Narrative review on nanoparticles based on current evidence: therapeutic agents for diabetic foot infection

Mohd Saleem, Azharuddin Sajid Syed Khaja, Soha Moursi, Tahani Almofeed Altamimi, Mohammed Salem Alharbi, Kauser Usman, Mohd Shahid Khan, Alwaleed Alaskar, Mohammad Jahoor Alam
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Abstract

Diabetes’s effects on wound healing present a major treatment challenge and increase the risk of amputation. When traditional therapies fail, new approaches must be investigated. With their submicron size and improved cellular internalisation, nanoparticles present a viable way to improve diabetic wound healing. They are attractive options because of their innate antibacterial qualities, biocompatibility, and biodegradability. Nanoparticles loaded with organic or inorganic compounds, or embedded in biomimetic matrices such as hydrogels, chitosan, and hyaluronic acid, exhibit excellent anti-inflammatory, antibacterial, and antioxidant properties. Drug delivery systems (DDSs)—more precisely, nanodrug delivery systems (NDDSs)—use the advantages of nanotechnology to get around some of the drawbacks of traditional DDSs. Recent developments show how expertly designed nanocarriers can carry a variety of chemicals, transforming the treatment of diabetic wounds. Biomaterials that deliver customised medications to the wound microenvironment demonstrate potential. Delivery techniques for nanomedicines become more potent than ever, overcoming conventional constraints. Therapeutics for diabetes-induced non-healing wounds are entering a revolutionary era thanks to precisely calibrated nanocarriers that effectively distribute chemicals. This review highlights the therapeutic potential of nanoparticles and outlines the multifunctional nanoparticles of the future that will be used for complete wound healing in diabetics. The investigation of novel nanodrug delivery systems has the potential to revolutionise diabetic wound therapy and provide hope for more efficient and focused therapeutic approaches.

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基于现有证据的纳米颗粒综述:糖尿病足感染的治疗剂
糖尿病对伤口愈合的影响给治疗带来了巨大挑战,并增加了截肢的风险。当传统疗法失效时,必须研究新的方法。纳米粒子具有亚微米尺寸,可提高细胞内化能力,是改善糖尿病伤口愈合的可行方法。纳米粒子具有与生俱来的抗菌性、生物相容性和生物可降解性,因此是极具吸引力的选择。装载有机或无机化合物的纳米颗粒,或嵌入水凝胶、壳聚糖和透明质酸等仿生物基质中的纳米颗粒,具有出色的消炎、抗菌和抗氧化特性。给药系统(DDSs)--更准确地说,是纳米给药系统(NDDSs)--利用纳米技术的优势来克服传统 DDSs 的一些缺点。最新进展表明,经过专业设计的纳米载体可以携带多种化学物质,从而改变糖尿病伤口的治疗方法。能将定制药物输送到伤口微环境中的生物材料显示了其潜力。纳米药物的输送技术比以往任何时候都更有效,克服了传统的限制。由于经过精确校准的纳米载体能有效地分配化学物质,治疗糖尿病引起的伤口不愈合的疗法正在进入一个革命性的时代。本综述强调了纳米颗粒的治疗潜力,并概述了未来将用于糖尿病患者伤口完全愈合的多功能纳米颗粒。对新型纳米给药系统的研究有可能彻底改变糖尿病伤口疗法,并为更高效、更集中的治疗方法带来希望。
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