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用于肺纤维化的脂质纳米颗粒:综述

Lipid nanoparticles for pulmonary fibrosis: A comprehensive review.

作者信息

Dhara Tushar Kanti, Khawas Sayak, Sharma Neelima

机构信息

Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi, Jharkhand, India.

Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi, Jharkhand, India.

出版信息

Pulm Pharmacol Ther. 2024 Dec;87:102319. doi: 10.1016/j.pupt.2024.102319. Epub 2024 Aug 30.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a fatal progressive and irreversible ailment associated with the proliferation of fibroblast and accumulation of extracellular matrix (ECM) with gradual scarring of lung tissue. Despite several research studies, the treatments available are not efficient enough for the reversal of the disease and are constantly in progress. No drugs other than Pirfenidone and Nintedanib have been approved for the treatment of IPF, necessitating the exploration of novel therapeutic strategies. Recently, lipid-based nanoparticles (LNPs) have drawn more attention because of their potential to enhance the solubility of drugs, cross biological barriers of the lungs and specifically target lung fibrotic tissues, overcoming various challenges in treating IPF. LNPs offer a versatile platform to encapsulate a wide range of drugs, both hydrophilic and lipophilic, improving their bioavailability, allowing sustained release and reducing toxicity, which radiates their significant role in addressing the complexities of IPF. This review summarizes the pathogenesis and conventional treatment of idiopathic pulmonary fibrosis, along with their drawbacks. The review focuses on different types of lipid-based nanoparticles that have been tested in the treatment of idiopathic pulmonary fibrosis, including nanoemulsions, liposomes, solid lipid nanoparticles, nanostructured lipid carriers, niosomes and lipid-polymer hybrid nanoparticles. The review also highlights the future prospects that can offer a potential approach for developing novel strategies to treat idiopathic pulmonary fibrosis.

摘要

特发性肺纤维化(IPF)是一种致命的进行性且不可逆的疾病,与成纤维细胞增殖和细胞外基质(ECM)积聚相关,会导致肺组织逐渐瘢痕化。尽管有多项研究,但现有的治疗方法对逆转该疾病的效果并不理想,且仍在不断探索中。除了吡非尼酮和尼达尼布外,尚无其他药物被批准用于治疗IPF,因此需要探索新的治疗策略。最近,基于脂质的纳米颗粒(LNPs)因其具有增强药物溶解度、跨越肺生物屏障以及特异性靶向肺纤维化组织的潜力,克服了治疗IPF中的各种挑战,而备受关注。LNPs提供了一个通用平台,可封装多种亲水性和疏水性药物,提高其生物利用度,实现持续释放并降低毒性,这凸显了它们在应对IPF复杂性方面的重要作用。本综述总结了特发性肺纤维化的发病机制和传统治疗方法及其缺点。综述重点介绍了已在特发性肺纤维化治疗中进行测试的不同类型的基于脂质的纳米颗粒,包括纳米乳剂、脂质体、固体脂质纳米颗粒、纳米结构脂质载体、非离子表面活性剂囊泡和脂质-聚合物杂化纳米颗粒。综述还强调了未来前景,可为开发治疗特发性肺纤维化的新策略提供潜在方法。

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