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Published on: September 10, 2018
Novel targeted bladder drug-delivery systems: a review
Martino Maria Zacchè1, Sushma Srikrishna1, Linda Cardozo1
1Department of Urogynaecology, King's College Hospital, London, UK.
Novel drug-delivery systems (DDSs) enhance bladder drug efficacy and reduce side effects. These systems improve intravesical drug delivery (IDD) for conditions like overactive bladder and cancer.
Area of Science:
- Pharmaceutics and Drug Delivery
- Urology and Bladder Therapeutics
Background:
- Effective drug delivery to the bladder is crucial for treating various bladder conditions.
- Systemic drug administration faces challenges like metabolism and limited bladder exposure.
- Intravesical drug delivery (IDD) is hindered by urine washout and the urothelial barrier.
Purpose of the Study:
- To review novel drug-delivery systems (DDSs) for treating bladder disorders.
- To discuss strategies for both systemic and local drug delivery to the bladder.
- To highlight advancements in nanotechnology and gene therapy for bladder conditions.
Main Methods:
- Review of current literature on drug-delivery systems for bladder conditions.
- Focus on novel formulations, nanocarriers, hydrogels, intravesical devices, and gene therapy.
- Discussion of systemic versus local delivery rationales and challenges.
Main Results:
- DDSs are essential for controlling drug release rate, time, and location in the bladder.
- Novel DDSs improve drug bioavailability, therapeutic effects, and patient compliance.
- Various DDS approaches show promise for overactive bladder, interstitial cystitis, bladder cancer, and UTIs.
Conclusions:
- Drug-delivery systems offer significant potential to overcome IDD challenges.
- Nanotechnology and gene therapy represent future frontiers in bladder disorder treatment.
- Optimized DDSs can enhance treatment efficacy and patient outcomes for bladder conditions.
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