吸入纳米药物治疗肺部、鼻腔和鼻脑疾病的最新进展。

Qiuxia Fu, Yangjie Liu, Cao Peng, Tobias Achu Muluh, Umer Anayyat, Liu Liang
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摘要

肺部、鼻部和鼻脑疾病的临床治疗方法包括支气管扩张剂、吸入类固醇、氧疗、抗生素、抗组胺药、鼻类固醇、减充血剂、鼻内给药、神经刺激和手术。然而,全身用药会产生严重的不良反应,因此有必要开发可将药物精确输送到气道,同时将全身用药暴露降至最低的吸入制剂。由于解剖学和渗透性方面的考虑,肺部和鼻腔给药途径必须考虑颗粒大小、表面电荷、生物相容性、药物容量和粘附性等独特的化学和物理特征。许多慢性疾病的传统治疗方法存在各种弊端。因此,利用纳米技术提高药物效率并优化整体效果的靶向给药系统应运而生。肺部途径是最基本的靶向给药系统之一,因为它可以在肺部、鼻腔和大脑局部和全身给药。此外,肺部的有益特性,如抑制首过代谢的能力和薄上皮层,有助于治疗多种健康并发症。本论文将讨论肺部和鼻腔作为非侵入性自我给药途径的潜力。探讨了通过吸入治疗呼吸系统和一些全身性疾病的新方法,并特别关注使用专门的纳米载体通过鼻腔和肺部途径输送各种药物。设计和开发用于肺部、鼻腔和呼吸系统的吸入式纳米药物是一种潜在的临床转化方法。
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Recent Advancement in Inhaled Nano-drug Delivery for Pulmonary, Nasal, and Nose-to-brain Diseases.

Pulmonary, nasal, and nose-to-brain diseases involve clinical approaches, such as bronchodilators, inhaled steroids, oxygen therapy, antibiotics, antihistamines, nasal steroids, decongestants, intranasal drug delivery, neurostimulation, and surgery to treat patients. However, systemic medicines have serious adverse effects, necessitating the development of inhaled formulations that allow precise drug delivery to the airways with minimum systemic drug exposure. Particle size, surface charge, biocompatibility, drug capacity, and mucoadhesive are unique chemical and physical features that must be considered for pulmonary and nasal delivery routes due to anatomical and permeability considerations. The traditional management of numerous chronic diseases has a variety of drawbacks. As a result, targeted medicine delivery systems that employ nanotechnology enhancer drug efficiency and optimize the overall outcome are created. The pulmonary route is one of the most essential targeted drug delivery systems because it allows the administering of drugs locally and systemically to the lungs, nasal cavity, and brain. Furthermore, the lungs' beneficial characteristics, such as their ability to inhibit first-pass metabolism and their thin epithelial layer, help treat several health complications. The potential to serve as noninvasive self-administration delivery sites of the lung and nasal routes is discussed in this script. New methods for treating respiratory and some systemic diseases with inhalation have been explored and highlight particular attention to using specialized nanocarriers for delivering various drugs via the nasal and pulmonary pathways. The design and development of inhaled nanomedicine for pulmonary, nasal, and respiratory medicine applications is a potential approach for clinical translation.

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