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新兴的纳米技术驱动的疟疾药物递送解决方案:应对耐药性并提高治疗成功率。

Emerging nanotechnology-driven drug delivery solutions for malaria: Addressing drug resistance and improving therapeutic success.

作者信息

Mishra Anuradha, Qamar Firdaus, Ashrafi Kudsiya, Fatima Saman, Samim Mohammed, Mohmmed Asif, Abdin Malik Zainul

机构信息

Centre for Transgenic Plant Development, Department of Biotechnology, School of Chemical and Life Sciences, Jamia Hamdard, New Delhi 110062, India.

Amity Institute of Pharmacy, Amity University, Sector 125, Noida, Uttar Pradesh 201301, India.

出版信息

Int J Pharm. 2025 Feb 10;670:125163. doi: 10.1016/j.ijpharm.2024.125163. Epub 2025 Jan 7.

Abstract

Malaria remains the fifth deadliest parasitic infection worldwide, despite significant advancements in technology. A major challenge in combating this disease lies in the growing resistance of malaria parasites to antimalarial drugs and insect vectors to insecticides. The emerging inefficacy of artemisinin-based combination therapies (ACTs) further exacerbates the issue. Additionally, the absence of a highly effective malaria vaccine continues to be a significant obstacle. The complex biology of the malaria parasite and the multifaceted nature of the disease contribute to these challenges. Recent advancements in nanotechnology offer promising solutions in malaria treatment, providing benefits such as improved drug stability, sustained release, and targeted delivery to specific cells. Encapsulation technology, in particular, addresses critical limitations like poor solubility, low bioavailability, and frequent dosing requirements. Thus, this review explores innovative strategies to combat malaria, focusing on nanotechnology-based antimalarial formulations and their evaluation in vitro and in vivo. Moreover, the study highlights the SAR of potent antimalarial compounds, molecular markers linked with drug resistance, ACTs, advocates for eco-friendly approaches, nanotechnology-driven vaccines, and new antimalarial agents with their specific targets.

摘要

尽管技术取得了重大进步,但疟疾仍然是全球第五大致命的寄生虫感染疾病。对抗这种疾病的一个主要挑战在于疟原虫对抗疟药物的耐药性不断增强,以及昆虫媒介对杀虫剂的耐药性。基于青蒿素的联合疗法(ACTs)的疗效逐渐降低,这进一步加剧了该问题。此外,缺乏高效的疟疾疫苗仍然是一个重大障碍。疟原虫复杂的生物学特性和该疾病的多面性导致了这些挑战。纳米技术的最新进展为疟疾治疗提供了有前景的解决方案,带来了诸如提高药物稳定性、持续释放以及靶向特定细胞递送等益处。特别是封装技术解决了诸如溶解度差、生物利用度低和频繁给药要求等关键限制。因此,本综述探讨了对抗疟疾的创新策略,重点关注基于纳米技术的抗疟制剂及其体外和体内评估。此外,该研究强调了强效抗疟化合物的构效关系、与耐药性相关的分子标志物、ACTs、倡导环保方法、纳米技术驱动的疫苗以及具有特定靶点的新型抗疟药物。

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