陈水生, 周可倩, 李晓东, 吕权真, 俞媛. 纳米药物递释系统在抗真菌感染治疗中的应用及机制J. 药学学报, 2021,56(7): 1893-1901. doi: 10.16438/j.0513-4870.2021-0053
引用本文: 陈水生, 周可倩, 李晓东, 吕权真, 俞媛. 纳米药物递释系统在抗真菌感染治疗中的应用及机制J. 药学学报, 2021,56(7): 1893-1901. doi: 10.16438/j.0513-4870.2021-0053
CHEN Shui-sheng, ZHOU Ke-qian, LI Xiao-dong, L� Quan-zhen, YU Yuan. Application and mechanism of nanomedicine in antifungal infection therapyJ. Acta Pharmaceutica Sinica, 2021,56(7): 1893-1901. doi: 10.16438/j.0513-4870.2021-0053
Citation: CHEN Shui-sheng, ZHOU Ke-qian, LI Xiao-dong, L� Quan-zhen, YU Yuan. Application and mechanism of nanomedicine in antifungal infection therapyJ. Acta Pharmaceutica Sinica, 2021,56(7): 1893-1901. doi: 10.16438/j.0513-4870.2021-0053

纳米药物递释系统在抗真菌感染治疗中的应用及机制

Application and mechanism of nanomedicine in antifungal infection therapy

  • 摘要: 真菌感染对人类健康的威胁呈螺旋式上升,尤其临床中侵袭性真菌感染影响重症或免疫功能改变的患者,感染的发病率和死亡率很高。药物治疗中,脱靶毒性以及耐药真菌问题日益严峻。随着生物材料和纳米技术广泛应用于生物医药,针对抗真菌药物展开了很多研究,如成功上市的两性霉素B脂质体制剂极大降低了药物肾脏毒性。纳米载体结构与其微观的物理化学特性,可降低药物的毒副作用,提高稳定性,改善药物的体内生物利用度,由特异性结构修饰实现组织的选择性作用于靶组织和靶细胞。本文针对抗真菌药物的临床应用和局限性,围绕这些药物研究的纳米药物系统包括脂质体、类脂囊泡、脂质纳米粒、微乳、聚合物纳米粒、树枝状聚合物和无机纳米载体等进行了综述。纳米技术和纳米药物递释系统为提高抗真菌活性、克服抗真菌药物耐药性的新型制剂的研发提供了有希望的策略。

     

    Abstract: The threat of fungal diseases is increasingly rigorous. The clinically invasive fungal infections remain a main cause of morbidity and mortality in certain high-risk groups, especially in critical patients or immunocompromised patients. In drug therapy, the problems of off-target toxicity and antifungal drug resistance are still challenging. With the wide application of biomaterials and nanotechnology, more nanomedicine studies have been carried out on antifungal drugs, such as the amphotericin B liposome which greatly reduced the renal toxicity of drugs has been successfully marketed. For the unique physical and chemical properties, the nano-drug delivery system possessed great potential in improving the bioavailability, reducing the side effects of drugs, increasing the stability of drugs, and achieving cells or tissue-specificity through the modification. This review summarized the applications and limitations of antifungal drugs. Some nanomedicines were summarized in discussion oriented around the antifungal therapy, including liposomes, niosomes, lipid nanoparticles, polymer nanoparticles, microemulsion, dendrimers, inorganic nanocarriers. Nanotechnology and nano-drug delivery system provide promising strategies for the research and development of new formulations that can improve antifungal activity and possibly overcome antifungal drug resistance.

     

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