Modern state of problem of delivery of medicines with use of erythrocytes as cell-carriers.

L A Dmitrieva, Yu I Pivovarov, T E Kurilskaya, A S Sergeeva
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Abstract

Erythrocytes are prospective carriers of wide range of medicines and other biologically active agents. Main peculiarity and advantage of erythrocytes as carriers of medicines is their absolute bio-compatibility and ability for long circulation in an organism. While growing old these cells undergo natural process of biodegradation. Relatively inactive endocellular environment protects carried medicine from being inactivated by different endogenous factors. At the present time different methods of loading medicines in erythrocytes are used: electroporation, induced endocytosis, osmotic pulse hematolysis, hypotonic hematolysis. Most of these methods are based on the ability of these cells for reversible deformation of the surface without changing area of surface. Introduction of medicines in erythrocytes can be conducted in natural way as a result of their sorption on cell membrane. Different medicines can be used as the objects for targeted transport: antibiotics, antineoplastic drugs, corticosteroids, peptides, enzymes etc. extracorporeal pharmacotherapy with use of erythrocytes as carriers can be applied in the treatment of different diseases. Range of used medicines and provided possibilities is quite wide at a present time, but further development of this direction is very prospective. The aim of the authors was to outline a common concept of the potential of erythrocytes as universal transportation means of medicines for therapy of different pathological conditions.

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利用红细胞作为细胞载体给药问题的现代现状。
红细胞是多种药物和其他生物活性制剂的潜在载体。红细胞作为药物载体的主要特点和优势是其绝对的生物相容性和在机体内长时间循环的能力。随着年龄的增长,这些细胞经历了自然的生物降解过程。相对失活的细胞内环境保护携带药物不受各种内源性因素的失活。目前常用的红细胞载药方法有:电穿孔、诱导内吞、渗透脉冲溶血、低渗溶血。这些方法大多是基于这些细胞在不改变表面面积的情况下对表面进行可逆变形的能力。由于药物在细胞膜上的吸附作用,可以自然地将药物引入红细胞。不同的药物可以作为靶向转运的对象:抗生素、抗肿瘤药物、皮质类固醇、多肽、酶等。以红细胞为载体的体外药物治疗可以应用于不同疾病的治疗。目前使用的药物范围和提供的可能性相当广泛,但这一方向的进一步发展是非常有前景的。作者的目的是概述一个共同的概念,即红细胞作为治疗不同病理条件的药物的普遍运输手段。
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