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Nanotechnology-Based Approaches for Voriconazole Delivery Applied to Invasive Fungal Infections
Laís de Almeida Campos1, Margani Taise Fin1, Kelvin Sousa Santos2
1Pharmaceutical Nanotechnology Laboratory, Department of Pharmacy, Midwest State University (UNICENTRO), Alameda Élio Antonio Dalla Vecchia St, 838, Guarapuava 85040-167, PR, Brazil.
Abstract:
Invasive fungal infections increase mortality and morbidity rates worldwide. The treatment of these infections is still limited due to the low bioavailability and toxicity, requiring therapeutic monitoring, especially in the most severe cases. Voriconazole is an azole widely used to treat invasive aspergillosis, other hyaline molds, many dematiaceous molds, Candida spp., including those resistant to fluconazole, and for infections caused by endemic mycoses, in addition to those that occur in the central nervous system. However, despite its broad activity, using voriconazole has limitations related to its non-linear pharmacokinetics, leading to supratherapeutic doses and increased toxicity according to individual polymorphisms during its metabolism. In this sense, nanotechnology-based drug delivery systems have successfully improved the physicochemical and biological aspects of different classes of drugs, including antifungals. In this review, we highlighted recent work that has applied nanotechnology to deliver voriconazole. These systems allowed increased permeation and deposition of voriconazole in target tissues from a controlled and sustained release in different routes of administration such as ocular, pulmonary, oral, topical, and parenteral. Thus, nanotechnology application aiming to delivery voriconazole becomes a more effective and safer therapeutic alternative in the treatment of fungal infections.
Insights
Nanotechnology enhances voriconazole delivery, improving treatment for invasive fungal infections. This approach increases drug efficacy and safety by optimizing its pharmacokinetic profile and reducing toxicity.
Area of Science:
- Mycology
- Pharmacology
- Nanotechnology
Background:
- Invasive fungal infections pose significant global health risks, with limited treatment options due to drug bioavailability and toxicity issues.
- Voriconazole, a broad-spectrum antifungal, faces challenges with non-linear pharmacokinetics, leading to toxicity and variable efficacy.
- Nanotechnology offers a promising solution to overcome drug delivery limitations for antifungals.
Purpose of the Study:
- To review recent advancements in applying nanotechnology for voriconazole delivery.
- To evaluate how nanocarriers improve voriconazole's physicochemical and biological properties.
- To assess the potential of nanotechnology-based voriconazole formulations as safer and more effective antifungal therapies.
Main Methods:
- Literature review of studies employing nanotechnology for voriconazole drug delivery.
- Analysis of research focusing on controlled and sustained release mechanisms.
- Examination of various administration routes, including ocular, pulmonary, oral, topical, and parenteral.
Main Results:
- Nanotechnology-based systems enhance voriconazole permeation and deposition in target tissues.
- Controlled and sustained release profiles are achieved across different administration routes.
- Improved pharmacokinetic properties and reduced toxicity are observed with nanocarrier formulations.
Conclusions:
- Nanotechnology presents a viable strategy to enhance voriconazole's therapeutic potential.
- Nanocarrier-mediated delivery offers a safer and more effective alternative for treating invasive fungal infections.
- Further research into nanotech-based voriconazole delivery systems is warranted to optimize antifungal treatment.
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