MOE Key Laboratory of Macromolecule Synthesis and Functionalization of Ministry of Education, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou, 310027, China.
State Key Laboratory of Transvascular Implantation Devices, The Second Affiliated Hospital, Zhejiang University School of Medicine, 88 Jiefang Rd, Hangzhou, 310009, China.
J Mater Chem B. 2024 Sep 25;12(37):9173-9198. doi: 10.1039/d4tb01484g.
The application of nanotechnology in antifungal therapy is gaining increasing attention. Current antifungal drugs have significant limitations, such as severe side effects, low bioavailability, and the rapid development of resistance. Nanotechnology offers an innovative solution to address these issues. This review discusses three key strategies of nanotechnology to enhance antifungal efficacy. Firstly, nanomaterials can enhance their interaction with fungal cells ingenious surface tailoring of nanomaterials. Effective adhesion of nanoparticles to fungal cells can be achieved by electrostatic interaction or specific targeting to the fungal cell wall and cell membrane. Secondly, stimuli-responsive nanomaterials are developed to realize smart release of drugs in the specific microenvironment of pathological tissues, such as the fungal biofilm microenvironment and inflammatory microenvironment. Thirdly, nanomaterials can be designed to cross different physiological barriers, effectively addressing challenges posed by skin, corneal, and blood-brain barriers. Additionally, some new nanomaterial-based strategies in treating fungal infections are discussed, including the development of fungal vaccines, modulation of macrophage activity, phage therapy, the application of high-throughput screening in drug discovery, and so on. Despite the challenges faced in applying nanotechnology to antifungal therapy, its significant potential and innovation open new possibilities for future clinical antifungal applications.
纳米技术在抗真菌治疗中的应用越来越受到关注。目前的抗真菌药物存在严重的副作用、生物利用度低和耐药性快速发展等显著局限性。纳米技术为解决这些问题提供了创新的解决方案。本综述讨论了纳米技术增强抗真菌疗效的三个关键策略。首先,纳米材料可以通过巧妙的表面修饰来增强与真菌细胞的相互作用。通过静电相互作用或对真菌细胞壁和细胞膜的特异性靶向,可以实现纳米颗粒与真菌细胞的有效黏附。其次,开发了对刺激响应的纳米材料,以实现药物在病理组织的特定微环境中的智能释放,如真菌生物膜微环境和炎症微环境。第三,纳米材料可以被设计用来穿越不同的生理屏障,有效地解决皮肤、角膜和血脑屏障等带来的挑战。此外,还讨论了一些新的基于纳米材料的治疗真菌感染的策略,包括真菌疫苗的开发、巨噬细胞活性的调节、噬菌体治疗、高通量筛选在药物发现中的应用等。尽管纳米技术在抗真菌治疗中的应用面临挑战,但它具有显著的潜力和创新性,为未来的临床抗真菌应用开辟了新的可能性。