Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?

Aline Raquel Voltan1, Guillermo Quindós2, Kaila P Medina Alarcón3

  • 1Department of Drugs and Medicines, Faculty of Pharmaceutical Sciences, Univ. Estadual Paulista, Araraquara, Sao Paulo, Brazil.

Insights

Nanostructured systems offer promising alternatives for antifungal drug delivery, improving efficacy and reducing toxicity in invasive fungal infections. These advanced carriers enhance drug bioavailability and targeting, addressing limitations of current treatments.

Area of Science:

  • Pharmaceutical Sciences
  • Biotechnology
  • Infectious Diseases

Background:

  • Invasive mycoses pose significant threats to immunocompromised and critically ill patients.
  • High morbidity and mortality rates are linked to delayed diagnosis and treatment of fungal infections.
  • Limited antifungal agents, coupled with toxicity and resistance issues, necessitate novel therapeutic strategies.

Purpose of the Study:

  • To review various nanostructured systems for antifungal drug delivery.
  • To evaluate the advantages and disadvantages of these nanocarriers.
  • To explore future applications of nanosystems in antifungal therapy.

Main Methods:

  • Comprehensive literature review of nanostructured antifungal drug delivery systems.
  • Analysis of systems including liposomes, solid lipid nanoparticles, nanostructured lipid carriers, polymeric nanoparticles, and dendrimers.
  • Evaluation of reported improvements in antifungal properties and therapeutic outcomes.

Main Results:

  • Nanostructured systems demonstrate enhanced antifungal properties, including improved bioavailability and targeted delivery.
  • These systems can significantly reduce drug toxicity.
  • Lipid formulations of amphotericin B represent an early success in nanostructured antifungal therapy.

Conclusions:

  • Nanocarriers offer a viable approach to overcome challenges in treating invasive fungal infections.
  • Future applications may include peptide delivery and mucoadhesive systems for candidiasis.
  • High production costs remain a significant disadvantage for widespread nanocarrier adoption.

Related Concept Videos

Modified-Release Drug Delivery Systems: Site-Targeted01:24

Modified-Release Drug Delivery Systems: Site-Targeted

Site-targeted drug delivery systems enhance therapeutic efficacy while minimizing systemic toxicity and treatment costs. Unlike conventional methods, these systems ensure precise drug delivery, improving bioavailability and reducing side effects. Targeted drug delivery is classified into three levels. First-order targeting directs drugs to the capillary beds of specific organs or tissues. Second-order targets specific cell types, such as tumor cells, using receptor-mediated interactions.
71
Modified-Release Drug Delivery Systems: Classification01:23

Modified-Release Drug Delivery Systems: Classification

Modified-release drug delivery systems improve drug efficacy and minimize side effects by controlling the rate and location of drug release. These systems fall into three categories: rate-programmed, stimuli-activated, and site-targeted.Rate-programmed systems release drugs at a predetermined rate, maintaining consistent therapeutic levels and reducing fluctuations that could lead to toxicity or subtherapeutic effects. These systems use polymeric matrices, reservoir-based designs, or osmotic...
173
Oral Drug Delivery Systems: Delayed-Release Systems01:11

Oral Drug Delivery Systems: Delayed-Release Systems

Delayed-release drug delivery systems are specialized pharmaceutical formulations designed to postpone the release of active compounds until the drug reaches a specific region of the gastrointestinal (GI) tract, typically the intestine. These systems are essential for drugs that may cause gastric irritation, are unstable in acidic environments, or need to exert therapeutic effects locally in the intestinal or colonic regions.The core feature of delayed-release systems is the use of enteric...
96
Site-Targeted Drug Delivery Systems: Polymeric Carriers01:24

Site-Targeted Drug Delivery Systems: Polymeric Carriers

Polymeric carriers enhance targeted drug delivery by increasing efficacy while minimizing off-target effects. These carriers comprise a biodegradable polymeric backbone integrated with functional elements that enable targeting, improve physicochemical properties, and regulate drug release.Targeting MechanismsThe targeting ability of polymeric carriers is mediated by a homing device, which is a molecular recognition component designed to selectively bind to specific tissues or cells. Monoclonal...
79
Oral Drug Delivery Systems: Introduction01:23

Oral Drug Delivery Systems: Introduction

Oral drug delivery is the most common route of administration due to its convenience, cost-effectiveness, and high patient compliance. It enables precise formulation to ensure proper drug dosage and bioavailability. The development of oral dosage forms considers drug properties such as solubility, stability, and absorption to optimize therapeutic efficacy.Tablets, capsules, liquids, and chewable formulations enhance drug stability, mask undesirable tastes, and improve patient experience.
153
Oral Drug Delivery Systems: Continuous-Release Systems01:26

Oral Drug Delivery Systems: Continuous-Release Systems

Continuous-release drug delivery systems offer a strategic approach to maintaining therapeutic drug levels over extended periods following oral administration. By modulating the release rate of active pharmaceutical ingredients, these systems minimize fluctuations in plasma concentrations, which enhances clinical efficacy and reduces the need for frequent dosing. Such characteristics make them particularly advantageous in managing chronic diseases where patient adherence and stable drug...
135