Liu Yun, Mao Ruiyue, Han Shijia, Yu Zhi, Xu Bin, Xu Tiancheng
Key Laboratory of Acupuncture and Medicine Research of Ministry of Education, Nanjing University of Chinese Medicine, Nanjing 210023, China.
Polymers (Basel). 2024 Sep 11;16(18):2568. doi: 10.3390/polym16182568.
Our comprehensive review plunges into the cutting-edge advancements of polymeric microneedle drug delivery systems, underscoring their transformative potential in the realm of transdermal drug administration. Our scrutiny centers on the substrate materials pivotal for microneedle construction and the core properties that dictate their efficacy. We delve into the distinctive interplay between microneedles and dermal layers, underscoring the mechanisms by which this synergy enhances drug absorption and precision targeting. Moreover, we examine the acupoint-target organ-ganglion nexus, an innovative strategy that steers drug concentration to specific targets, offering a paradigm for precision medicine. A thorough analysis of the clinical applications of polymeric microneedle systems is presented, highlighting their adaptability and impact across a spectrum of therapeutic domains. This review also accentuates the systems' promise to bolster patient compliance, attributed to their minimally invasive and painless mode of drug delivery. We present forward-looking strategies aimed at optimizing stimulation sites to amplify therapeutic benefits. The anticipation is set for the introduction of superior biocompatible materials with advanced mechanical properties, customizing microneedles to cater to specialized clinical demands. In parallel, we deliberate on safety strategies aimed at boosting drug loading capacities and solidifying the efficacy of microneedle-based therapeutics. In summation, this review accentuates the pivotal role of polymeric microneedle technology in contemporary healthcare, charting a course for future investigative endeavors and developmental strides within this burgeoning field.
我们的全面综述深入探讨了聚合物微针给药系统的前沿进展,强调了它们在透皮给药领域的变革潜力。我们的审查集中在微针构建的关键基底材料以及决定其功效的核心特性上。我们深入研究微针与真皮层之间独特的相互作用,强调这种协同作用增强药物吸收和精准靶向的机制。此外,我们研究了穴位 - 靶器官 - 神经节联系,这是一种将药物浓度导向特定靶点的创新策略,为精准医学提供了范例。本文对聚合物微针系统的临床应用进行了全面分析,突出了它们在一系列治疗领域的适应性和影响。本综述还强调了该系统在提高患者依从性方面的前景,这归因于其微创且无痛的给药方式。我们提出了前瞻性策略,旨在优化刺激部位以放大治疗效果。人们期待引入具有先进机械性能的优质生物相容性材料,定制微针以满足特殊的临床需求。同时,我们探讨了旨在提高药物载量和巩固基于微针疗法疗效的安全策略。总之,本综述强调了聚合物微针技术在当代医疗保健中的关键作用,为这一新兴领域未来的研究工作和发展步伐指明了方向。