类风湿关节炎新疗法的最新进展

Bhashpitha Naredla, Usharani Sagarla, Prasanthi. D
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引用次数: 0

摘要

慢性关节炎症是被称为类风湿性关节炎(RA)的全身性炎症性疾病的特征,最终导致严重残疾和早期死亡。全世界约有 1%的人患有这种疾病,女性患病的几率是男性的 2-3 倍。临床前 RA、遗传影响和环境影响都是该病的病因。由于目前还没有公认的治疗 RA 的方法,因此将疾病活动度降到最低,并在可能的情况下实现康复仍是治疗的主要目标。本综述重点介绍了有关各种 RA 治疗方案、其作用机制、副作用以及目前用于给药的创新给药系统的文献,其中非甾体抗炎药物给药系统最受关注。本综述介绍了各类最常用的药物,包括皮质类固醇、非甾体抗炎药(NSAIDs)、改善病情抗风湿药(DMARDs)和生物制剂。传统药物疗法存在各种缺点,包括生物利用度不足、首过代谢、胃肠道酶降解、溶解度和渗透性有限、食物相互作用和毒性。微球、纳米颗粒、树枝状聚合物、脂质体等创新给药技术能够克服传统给药系统的缺点,因此大有可为。本综述比较和对比了已研究用于抗风湿药物的多种独特给药方法,以及使用这些新型方法与传统给药方法相比的优势。
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Updates on Novel Treatments for Rheumatoid Arthritis
Chronic joint inflammation is a hallmark of the systemic inflammatory illness known as rheumatoid arthritis (RA), which ultimately causes severe disability and early death. Around 1% of people worldwide are affected by it, and women are 2-3 times more likely to be affected than males. Preclinical RA, genetic influences and environmental influences all have a role in the etiology of the illness. Since there is no recognized treatment for RA, achieving the lowest disease activity and, if possible, recovery remains the key goals of care. The literature on the various RA therapy options, their mechanisms of action, side effects and innovative drug delivery systems that are currently being used for medication administration are highlighted in this review, with non-steroidal anti-inflammatory drug delivery systems receiving the most attention. The most popular medications from each class are reviewed, including corticosteroids, non-steroidal anti-inflammatory medicines (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs) and biologics. Traditional medication therapy has various drawbacks, including inadequate bioavailability, first pass metabolism, gastrointestinal enzyme degradation, limited solubility and permeability, food interactions and toxicity. Innovative drug delivery technologies such as microspheres, nanoparticles, dendrimers, liposomes and others, hold great promise since they have been able to overcome the drawbacks of traditional drug delivery systems. The current review compares and contrasts numerous unique drug delivery methods that have been investigated for using anti-rheumatic medications, as well as the benefits of using these novel methods over traditional drug delivery methods.
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