Re Francesca, Pelucchi Sara, Pettini Francesco, Prantera Antonella, Troisi Fabiola, Mahmoud Rayan Mahmoud Ali, Giovannoni Roberto, Barisani Donatella
School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Nanomedicine (Lond). 2025 Jul;20(13):1549-1572. doi: 10.1080/17435889.2025.2520157. Epub 2025 Jun 27.
This review explores the recent advancements in nanodelivery systems designed to improve intestinal delivery, focusing on inflammatory bowel diseases (IBDs) and colorectal cancer (CRC). It outlines the challenges associated with conventional drug therapies, including poor bioavailability, systemic side effects, and nonspecific targeting, which often limit therapeutic outcomes. Nanotechnology-based delivery platforms, such as lipid-based or polymeric nanoparticles, offer promising alternatives due to their ability to enhance drug stability, enable site-specific delivery, and reduce toxicity.It highlights how these nanosystems can be engineered to respond to the unique physiological and biochemical conditions of the inflamed gut, such as pH, enzymes, and reactive oxygen species. It also discusses various strategies to achieve active targeting through ligand-receptor interactions, thereby improving the precision of drug delivery to inflamed tissues.Despite the progress, the review notes that challenges remain in translating these technologies into clinical practice. Regulatory hurdles, manufacturing scalability, long-term safety, and the complexity of disease pathogenesis continue to pose significant obstacles. Overall, nanodelivery systems targeting the intestine represent a transformative approach with the potential to significantly improve IBD and CRC management, though further research and development are essential for clinical implementation.
本综述探讨了旨在改善肠道给药的纳米递送系统的最新进展,重点关注炎症性肠病(IBD)和结直肠癌(CRC)。它概述了传统药物治疗相关的挑战,包括生物利用度低、全身副作用和非特异性靶向,这些往往限制了治疗效果。基于纳米技术的递送平台,如脂质纳米颗粒或聚合物纳米颗粒,因其能够提高药物稳定性、实现位点特异性递送和降低毒性而提供了有前景的替代方案。它强调了这些纳米系统如何被设计成能够响应炎症肠道的独特生理和生化条件,如pH值、酶和活性氧。它还讨论了通过配体-受体相互作用实现主动靶向的各种策略,从而提高药物递送至炎症组织的精准度。尽管取得了进展,但综述指出,将这些技术转化为临床实践仍存在挑战。监管障碍、生产可扩展性、长期安全性以及疾病发病机制的复杂性仍然构成重大障碍。总体而言,靶向肠道的纳米递送系统代表了一种变革性方法,有可能显著改善IBD和CRC的管理,不过进一步的研发对于临床应用至关重要。