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吸入疗法中基于纳米颗粒的药物递送系统:改善呼吸医学。

Nanoparticle-Based Drug Delivery Systems in Inhaled Therapy: Improving Respiratory Medicine.

作者信息

Cojocaru Elena, Petriș Ovidiu Rusalim, Cojocaru Cristian

机构信息

Morpho-Functional Sciences II Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

Medical II Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

出版信息

Pharmaceuticals (Basel). 2024 Aug 12;17(8):1059. doi: 10.3390/ph17081059.

Abstract

Inhaled nanoparticle (NP) therapy poses intricate challenges in clinical and pharmacodynamic realms. Recent strides have revolutionized NP technology by enabling the incorporation of diverse molecules, thus circumventing systemic clearance mechanisms and enhancing drug effectiveness while mitigating systemic side effects. Despite the established success of systemic NP delivery in oncology and other disciplines, the exploration of inhaled NP therapies remains relatively nascent. NPs loaded with bronchodilators or anti-inflammatory agents exhibit promising potential for precise distribution throughout the bronchial tree, offering targeted treatment for respiratory diseases. This article conducts a comprehensive review of NP applications in respiratory medicine, highlighting their merits, ranging from heightened stability to exacting lung-specific delivery. It also explores cutting-edge technologies optimizing NP-loaded aerosol systems, complemented by insights gleaned from clinical trials. Furthermore, the review examines the current challenges and future prospects in NP-based therapies. By synthesizing current data and perspectives, the article underscores the transformative promise of NP-mediated drug delivery in addressing chronic conditions such as chronic obstructive pulmonary disease, a pressing global health concern ranked third in mortality rates. This overview illuminates the evolving landscape of NP inhalation therapies, presenting optimistic avenues for advancing respiratory medicine and improving patient outcomes.

摘要

吸入纳米颗粒(NP)疗法在临床和药效学领域带来了复杂的挑战。最近的进展通过使多种分子能够被纳入,彻底改变了NP技术,从而规避了全身清除机制,提高了药物有效性,同时减轻了全身副作用。尽管全身NP递送在肿瘤学和其他学科中已取得既定成功,但吸入NP疗法的探索仍相对处于初期阶段。负载支气管扩张剂或抗炎剂的NP在整个支气管树中实现精确分布方面展现出了有前景的潜力,为呼吸系统疾病提供了靶向治疗。本文对NP在呼吸医学中的应用进行了全面综述,强调了它们的优点,从更高的稳定性到精确的肺特异性递送。文章还探讨了优化载NP气溶胶系统的前沿技术,并辅以从临床试验中获得的见解。此外,该综述审视了基于NP的疗法当前面临的挑战和未来前景。通过综合当前数据和观点,本文强调了NP介导的药物递送在解决慢性疾病(如慢性阻塞性肺疾病,这是一种在死亡率中排名第三的紧迫全球健康问题)方面的变革性前景。这一概述阐明了NP吸入疗法不断演变的格局,为推进呼吸医学和改善患者预后呈现了乐观的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d3f/11357421/20553cdc693e/pharmaceuticals-17-01059-g001.jpg

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