推进结核病化疗:针对Mycobacterium结核病粒瘤的向纳米药物
Shreya Ranjith Singh1, Maya Mellisa Makatini2, Thashree Marimuthu1
1Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road Parktown, Johannesburg, 2193, South Africa.
纳米系统为结核病 (TB) 治疗提供了有希望的向治疗,将抗结核病药物集中在感染部位. 需要进一步的研究,以克服这些先进的药物输送系统临床应用的挑战.
科学领域:
- 纳米技术 纳米技术
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,需要创新的治疗策略.
- 目前的结核病治疗在有效性和持续时间方面存在局限性,这凸显了改善药物输送的必要性.
- 结核病感染的特征颗粒瘤是局部药物输送的独特目标.
研究的目的:
- 审查各种纳米系统针对性结核病治疗的潜力.
- 讨论被动和积极的向策略,以增强结核病颗粒瘤中的药物积累.
- 评估临床前证据,并确定纳米载体结核病治疗临床转化方面的挑战.
主要方法:
- 对基于纳米载体的结核病治疗的临床前研究 (体外和体内模型) 的审查.
- 分析不同类型的纳米载体,包括聚合物,基于脂质,细胞外囊泡和无机系统.
- 对细粒瘤定位的被动 (例如,EPR效应) 和主动向策略的检查.
主要成果:
- 纳米系统显示出在颗粒体内缩抗结核病药物的潜力,在临床前模型中提高治疗效果.
- 可生物降解的聚合物,基于脂质和无机纳米载体显示出有望针对性交付.
- 有希望的临床前结果表明药物积累增加,疾病进展减少.
结论:
- 理性设计的纳米系统具有显著的潜力,可以通过实现向药物输送来改善结核病治疗结果.
- 对于临床实施,必须解决生物相容性,监管批准和受控药物释放等挑战.
- 未来的方向包括将纳米系统与分子印记技术,免疫疗法和基因疗法集成在一起,以加强结核病管理.
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