基于多孔纳米材料的骨关节炎药物递送系统的最新进展

Senem Çitoğlu, Hatice Duran
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摘要

骨关节炎(Osteoarthritis, OA)是一种常见的随时间发展的退行性疾病,主要表现为关节炎症、软骨退化,最终丧失正常关节功能。限制当前OA治疗方法有效性的一些限制包括药物对软骨的渗透很小,缺乏血管,导致生物利用度不足和全身毒性。为了提高治疗的有效性,有必要创造新的非侵入性骨关节炎治疗技术。多孔纳米材料(PNMs)由于其功能性、可变孔隙度和高负载能力,作为持续给药系统(dds)显示出巨大的前景。此外,它们还可以提供靶向给药,促进药物的控释,延长药物的循环和保留时间,同时减少不良反应,提高药物的溶解度。首先,对目前的治疗方法和面临的挑战进行了总结。随后,介绍了基于不同孔径和结构的pmms治疗OA的dds的最新进展。最后,讨论了影响dds性能的参数,并对dds的设计提出了建议。本文的目的是为基于PNM的DDS设计提供新的见解,并启发读者在未来采用关节内DDS的智能设计。
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Recent advances in porous nanomaterials‐based drug delivery systems for osteoarthritis
Abstract Osteoarthritis (OA) is a common degenerative disease that develops over time, characterized mainly by inflammatory joints, cartilage deterioration, and ultimately loss of normal joint function. Some of the limitations that restrict the effectiveness of current OA treatment procedures include minimal penetration of medications into cartilage and lack of vascularity, leading to insufficient bioavailability and systemic toxicity. To increase the effectiveness of treatment, it is necessary to create novel non‐invasive OA treatment techniques. Porous nanomaterials (PNMs) show great promise as sustained drug delivery systems (DDSs) due to their functionality, variable porosity, and high loading capacity. In addition, they can provide targeted drug delivery, facilitate controlled release of drugs, and prolong drug circulation and retention time while reducing adverse reactions and improving drug solubility. First, the current treatment methods and challenges are summarized. Subsequently, recent advances in DDSs for OA treatment based on PNMs with various pore sizes and structures are presented. Lastly, the parameters that affect the performance of DDSs are discussed by giving some suggestions for their design. The purpose of this review is to provide new insights into PNM‐based DDS design and to inspire readers to adopt the smart design of intra‐articular DDSs in the future.
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