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通过纳米载体的开发对类风湿性关节炎的治疗及其相较于传统剂型的意义

Management of Rheumatoid Arthritis By Development of Nanocarriers and their Significance Over Conventional Dosage Forms.

作者信息

Khan Hafsa, Yadav Nita, Sharma Shipra, Rawat Reetika

机构信息

Department of Pharmacy, Shri Ram Murti Smarak College of Engineering & Technology, Bareilly (U.P), India.

出版信息

Recent Adv Drug Deliv Formul. 2025;19(1):2-15. doi: 10.2174/0126673878324613240805065651.

Abstract

BACKGROUND

Rheumatoid Arthritis is one of the most common auto-immune diseases that cause inflammation. It is characterized by pain, stiffness, tenderness, and swelling in joints, which may even lead to heart, lungs, or brain-related problems where age is the major factor involved, as around 55% older adults have been affected by it. Treatments including non-steroidal anti- inflammatory drugs (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs) etc., that are modified and formulated as nanocarriers for enhanced bioavailability, majorly aim at enhancing the rate and extent of drug reaching the bloodstream such as solid-lipid nanoparticles, liposomes, polymeric- micelles, polymeric nanoparticles etc. are used in the management of rheumatoid arthritis.

METHODS

The following tools (Pubmed, Scopus, Google search engine, Google Scholar, Medline Search Engine, Elsevier) were used in the literature search.

RESULTS

Through the literature review, the development of nanocarrier shows a promising approach in the management of rheumatoid arthritis as compared to the conventional drug treatment such as biologic agents and non-steroidal anti-inflammatory drugs etc. Conclusion: Rheumatoid Arthritis is a condition that occurs when the immune system, which normally helps to protect the body from infection and disease, attacks its own tissues. The disease causes pain, swelling as well as loss of function in joints. Therefore, life-long management is required by reducing the dose frequency and dosage regimen, which can be effectively approached by the development of a nano-carrier for significant drug uptake and low toxicity.

摘要

背景

类风湿性关节炎是最常见的导致炎症的自身免疫性疾病之一。其特征为关节疼痛、僵硬、压痛和肿胀,甚至可能导致心脏、肺部或脑部相关问题,年龄是主要相关因素,约55%的老年人受其影响。治疗方法包括非甾体抗炎药(NSAIDs)、改善病情抗风湿药(DMARDs)等,这些药物被制成纳米载体以提高生物利用度,主要目的是提高药物进入血液循环的速率和程度,如固体脂质纳米粒、脂质体、聚合物胶束、聚合物纳米粒等用于类风湿性关节炎的治疗。

方法

在文献检索中使用了以下工具(PubMed、Scopus、谷歌搜索引擎、谷歌学术、医学文献数据库搜索引擎、爱思唯尔)。

结果

通过文献综述,与生物制剂和非甾体抗炎药等传统药物治疗相比,纳米载体的研发在类风湿性关节炎的治疗中显示出有前景的方法。结论:类风湿性关节炎是一种免疫系统攻击自身组织的疾病,而免疫系统通常有助于保护身体免受感染和疾病侵害。该疾病会导致关节疼痛、肿胀以及功能丧失。因此,需要通过降低给药频率和剂量方案进行终身管理,而开发具有显著药物摄取和低毒性的纳米载体可以有效实现这一目标。

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