{"title":"治疗类风湿性关节炎的给药系统方法:综述。","authors":"Anushka Garhwal, Priyadarshi Kendya, Sakshi Soni, Shivam Kori, Vandana Soni, Sushil Kumar Kashaw","doi":"10.2174/1389557523666230913105803","DOIUrl":null,"url":null,"abstract":"<p><p>Rheumatoid arthritis (RA) is a chronic autoimmune disease that has traditionally been treated using a variety of pharmacological compounds. However, the effectiveness of these treatments is often limited due to challenges associated with their administration. Oral and parenteral routes of drug delivery are often restricted due to issues such as low bioavailability, rapid metabolism, poor absorption, first-pass effect, and severe side effects. In recent years, nanocarrier-based delivery methods have emerged as a promising alternative for overcoming these challenges. Nanocarriers, including nanoparticles, dendrimers, micelles, nanoemulsions, and stimuli-sensitive carriers, possess unique properties that enable efficient drug delivery and targeted therapy. Using nanocarriers makes it possible to circumvent traditional administration routes' limitations. One of the key advantages of nanocarrier- based delivery is the ability to overcome resistance or intolerance to traditional antirheumatic therapies. Moreover, nanocarriers offer improved drug stability, controlled release kinetics, and enhanced solubility, optimizing the therapeutic effect. They can also protect the encapsulated drug, prolonging its circulation time and facilitating sustained release at the target site. This targeted delivery approach ensures a higher concentration of the therapeutic agent at the site of inflammation, leading to improved therapeutic outcomes. This article explores potential developments in nanotherapeutic regimens for RA while providing a comprehensive summary of current approaches based on novel drug delivery systems. 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引用次数: 0
摘要
类风湿性关节炎(RA)是一种慢性自身免疫性疾病,传统上使用各种药理化合物进行治疗。然而,由于给药方面的挑战,这些治疗方法的有效性往往受到限制。由于生物利用度低、代谢快、吸收差、首过效应和严重副作用等问题,口服和肠外给药途径往往受到限制。近年来,以纳米载体为基础的给药方法已成为克服这些挑战的一种有前途的替代方法。纳米载体,包括纳米颗粒、树枝状聚合物、胶束、纳米乳液和刺激敏感载体,具有独特的性能,可实现高效给药和靶向治疗。使用纳米载体可以规避传统给药途径的限制。纳米载体给药的主要优势之一是能够克服对传统抗风湿疗法的耐药性或不耐受性。此外,纳米载体还能提高药物稳定性、控制释放动力学和增强溶解度,从而优化治疗效果。纳米载体还能保护封装药物,延长药物的流通时间,促进药物在目标部位的持续释放。这种靶向给药方法可确保炎症部位的治疗药物浓度更高,从而改善治疗效果。本文探讨了治疗 RA 的纳米疗法的潜在发展,同时对目前基于新型给药系统的方法进行了全面总结。总之,基于纳米载体的给药系统已成为改善类风湿性关节炎治疗的一种前景广阔的解决方案。纳米技术的进一步发展有望提高类风湿性关节炎疗法的疗效和安全性,为这种使人衰弱的疾病患者带来新的希望。
Drug Delivery System Approaches for Rheumatoid Arthritis Treatment: A Review.
Rheumatoid arthritis (RA) is a chronic autoimmune disease that has traditionally been treated using a variety of pharmacological compounds. However, the effectiveness of these treatments is often limited due to challenges associated with their administration. Oral and parenteral routes of drug delivery are often restricted due to issues such as low bioavailability, rapid metabolism, poor absorption, first-pass effect, and severe side effects. In recent years, nanocarrier-based delivery methods have emerged as a promising alternative for overcoming these challenges. Nanocarriers, including nanoparticles, dendrimers, micelles, nanoemulsions, and stimuli-sensitive carriers, possess unique properties that enable efficient drug delivery and targeted therapy. Using nanocarriers makes it possible to circumvent traditional administration routes' limitations. One of the key advantages of nanocarrier- based delivery is the ability to overcome resistance or intolerance to traditional antirheumatic therapies. Moreover, nanocarriers offer improved drug stability, controlled release kinetics, and enhanced solubility, optimizing the therapeutic effect. They can also protect the encapsulated drug, prolonging its circulation time and facilitating sustained release at the target site. This targeted delivery approach ensures a higher concentration of the therapeutic agent at the site of inflammation, leading to improved therapeutic outcomes. This article explores potential developments in nanotherapeutic regimens for RA while providing a comprehensive summary of current approaches based on novel drug delivery systems. In conclusion, nanocarrier-based drug delivery systems have emerged as a promising solution for improving the treatment of rheumatoid arthritis. Further advancements in nanotechnology hold promise for enhancing the efficacy and safety of RA therapies, offering new hope for patients suffering from this debilitating disease.
期刊介绍:
The aim of Mini-Reviews in Medicinal Chemistry is to publish short reviews on the important recent developments in medicinal chemistry and allied disciplines.
Mini-Reviews in Medicinal Chemistry covers all areas of medicinal chemistry including developments in rational drug design, synthetic chemistry, bioorganic chemistry, high-throughput screening, combinatorial chemistry, drug targets, and natural product research and structure-activity relationship studies.
Mini-Reviews in Medicinal Chemistry is an essential journal for every medicinal and pharmaceutical chemist who wishes to be kept informed and up-to-date with the latest and most important developments.