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Drug Delivery Systems on Leprosy Therapy: Moving Towards Eradication?
Luíse L Chaves1,2, Yuri Patriota2, José L Soares-Sobrinho2
1Laboratório Associado para a Química Verde, Rede de Química e Tecnologia, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, 4050-313 Porto, Portugal.
Abstract:
Leprosy disease remains an important public health issue as it is still endemic in several countries. Mycobacterium leprae, the causative agent of leprosy, presents tropism for cells of the reticuloendothelial and peripheral nervous system. Current multidrug therapy consists of clofazimine, dapsone and rifampicin. Despite significant improvements in leprosy treatment, in most programs, successful completion of the therapy is still sub-optimal. Drug resistance has emerged in some countries. This review discusses the status of leprosy disease worldwide, providing information regarding infectious agents, clinical manifestations, diagnosis, actual treatment and future perspectives and strategies on targets for an efficient targeted delivery therapy.
Insights
Leprosy, caused by Mycobacterium leprae, remains a global health concern. This review covers current treatments, challenges like drug resistance, and future strategies for targeted leprosy therapy.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Leprosy remains endemic globally, posing a significant public health challenge.
- Mycobacterium leprae, the causative agent, targets the reticuloendothelial and peripheral nervous systems.
- Current multidrug therapy (MDT) faces challenges with sub-optimal completion rates and emerging drug resistance.
Purpose of the Study:
- To review the current status of leprosy worldwide.
- To provide information on infectious agents, clinical manifestations, and diagnosis.
- To discuss current treatment, future perspectives, and strategies for targeted delivery therapy.
Main Methods:
- Literature review of leprosy disease status, treatment, and future strategies.
- Analysis of infectious agents, clinical manifestations, and diagnostic approaches.
- Exploration of current multidrug therapy (clofazimine, dapsone, rifampicin) and its limitations.
Main Results:
- Leprosy affects multiple countries, with Mycobacterium leprae as the primary agent.
- Sub-optimal treatment completion and drug resistance are significant challenges in current leprosy programs.
- Future strategies focus on improving targeted delivery therapies.
Conclusions:
- Despite MDT, leprosy control remains suboptimal due to treatment completion issues and drug resistance.
- Further research into efficient targeted delivery therapies is crucial for future leprosy management.
- A comprehensive understanding of the disease is essential for developing effective global strategies.
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