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基于脂质的药物递送系统作为纳米载体用于女性生殖器结核治疗的当前进展

Current Advances in Lipid-Based Drug Delivery Systems as Nanocarriers for the Management of Female Genital Tuberculosis.

作者信息

Chavan Dhanashri D, Bhosale Rohit R, Thorat Vandana M, Yadav Akshay R, Patil Sachinkumar V, Janugade Bhagyesh U, Patil Sarika J

机构信息

Department of Pharmacology, Krishna Institute of Medical Sciences, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.

Department of Pharmaceutics, Krishna Foundation's Jaywant Institute of Pharmacy, Wathar, IND.

出版信息

Cureus. 2024 Nov 25;16(11):e74452. doi: 10.7759/cureus.74452. eCollection 2024 Nov.

Abstract

Female genital tuberculosis (FGTB) arises from infection and can rarely be caused by or atypical mycobacteria. FGTB usually arises from tuberculosis (TB) that affects the lungs or other organs. The infection can enter the vaginal tract directly from abdominal TB or by hematogenous or lymphatic pathways. Menstrual dysfunction and infertility as a result of genital organ damage result from FGTB, which affects women's fallopian tubes, uterine endometrium, and ovaries. Consequently, FGTB remains a major worldwide health risk, posing challenges in its treatment due to the limited effectiveness of existing drugs and the resilient nature of the TB pathogen. Moreover, currently available antimicrobial drugs for FGTB suffer from inadequate bioavailability. Long treatment regimens are necessary because high doses often result in patient noncompliance and the emergence of drug-resistant strains of TB. Therefore, to improve TB therapy generally, especially FGTB, novel drug delivery techniques are essential. Because targeted drug delivery systems have the benefit of delivering higher drug concentrations directly to the infection site, fewer side effects have been reported. As a result, various lipid-based drug delivery systems as nanocarriers have been identified as successful antimicrobial drug delivery options, indicating their potential for treating FGTB.

摘要

女性生殖器结核(FGTB)由感染引起,很少由[原文此处缺失相关病原体]或非典型分枝杆菌引起。FGTB通常源于影响肺部或其他器官的结核病(TB)。感染可通过腹部结核直接进入阴道,或通过血行或淋巴途径进入。FGTB会影响女性的输卵管、子宫内膜和卵巢,导致生殖器官受损,进而引起月经功能紊乱和不孕。因此,FGTB仍然是全球主要的健康风险,由于现有药物效果有限以及结核病原体具有耐药性,其治疗面临挑战。此外,目前用于FGTB的抗菌药物生物利用度不足。由于高剂量常常导致患者依从性差以及出现耐药结核菌株,因此需要长期治疗方案。所以,为了总体上改善结核病治疗,尤其是FGTB的治疗,新型药物递送技术至关重要。因为靶向药物递送系统具有将更高药物浓度直接递送至感染部位的优势,据报道其副作用较少。因此,各种基于脂质的药物递送系统作为纳米载体已被确定为成功的抗菌药物递送选择,表明它们在治疗FGTB方面具有潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a29/11669736/8573cce00690/cureus-0016-00000074452-i01.jpg

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