Novel Pathway and Recent Advances for Targeting Sickle Cell Anemia through Novel Drug Delivery System.

Savita Chouhan, Ajazuddin, Parag Jain
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Abstract

Red blood cells with sickle cell anemia (SCA) have an irregular shape, and it is a genetic blood condition that can cause several problems and shorten life expectancy. Traditional treatments have focused on symptom management, but recent advancements in drug delivery systems offer promising pathways for targeted therapies. This abstract explores novel approaches to combat SCA through innovative drug delivery systems, gene therapy, and new pharmaceutical interventions. One novel pathway for targeting SCA involves utilizing advanced drug delivery systems to enhance the effectiveness of therapeutic agents. Nanotechnology-based delivery systems, such as nanoparticles and liposomes, offer precise drug targeting, controlled release, and improved bioavailability. These systems can encapsulate anti-sickling agents, like hydroxyurea, and enable their specific delivery to affected cells, reducing side effects and enhancing therapeutic outcomes. Additionally, therapy has become a ground-breaking method of treating SCA. CRISPR/Cas9 technology presents a groundbreaking opportunity to correct the genetic mutation responsible for sickle hemoglobin production. By precisely editing the HBB gene, which encodes the abnormal hemoglobin, researchers aim to restore normal hemoglobin expression, potentially offering a curative treatment for SCA. Furthermore, recent advancements in drug development have led to the discovery of promising candidates targeting specific pathways involved in SCA pathophysiology. Experimental drugs, such as voxelotor and crizanlizumab focus on modifying hemoglobin properties or inhibiting cell adhesion, respectively, thereby preventing sickle cell-related complications and reducing vaso-occlusive crisis frequency.

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新型给药系统靶向镰状细胞性贫血的新途径及最新进展。
患有镰状细胞性贫血(SCA)的红细胞形状不规则,这是一种遗传性血液疾病,可能导致多种问题并缩短预期寿命。传统的治疗方法侧重于症状管理,但药物输送系统的最新进展为靶向治疗提供了有希望的途径。这篇摘要探讨了通过创新的药物输送系统、基因治疗和新的药物干预来对抗SCA的新方法。一种针对SCA的新途径涉及利用先进的药物输送系统来提高治疗剂的有效性。纳米技术为基础的输送系统,如纳米颗粒和脂质体,提供精确的药物靶向,控制释放,提高生物利用度。这些系统可以封装抗镰状细胞药,如羟基脲,并使其特异性递送到受影响的细胞,减少副作用,提高治疗效果。此外,治疗已成为治疗SCA的突破性方法。CRISPR/Cas9技术为纠正镰状血红蛋白产生的基因突变提供了突破性的机会。通过精确编辑编码异常血红蛋白的HBB基因,研究人员的目标是恢复正常的血红蛋白表达,可能为SCA提供治愈性治疗。此外,最近药物开发的进展导致发现了有希望的候选药物,靶向SCA病理生理中涉及的特定途径。实验药物,如voxelotor和crizanlizumab分别侧重于改变血红蛋白特性或抑制细胞粘附,从而预防镰状细胞相关并发症,降低血管闭塞危象频率。
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