bilosomes, novasomes, liposomes, polymeric nano- and micro-particles. Specifically, it focuses on breakthroughs in the categories of sympathomimetics, methylxanthines, PDE-4 inhibitors, and anticholinergics. These medications have the ability to specifically target alveolar macrophages, leading to a higher concentration of pharmaceuticals in the lung tissues.

摘要

哮喘是一种影响气道的慢性炎症性疾病,对全球大量人群构成重大健康威胁。支气管扩张剂通过诱导气道平滑肌松弛有效缓解气道阻塞症状,从而减轻呼吸急促并提高整体生活质量。靶向肺部的药物面临重大挑战;然而,通过采用纳米和微粒药物递送系统可以解决这个问题。本综述简要介绍了哮喘的潜在机制,包括几种炎症介质在该疾病发生和发展中的作用。本文概述了特定类别的支气管扩张剂的物理化学特性、药代动力学和作用机制,包括拟交感神经药、PDE-4抑制剂(磷酸二酯酶-4抑制剂)、甲基黄嘌呤和抗胆碱能药物。本研究详细总结了支气管扩张剂纳入基于纳米和微粒的递送系统的最新进展,这些系统包括固体脂质纳米粒、双分子层脂质体、新型脂质体、脂质体、聚合物纳米粒和微粒。具体而言,它关注拟交感神经药、甲基黄嘌呤、PDE-4抑制剂和抗胆碱能药物类别的突破。这些药物能够特异性靶向肺泡巨噬细胞,从而使肺组织中的药物浓度更高。

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