Ghosh Sourav, Chowdhury Sejuti Ray, Rahaman Monosiz, Basu Biswajit, Prajapati Bhupendra
Department of Pharmaceutical Technology, School of Medical Sciences, Adamas University, Kolkata -700126.
Curr Pharm Biotechnol. 2024 Oct 21. doi: 10.2174/0113892010326373241012061547.
Influenza, a highly transmissible respiratory infection caused by influenza viruses A and B, poses a persistent threat to global public health due to its high mutation rate, ability to develop resistance to existing antiviral drugs, and capacity for rapid spread. Current treatment options, including four main classes of antiviral agents-adamantanes, neuraminidase inhibitors, RNA-dependent RNA polymerase inhibitors, and polymerase acidic endonuclease inhibitors- are limited by the emergence of drug-resistant viral strains, non-specific drug distribution, and adverse side effects. Moreover, the effectiveness of traditional vaccines is often compromised by antigenic drift and shift, necessitating the development of alternative therapeutic strategies. This review comprehensively explores the potential of novel targeted drug delivery systems to address these limitations and improve influenza management. Nanotechnology-based platforms, including lipid-based, polymer-based, inorganic, and hybrid nanoparticles, offer enhanced drug delivery through improved bioavailability, targeted action, and controlled release, thus minimizing systemic toxicity and optimizing therapeutic outcomes. Inhalation delivery systems such as dry powder inhalers (DPIs), nebulizers, and nanotechnology-based inhalation formulations provide direct delivery of antiviral agents to the respiratory tract, ensuring rapid onset of action with reduced systemic side effects. Transdermal delivery methods, including microneedle patches and hydrogel-based systems, offer non-invasive alternatives that enhance patient compliance and allow for sustained drug release. Furthermore, this review discusses recent innovations, such as responsive drug delivery systems and multifunctional nanoparticles capable of simultaneous delivery of multiple therapeutic agents, representing a significant advancement in the fight against influenza. These novel approaches promise improved targeting and efficacy and enable personalized treatment strategies, enhancing patient outcomes in both seasonal flu and pandemic scenarios. Integrating these advanced drug delivery systems into clinical practice could revolutionize the management of influenza, offering a promising pathway toward more effective and safer therapies.
流感是一种由甲型和乙型流感病毒引起的高传染性呼吸道感染疾病,因其高突变率、对现有抗病毒药物产生耐药性的能力以及快速传播的能力,对全球公共卫生构成持续威胁。目前的治疗选择,包括四类主要抗病毒药物——金刚烷类、神经氨酸酶抑制剂、RNA依赖性RNA聚合酶抑制剂和聚合酶酸性内切酶抑制剂——受到耐药病毒株的出现、非特异性药物分布和不良副作用的限制。此外,传统疫苗的有效性常常因抗原漂移和抗原转换而受到影响,因此需要开发替代治疗策略。本综述全面探讨了新型靶向给药系统在解决这些局限性和改善流感治疗方面的潜力。基于纳米技术的平台,包括脂质基、聚合物基、无机和混合纳米颗粒,通过提高生物利用度、靶向作用和控释来增强药物递送,从而将全身毒性降至最低并优化治疗效果。吸入给药系统,如干粉吸入器(DPI)、雾化器和基于纳米技术的吸入制剂,可将抗病毒药物直接递送至呼吸道,确保起效迅速且全身副作用减少。透皮给药方法,包括微针贴片和水凝胶基系统,提供了非侵入性的替代方案,可提高患者的依从性并实现药物的持续释放。此外,本综述还讨论了近期的创新成果,如响应性给药系统和能够同时递送多种治疗药物的多功能纳米颗粒,这代表了在对抗流感方面的重大进展。这些新方法有望改善靶向性和疗效,并实现个性化治疗策略,在季节性流感和大流行情况下均能提高患者的治疗效果。将这些先进的给药系统整合到临床实践中可能会彻底改变流感的治疗方式,为实现更有效、更安全的治疗提供一条充满希望的途径。