Advances in nano-based drug delivery systems for the management of cytokine influx-mediated inflammation in lung diseases

Nisha Gulati, Dinesh Kumar Chellappan, Ronan MacLoughlin, Gaurav Gupta, Sachin Kumar Singh, Brian G. Oliver, Kamal Dua, Harish Dureja
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Abstract

Asthma, lung cancer, cystic fibrosis, tuberculosis, acute respiratory distress syndrome, chronic obstructive pulmonary disease, and COVID-19 are few examples of inflammatory lung conditions that cause cytokine release syndrome. It can initiate a widespread inflammatory response and may activate several inflammatory pathways that cause multiple organ failures leading to increased number of deaths and increased prevalence rates around the world. Nanotechnology-based therapeutic modalities such as nanoparticles, liposomes, nanosuspension, monoclonal antibodies, and vaccines can be used in the effective treatment of inflammatory lung diseases at both cellular and molecular levels. This would also help significantly in the reduction of patient mortality. Therefore, nanotechnology could be a potent platform for repurposing current medications in the treatment of inflammatory lung diseases. The aim and approach of this article are to highlight the clinical manifestations of cytokine storm in inflammatory lung diseases along with the advances and potential applications of nanotechnology-based therapeutics in the management of cytokine storm. Further in-depth studies are required to understand the molecular pathophysiology, and how nanotechnology-based therapeutics can help to effectively combat this problem.

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用于控制细胞因子流入介导的肺部炎症的纳米给药系统的研究进展
哮喘、肺癌、囊性纤维化、肺结核、急性呼吸窘迫综合征、慢性阻塞性肺病和 COVID-19 是导致细胞因子释放综合征的肺部炎症的几个例子。它可引发广泛的炎症反应,并可能激活多种炎症通路,导致多器官功能衰竭,从而增加死亡人数,提高全球患病率。纳米颗粒、脂质体、纳米悬浮液、单克隆抗体和疫苗等基于纳米技术的治疗模式可用于在细胞和分子水平上有效治疗肺部炎症性疾病。这也将大大有助于降低患者死亡率。因此,纳米技术可以成为将现有药物重新用于治疗肺部炎症性疾病的有效平台。本文的目的和方法是强调细胞因子风暴在炎症性肺病中的临床表现,以及基于纳米技术的疗法在细胞因子风暴治疗中的进展和潜在应用。要了解分子病理生理学以及基于纳米技术的疗法如何帮助有效解决这一问题,还需要进一步的深入研究。
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