Setyawati Damai Ria, Sekaringtyas Fransiska Christydira, Pratiwi Riyona Desvy, Rosyidah A'liyatur, Azhar Rohimmahtunnissa, Gustini Nunik, Syahputra Gita, Rosidah Idah, Mardliyati Etik, El Muttaqien Sjaikhurrizal
Research Center for Vaccine and Drugs, National Research and Innovation Agency (BRIN), LAPTIAB 1, PUSPIPTEK, Tangerang Selatan 15314, Indonesia.
Research Center for Pharmaceutical Ingredients and Traditional Medicine, National Research and Innovation Agency (BRIN), LAPTIAB 1, PUSPIPTEK, Tangerang Selatan 15314, Indonesia.
Beilstein J Nanotechnol. 2024 Aug 23;15:1105-1116. doi: 10.3762/bjnano.15.89. eCollection 2024.
Over recent decades, nanomedicine has played an important role in the enhancement of therapeutic outcomes compared to those of conventional therapy. At the same time, nanoparticle drug delivery systems offer a significant reduction in side effects of treatments by lowering the off-target biodistribution of the active pharmaceutical ingredients. Cancer nanomedicine represents the most extensively studied nanotechnology application in the field of pharmaceutics and pharmacology since the first nanodrug for cancer treatment, liposomal doxorubicin (Doxil), has been approved by the FDA. The advancement of cancer nanomedicine and its enormous technological success also included various other target diseases, including hepatic fibrosis. This confirms the versatility of nanomedicine for improving therapeutic activity. In this review, we summarize recent updates of nanomedicine platforms for improving therapeutic efficacy regarding liver fibrosis. We first emphasize the challenges of conventional drugs for penetrating the biological barriers of the liver. After that, we highlight design principles of nanocarriers for achieving improved drug delivery of antifibrosis drugs through passive and active targeting strategies.
在最近几十年里,与传统疗法相比,纳米医学在提高治疗效果方面发挥了重要作用。与此同时,纳米颗粒药物递送系统通过降低活性药物成分的非靶向生物分布,显著减少了治疗的副作用。自首款用于癌症治疗的纳米药物脂质体阿霉素(多柔比星脂质体,Doxil)获得美国食品药品监督管理局(FDA)批准以来,癌症纳米医学是制药学和药理学领域研究最为广泛的纳米技术应用。癌症纳米医学的进步及其巨大的技术成功还涵盖了包括肝纤维化在内的各种其他靶标疾病。这证实了纳米医学在改善治疗活性方面的多功能性。在本综述中,我们总结了用于提高肝纤维化治疗效果的纳米医学平台的最新进展。我们首先强调传统药物穿透肝脏生物屏障所面临的挑战。之后,我们重点介绍通过被动和主动靶向策略实现抗纤维化药物更好递送的纳米载体设计原则。