George Meekha, Boukherroub Rabah, Sanyal Amitav, Szunerits Sabine
Laboratory for Life Sciences and Technology (LiST), Faculty of Medicine and Dentistry, Danube Private University (DPU), Viktor-Kaplan-Straße 2, Geb. E, 2700, Wiener Neustadt, Austria.
Univ. Lille, CNRS, Univ. Polytechnique, Hauts-de-France, UMR 8520 - IEMN, F-59000, Lille, France.
Mater Today Bio. 2025 Feb 26;31:101616. doi: 10.1016/j.mtbio.2025.101616. eCollection 2025 Apr.
Respiratory diseases remain challenging to treat, with current efforts primarily focused on managing symptoms rather than maintaining overall lung health. Traditional treatment methods, such as oral or parenteral administration of antiviral, antibacterial, and anti-inflammatory drugs, face limitations. These include difficulty in delivering therapeutic agents to pathogens residing deep in the airways and the risk of severe side effects due to high systemic drug concentrations. The growing threat of drug-resistant pathogens further complicates infection management.
The lung's large surface area offers an attractive target for inhalation-based drug delivery. Nanoparticles (NP) enable uniform and sustained drug distribution across the alveolar network, overcoming challenges posed by complex lung anatomy. Recent breakthroughs in nanorobots (NR) have demonstrated precise navigation through biological environments, delivering therapies directly to affected lung areas with enhanced accuracy. Nanotechnology has also shown promise in treating lung cancer, with nanoparticles engineered to overcome biological barriers, improve drug solubility, and enable controlled drug release.
This review explores the progress of NP and NR in addressing challenges in pulmonary drug delivery. These innovations allow targeted delivery of nucleic acids, drugs, or peptides to the pulmonary epithelium with unprecedented accuracy, offering significant potential for improving therapeutic effectiveness in respiratory disorders.
呼吸系统疾病的治疗仍然具有挑战性,目前的努力主要集中在控制症状而非维持整体肺部健康。传统的治疗方法,如口服或肠胃外给予抗病毒、抗菌和抗炎药物,存在局限性。这些局限性包括难以将治疗药物输送到气道深处的病原体,以及由于全身药物浓度过高而导致严重副作用的风险。耐药病原体构成的日益严重威胁使感染管理更加复杂。
肺的大表面积为基于吸入的药物递送提供了一个有吸引力的靶点。纳米颗粒(NP)能够在整个肺泡网络中实现均匀且持续的药物分布,克服了复杂肺部解剖结构带来的挑战。纳米机器人(NR)的最新突破已证明其能够在生物环境中精确导航,以更高的准确性将治疗药物直接递送至受影响的肺部区域。纳米技术在治疗肺癌方面也显示出前景,通过设计纳米颗粒来克服生物屏障、提高药物溶解度并实现药物的控释。
本综述探讨了纳米颗粒和纳米机器人在应对肺部药物递送挑战方面的进展。这些创新能够以前所未有的准确性将核酸、药物或肽靶向递送至肺上皮细胞,为提高呼吸系统疾病的治疗效果提供了巨大潜力。