纳米制剂洞察:抗真菌治疗的新范式和未来展望。

Ashima Ahuja, Meenakshi Bajpai
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摘要

目前,真菌感染在世界范围内越来越普遍。随后,许多抗真菌药物可用于治疗天疱疮、脚癣、痤疮、牛皮癣、色素沉着、白化病和皮肤癌症等疾病。尽管如此,由于理化性质的缺陷,它们还是达不到要求。常规药物如乳液、乳膏、软膏、膏药和凝胶可用于抗真菌治疗,但存在许多缺点。它们与药物滞留和渗透性差有关,导致耐药性、超敏反应和疗效下降。相反,纳米制剂在克服传统递送的缺点方面获得了巨大的潜力。此外,纳米制剂的潜在突破是位点特异性靶向。它提高了生物利用度,为患者量身定制了方法,减少了药物滞留和超敏反应,并改善了皮肤渗透性。如今,纳米制剂在对抗浅表皮肤感染的抗真菌治疗中越来越受欢迎。基于纳米制剂的脂质体、niosomes、纳米池、固体脂质纳米颗粒以及由于增强活性和降低毒性而在抗真菌治疗中的潜在应用已被探索。研究人员现在更专注于开发面向患者的靶向纳米递送,以覆盖具有更高免疫刺激效果的传统治疗的空白。未来的方向包括构建新型纳米治疗设备、纳米机器人和稳健的方法。此外,对于用于临床研究的纳米制剂的制备,动物模型解决了抗真菌治疗的问题。这篇综述描述了对各种浅表真菌皮肤感染及其潜在应用、基于纳米载体的药物递送和作用机制的见解。此外,它还关注监管考虑、药代动力学和药效学研究、临床试验、专利、挑战以及研究人员改进抗真菌治疗的未来投入。
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Nanoformulations Insights: A Novel Paradigm for Antifungal Therapies and Future Perspectives.

Currently, fungal infections are becoming more prevalent worldwide. Subsequently, many antifungal agents are available to cure diseases like pemphigus, athlete's foot, acne, psoriasis, hyperpigmentation, albinism, and skin cancer. Still, they fall short due to pitfalls in physiochemical properties. Conventional medications like lotion, creams, ointments, poultices, and gels are available for antifungal therapy but present many shortcomings. They are associated with drug retention and poor penetration problems, resulting in drug resistance, hypersensitivity, and diminished efficacy. On the contrary, nanoformulations have gained tremendous potential in overcoming the drawbacks of conventional delivery. Furthermore, the potential breakthroughs of nanoformulations are site-specific targeting. It has improved bioavailability, patient-tailored approach, reduced drug retention and hypersensitivity, and improved skin penetration. Nowadays, nanoformulations are gaining popularity for antifungal therapy against superficial skin infections. Nanoformulations-based liposomes, niosomes, nanosponges, solid lipid nanoparticles, and potential applications have been explored for antifungal therapy due to enhanced activity and reduced toxicity. Researchers are now more focused on developing patient-oriented target-based nano delivery to cover the lacunas of conventional treatment with higher immune stimulatory effects. Future direction involves the construction of novel nanotherapeutic devices, nanorobotics, and robust methods. In addition, for the preparations of nanoformulations for clinical studies, animal modeling solves the problems of antifungal therapy. This review describes insights into various superficial fungal skin infections and their potential applications, nanocarrier-based drug delivery, and mechanism of action. In addition, it focuses on regulatory considerations, pharmacokinetic and pharmacodynamic studies, clinical trials, patents, challenges, and future inputs for researchers to improve antifungal therapy.

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