急性呼吸窘迫综合征的肺给药

IF 3.3 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pulmonary pharmacology & therapeutics Pub Date : 2023-04-01 DOI:10.1016/j.pupt.2023.102196
Qinqin Fei , Ian Bentley , Samir N. Ghadiali , Joshua A. Englert
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引用次数: 3

摘要

急性呼吸窘迫综合征(ARDS)是一种会导致呼吸衰竭的危及生命的疾病。尽管进行了大量的临床试验,但还没有预防或治疗ARDS的分子靶向药物疗法。由于肺损伤的异质性以及水肿液和炎症对肺单位的闭塞,ARDS期间的药物递送具有挑战性。ARDS期间的肺部药物递送提供了几个潜在的优势,包括限制脱靶和器官外效应,以及直接靶向受损和发炎的肺部区域。在这篇综述中,我们总结了最近使用全身和肺部给药的ARDS临床试验。然后,我们讨论了肺部给药的优势及其实施的潜在挑战。最后,我们讨论了使用纳米颗粒药物递送和基于表面活性剂的药物载体作为向ARDS损伤的肺部递送治疗药物的潜在策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Pulmonary drug delivery for acute respiratory distress syndrome

The acute respiratory distress syndrome (ARDS) is a life-threatening condition that causes respiratory failure. Despite numerous clinical trials, there are no molecularly targeted pharmacologic therapies to prevent or treat ARDS. Drug delivery during ARDS is challenging due to the heterogenous nature of lung injury and occlusion of lung units by edema fluid and inflammation. Pulmonary drug delivery during ARDS offers several potential advantages including limiting the off-target and off-organ effects and directly targeting the damaged and inflamed lung regions. In this review we summarize recent ARDS clinical trials using both systemic and pulmonary drug delivery. We then discuss the advantages of pulmonary drug delivery and potential challenges to its implementation. Finally, we discuss the use of nanoparticle drug delivery and surfactant-based drug carriers as potential strategies for delivering therapeutics to the injured lung in ARDS.

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来源期刊
CiteScore
6.20
自引率
0.00%
发文量
41
审稿时长
42 days
期刊介绍: Pulmonary Pharmacology and Therapeutics (formerly Pulmonary Pharmacology) is concerned with lung pharmacology from molecular to clinical aspects. The subject matter encompasses the major diseases of the lung including asthma, cystic fibrosis, pulmonary circulation, ARDS, carcinoma, bronchitis, emphysema and drug delivery. Laboratory and clinical research on man and animals will be considered including studies related to chemotherapy of cancer, tuberculosis and infection. In addition to original research papers the journal will include review articles and book reviews. Research Areas Include: • All major diseases of the lung • Physiology • Pathology • Drug delivery • Metabolism • Pulmonary Toxicology.
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