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用于类风湿性关节炎靶向治疗的天然多糖基纳米药物递送系统:综述

Natural polysaccharide-based nanodrug delivery systems for targeted treatment of rheumatoid arthritis: A review.

作者信息

Kumar Devesh, Pandey Shubham, Shivhare Brijesh, Bala Madhu, Kumar Mohit, Kumar Pawan, Gupta Jitendra

机构信息

Institute of Pharmaceutical Research, GLA University, Mathura 281406, Uttar Pradesh, India.

Institute of Nuclear Medicine & Allied Sciences (INMAS), Brig. S. K Mazumdar Marg, Timarpur, Delhi 110054, India; Department of Chemistry, Bharathiar University, Coimbatore 641046, Tamil Nadu, India.

出版信息

Int J Biol Macromol. 2025 May;310(Pt 3):143408. doi: 10.1016/j.ijbiomac.2025.143408. Epub 2025 Apr 22.

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disorder characterized by persistent inflammation of the joints, leading to pain, disability, and systemic complications. Conventional treatments often exhibit limitations, including adverse effects and suboptimal bioavailability. To address these challenges, natural polysaccharides-mediated nano drug delivery is a promising vehicle for RA management. This review explores the potential of natural polysaccharides in RA, including chitosan, cellulose, albumin, hyaluronic acid, polylactic acid, alginate, etc. Their biodegradable and biocompatible nature renders them ideal nanomaterials for RA applications. These properties facilitate targeted delivery, improved cellular uptake, and sustained release of therapeutic agents, enhancing their pharmacological effects while minimizing systemic toxicity. Recent advances in nanotechnology have enabled the formulations of polysaccharides that can encapsulate a range of therapeutic agents, including conventional anti-inflammatory drugs and novel biologics. The review also highlights various formulation strategies to optimize the physicochemical properties of polysaccharide-based nano drug delivery systems, including surface modification and combinatorial therapies. Overall, natural polysaccharides represent a versatile and effective approach for developing innovative nano drug delivery systems, offering a promising strategy for the effective treatment of rheumatoid arthritis.

摘要

类风湿性关节炎(RA)是一种慢性自身免疫性疾病,其特征是关节持续发炎,导致疼痛、残疾和全身并发症。传统治疗方法往往存在局限性,包括副作用和生物利用度欠佳。为应对这些挑战,天然多糖介导的纳米药物递送是一种有前景的类风湿性关节炎治疗手段。本综述探讨了天然多糖在类风湿性关节炎治疗中的潜力,包括壳聚糖、纤维素、白蛋白、透明质酸、聚乳酸、藻酸盐等。它们的可生物降解和生物相容性使其成为类风湿性关节炎应用的理想纳米材料。这些特性有助于实现靶向递送、提高细胞摄取率以及治疗药物的持续释放,增强其药理作用,同时将全身毒性降至最低。纳米技术的最新进展使得能够制备出可包裹一系列治疗药物的多糖制剂,包括传统抗炎药和新型生物制剂。本综述还重点介绍了各种优化多糖基纳米药物递送系统物理化学性质的制剂策略,包括表面修饰和联合疗法。总体而言,天然多糖是开发创新型纳米药物递送系统的一种通用且有效的方法,为类风湿性关节炎的有效治疗提供了一种有前景的策略。

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