International Center for Synthetic Biology, School of Food and Pharmaceutical Engineering, Nanjing Normal University, Nanjing, 210023, China.
Nanjing Stomatological Hospital, Nanjing, 210008, China.
J Nanobiotechnology. 2024 Sep 16;22(1):568. doi: 10.1186/s12951-024-02841-6.
Systemic infection with Candida albicans poses a significant risk for people with weakened immune systems and carries a mortality rate of up to 60%. However, current therapeutic options have several limitations, including increasing drug tolerance, notable off-target effects, and severe adverse reactions. Over the past four decades, the progress in developing drugs to treat Candida albicans infections has been sluggish. This comprehensive review addresses the limitations of existing drugs and summarizes the efforts made toward redesigning and innovating existing or novel drugs through nanotechnology. The discussion explores the potential applications of nanomedicine in Candida albicans infections from four perspectives: nano-preparations for anti-biofilm therapy, innovative formulations of "old drugs" targeting the cell membrane and cell wall, reverse drug resistance therapy targeting subcellular organelles, and virulence deprivation therapy leveraging the unique polymorphism of Candida albicans. These therapeutic approaches are promising to address the above challenges and enhance the efficiency of drug development for Candida albicans infections. By harnessing nano-preparation technology to transform existing and preclinical drugs, novel therapeutic targets will be uncovered, providing effective solutions and broader horizons to improve patient survival rates.
白色念珠菌系统性感染对免疫系统较弱的人群构成重大风险,死亡率高达 60%。然而,目前的治疗选择存在多种局限性,包括药物耐受性增加、明显的脱靶效应和严重的不良反应。在过去的四十年中,开发治疗白色念珠菌感染的药物的进展一直缓慢。本综述全面探讨了现有药物的局限性,并总结了通过纳米技术重新设计和创新现有或新型药物的努力。讨论从四个方面探讨了纳米医学在白色念珠菌感染中的潜在应用:抗生物膜治疗的纳米制剂、针对细胞膜和细胞壁的“老药”的创新制剂、针对亚细胞器的逆转药物耐药性治疗以及利用白色念珠菌独特多态性的毒力剥夺治疗。这些治疗方法有望解决上述挑战,并提高白色念珠菌感染药物开发的效率。通过利用纳米制剂技术将现有和临床前药物转化为新型药物,将揭示新的治疗靶点,为提高患者生存率提供有效解决方案和更广阔的前景。