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Nanoparticle Encapsulation for Antiretroviral Pre-Exposure Prophylaxis. 用于抗逆转录病毒暴露前预防的纳米颗粒封装技术。
Pub Date : 2017-01-01 Epub Date: 2017-08-07 DOI: 10.15436/2377-1372.17.1583
Karl Khandalavala, Subhra Mandal, Rachel Pham, Christopher J Destache, Annemarie Shibata

HIV continues to be one of the greatest challenges facing the global health community. More than 36 million people currently live with HIV and, in 2015 2.1 million new infections were reported globally. Pre-Exposure Prophylaxis (PrEP) prevents HIV infection by inhibiting viral entry, replication, or integration at the primary site of pathogenic contraction. Failures of large antiretroviral drug (ARV) PrEP clinical trials indicate the current insufficiencies of PrEP for women in high-risk areas, such as sub-Saharan Africa. A combination of social, adherence, and drug barriers create these insufficiencies and limit the efficacy of ARV. Nanotechnology offers the promise of extended drug release and enhances bioavailability of ARVs when encapsulated in polymeric nano-particles. Nanoparticle encapsulation has been evaluated in vitro in comparative studies to drug solutions and exhibit higher efficacy and lower cytotoxicity profiles. Delivery systems for nanoparticle PrEP facilitate administration of nano-encapsulated ARVs to high-risk tissues. In this mini-review, we summarize the comparative nanoparticle and drug solution studies and the potential of two delivery methods: thermosensitive gels and polymeric nanoparticle films for direct prophylactic applications.

艾滋病毒仍是全球卫生界面临的最大挑战之一。目前,全球有 3600 多万人感染了艾滋病毒,2015 年全球报告了 210 万例新感染病例。暴露前预防疗法(PrEP)通过抑制病毒进入、复制或整合致病感染的主要部位来预防艾滋病病毒感染。大型抗逆转录病毒药物(ARV)PrEP 临床试验的失败表明,对于撒哈拉以南非洲等高风险地区的妇女来说,目前的 PrEP 还不够完善。社会、依从性和药物障碍共同造成了这些不足,并限制了抗逆转录病毒药物的疗效。将抗逆转录病毒药物封装在聚合物纳米颗粒中,纳米技术有望延长药物释放时间并提高生物利用度。在体外进行的药物溶液比较研究中,对纳米颗粒封装进行了评估,结果表明其药效更高,细胞毒性更低。纳米颗粒 PrEP 的给药系统有助于将纳米封装的抗逆转录病毒药物给药到高危组织。在这篇微型综述中,我们总结了纳米颗粒与药物溶液的比较研究以及两种给药方法的潜力:热敏凝胶和聚合物纳米颗粒薄膜在直接预防性应用中的潜力。
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引用次数: 0
Comparison of Simulated Workplace Protection Factors Offered by N95 and P100 Filtering Facepiece and Elastomeric Half-Mask Respirators against Particles of 10 to 400 nm. N95 和 P100 过滤面罩与弹性半面罩对 10 至 400 纳米微粒的模拟工作场所防护系数比较。
Pub Date : 2015-09-07 DOI: 10.15436/2377-1372.15.015
Xinjian He, Evanly Vo, M Horvatin, Y Liu, M Bergman, Z Zhuang

This study compared the simulated workplace protection factors (SWPFs) between NIOSH-approved N95 respirators and P100 respirators, including two models of filtering facepiece respirator (FFR) and two models of elastomeric half-mask respirator (EHR), against sodium chloride particles (NaCl) in a range of 10 to 400 nm. Twenty-five human test subjects performed modified OSHA fit test exercises in a controlled laboratory environment with the N95 respirators (two FFR models and two EHR models) and the P100 respirators (two FFRs and two EHRs). Two Scanning Mobility Particle Sizers (SMPS) were used to measure aerosol concentrations (in the 10-400 nm size range) inside (Cin) and outside (Cout) of the respirator, simultaneously. SWPF was calculated as the ratio of Cout to Cin. The SWPF values obtained from the N95 respirators were then compared to those of the P100 respirators. SWPFs were found to be significantly different (P<0.05) between N95 and P100 class respirators. The 10th, 25th, 50th, 75th and 90th percentiles of the SWPFs for the N95 respirators were much lower than those for the P100 models. The N95 respirators had 5th percentiles of the SWPFs > 10. In contrast, the P100 class was able to generate 5th percentiles SWPFs > 100. No significant difference was found in the SWPFs when tested against nano-size (10 to 100 nm) and large-size (100 to 400 nm) particles. Overall, the findings suggest that the two FFRs and two EHRs with P100 class filters provide better performance than those with N95 filters against particles from 10 to 400 nm, supporting current OSHA and NIOSH recommendations.

本研究比较了 NIOSH 批准的 N95 呼吸器和 P100 呼吸器(包括两种型号的过滤式面罩呼吸器 (FFR) 和两种型号的弹性半面罩呼吸器 (EHR))对 10 至 400 纳米范围内氯化钠微粒 (NaCl) 的模拟工作场所保护因子 (SWPF)。25 名人体测试对象在受控实验室环境中使用 N95 呼吸器(两款 FFR 型和两款 EHR 型)和 P100 呼吸器(两款 FFR 型和两款 EHR 型)进行了修改后的 OSHA 密合度测试练习。使用两台扫描移动式粒子测定仪 (SMPS) 同时测量呼吸器内部 (Cin) 和外部 (Cout) 的气溶胶浓度(10-400 nm 尺寸范围)。SWPF 以 Cout 与 Cin 之比计算。然后将 N95 呼吸器获得的 SWPF 值与 P100 呼吸器的 SWPF 值进行比较。结果发现,N95 呼吸器的 SWPF 值与 P100 呼吸器的 SWPF 值有明显差异(N95 呼吸器 SWPF 值的第 Pth、第 25、第 50、第 75 和第 90 百分位数远低于 P100 呼吸器。N95 呼吸器的 SWPF 第 5 百分位数大于 10。相比之下,P100 呼吸器的第 5 百分位数 SWPFs > 100。在对纳米级(10 到 100 纳米)和大颗粒级(100 到 400 纳米)进行测试时,SWPFs 没有发现明显差异。总之,研究结果表明,与配备 N95 过滤器的设备相比,配备 P100 级过滤器的两台 FFR 和两台电子健康记录仪对 10 至 400 纳米颗粒的防护性能更好,这也支持了当前 OSHA 和 NIOSH 的建议。
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引用次数: 0
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Journal of nanotechnology and materials science
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