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Micro and Nano Drug Delivery Systems for the Treatment of Oral Mucositis: A Review
Luciana Ângela Soares Maia1, Tâmara Thaiane Almeida Siqueira1, Carlos Alberto Arcelly Santos Bezerra1
1Laboratory of Synthesis and Drug Delivery, Paraiba State University, Rua Horácio Trajano de Oliveira, s/n, Cristo Redentor, João Pessoa 58075-540, PB, Brazil.
Abstract:
Oral mucositis (OM) is a severe inflammatory condition of the oral mucosa that is commonly associated with cancer therapies. Traditional treatments typically have limited efficacy and significant side effects, necessitating alternative approaches. Nanobased drug delivery systems (DDSs) present promising solutions, enhancing therapeutic outcomes while minimizing side effects. This review aims to evaluate the use of nanobased DDSs to treat OM. To reach these aims, an extensive literature review was conducted using the following databases: BVS, PubMed, Scopus, and Web of Science. The search strategy included the keywords "microparticles," "nanoparticles," "drug delivery system," "oral mucositis," "therapy," and "treatment," combined with the Boolean operators "AND" and "OR." After applying filters for language, relevance, full-text availability, exclusion of review articles, and removal of duplicates, a total of 32 articles were selected for analysis. Of the 32 studies included in this review, 25 employed polymeric micro- or nanosystems for the treatment of OM. Regarding the stage of investigation, 10 studies were conducted in vitro, 16 were conducted in vivo, and 6 corresponded to clinical trials. Compared with conventional drug delivery approaches, most of these studies reported improved therapeutic outcomes. These findings highlight the potential of nanosystems as innovative strategies for enhancing OM treatment. Nonetheless, challenges in large-scale manufacturing, including reproducibility and safety, and the limited number of clinical trials warrant careful consideration. Future research with larger clinical trials is essential to validate these findings and effectively guide clinical practice.
Insights
Nanobased drug delivery systems show promise for treating oral mucositis (OM), a common side effect of cancer therapy. These advanced systems offer improved outcomes compared to traditional methods, though further clinical trials are needed.
Area of Science:
- Biomedical Engineering
- Materials Science
- Pharmacology
Background:
- Oral mucositis (OM) is a debilitating inflammatory condition of the oral mucosa, frequently linked to cancer therapies.
- Current treatments for OM often exhibit limited effectiveness and considerable adverse effects, driving the need for novel therapeutic strategies.
Purpose of the Study:
- To systematically review and evaluate the efficacy of nanobased drug delivery systems (DDSs) for the treatment of oral mucositis.
- To assess the current landscape of research, including in vitro, in vivo, and clinical studies, on nanobased DDSs for OM.
Main Methods:
- An extensive literature search was performed across BVS, PubMed, Scopus, and Web of Science databases.
- Keywords included "microparticles," "nanoparticles," "drug delivery system," "oral mucositis," "therapy," and "treatment," combined with Boolean operators.
- A total of 32 relevant articles were selected after applying filters and removing duplicates.
Main Results:
- A significant majority of the reviewed studies (25 out of 32) utilized polymeric micro- or nanosystems for OM treatment.
- The analysis encompassed 10 in vitro studies, 16 in vivo studies, and 6 clinical trials.
- Most studies reported superior therapeutic outcomes with nanobased DDSs compared to conventional drug delivery methods.
Conclusions:
- Nanobased DDSs represent a promising innovative approach for enhancing the treatment of oral mucositis.
- Challenges related to large-scale manufacturing, reproducibility, and safety require careful consideration.
- Further extensive clinical trials are crucial to validate these findings and inform clinical practice.
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