Controlled drug delivery

控制药物输送
  • 文章类型: Journal Article
    目前,由于生活质量低,癌症患者的数量一直在增加。出于这个原因,用于治疗癌症的疗法已经得到了专家的很多考虑。许多抗癌药物已被用于治疗癌症患者。然而,立即使用抗癌药物会导致患者不愉快的副作用,并且对应用这些治疗有许多限制。许多聚合物,如纤维素,壳聚糖,聚乙烯醇(PVA),聚丙烯腈(PAN),多肽和聚羟基链烷酸酯具有良好的治疗癌症的性能,但是通过同轴静电纺丝技术生产的基于纳米纤维的靶标和受控药物递送系统具有非凡的性能,例如良好的机械特性,一个很好的释放配置文件,高表面积,和高海绵状和无害的,生物可再生,生物友好,高度可降解,并且可以非常方便地以工业规模生产。因此,通过同轴静电纺丝生产的纳米纤维可以设计为靶向特定的癌细胞或组织。通过改变纳米纤维的组成和性能,研究人员可以控制治疗剂的释放动力学,并增强其在肿瘤部位的积累,同时将全身毒性降至最低。同轴电纺纳米纤维的核-壳结构允许治疗剂随时间的受控和持续释放。这种受控释放曲线可以通过在肿瘤微环境内维持治疗药物浓度延长的时间来提高癌症治疗的功效。
    Currently, the number of patients with cancer is expanding consistently because of a low quality of life. For this reason, the therapies used to treat cancer have received a lot of consideration from specialists. Numerous anticancer medications have been utilized to treat patients with cancer. However, the immediate utilization of anticancer medicines leads to unpleasant side effects for patients and there are many restrictions to applying these treatments. A number of polymers like cellulose, chitosan, Polyvinyl Alcohol (PVA), Polyacrylonitrile (PAN), peptides and Poly (hydroxy alkanoate) have good properties for the treatment of cancer, but the nanofibers-based target and controlled drug delivery system produced by the co-axial electrospinning technique have extraordinary properties like favorable mechanical characteristics, an excellent release profile, a high surface area, and a high sponginess and are harmless, bio-renewable, biofriendly, highly degradable, and can be produced very conveniently on an industrial scale. Thus, nanofibers produced through coaxial electrospinning can be designed to target specific cancer cells or tissues. By modifying the composition and properties of the nanofibers, researchers can control the release kinetics of the therapeutic agent and enhance its accumulation at the tumor site while minimizing systemic toxicity. The core-shell structure of coaxial electrospun nanofibers allows for a controlled and sustained release of therapeutic agents over time. This controlled release profile can improve the efficacy of cancer treatment by maintaining therapeutic drug concentrations within the tumor microenvironment for an extended period.
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  • 文章类型: Journal Article
    内膜增生(IH)是限制血流量恢复的血运重建手术成功的重要因素。IH是由异物反应和机械差异引起的,涉及复杂的生化反应,导致移植物失败。可用的治疗选择利用不同的药理学干预或对血管移植物的机械支持,但成功率有限。
    这篇综述解释了IH的病理生理学,负责的机械和生物因素,和治疗选择,强调血管周围装置。它们旨在提供机械支持和药理学作用。血管周药物递送概念已在各种动物研究中成功证明了功效。使用数学建模的药物释放机制的准确预测可用于配制延长的药物洗脱装置。用于预测设计结果的数值建模方面已被赋予了应有的重要性,以满足对更好的患者护理的未满足的临床需求。
    IH可以通过同时的机械支架和持续的局部药物递送来有效地预防。未来的血管周围医疗设备可以设计为集成这些基本特征。用于设备性能预测的数值模型应用于开发下一代血管周围设备。
    UNASSIGNED: Intimal hyperplasia (IH) is a significant factor limiting the success of revascularization surgery for blood flow restoration. IH results from a foreign body response and mechanical disparity that involves complex biochemical reactions resulting in graft failure. The available treatment option utilizes either different pharmacological interventions or mechanical support to the vascular grafts with limited success.
    UNASSIGNED: This review explains the pathophysiology of IH, responsible mechanical and biological factors, and treatment options, emphasizing perivascular devices. They are designed to provide mechanical support and pharmacology actions. The perivascular drug delivery concept has successfully demonstrated efficacy in various animal studies. Accurate projections of drug release mechanisms using mathematical modeling could be used to formulate prolonged drug elution devices. Numerical modeling aspects for the prediction of design outcomes have been given due importance that fulfills the unmet clinical need for better patient care.
    UNASSIGNED: IH could be effectively prevented by simultaneous mechanical scaffolding and sustained local drug delivery. Future perivascular medical devices could be designed to integrate these essential features. Numerical modeling for device performance prediction should be utilized in the development of next-generation perivascular devices.
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  • 文章类型: Journal Article
    是全球死亡和残疾的主要原因之一,癌症代表了科学界正在进行的跨学科挑战。由于目前使用的治疗方法可能在效率和不良反应方面都面临限制,持续的研究旨在克服现有挑战,寻找更安全的具体替代品。特别是,越来越多的兴趣集中在将纳米技术整合到癌症管理中,并随后开发用于癌症应用的各种肿瘤靶向纳米颗粒.在这方面,本文简要介绍了临床实践中最常用的癌症治疗方法,为最近的研究结果建立了参考框架,进一步关注该领域的新发展。更具体地说,这篇综述详细阐述了有关各种纳米材料的最新研究(即,碳基,以金属为基础,脂质体,立方体,基于脂质的,聚合物基,胶束,基于病毒的,外泌体,和细胞膜涂层纳米材料),在不同的癌症应用中显示出有希望的潜力。
    Being one of the leading causes of death and disability worldwide, cancer represents an ongoing interdisciplinary challenge for the scientific community. As currently used treatments may face limitations in terms of both efficiency and adverse effects, continuous research has been directed towards overcoming existing challenges and finding safer specific alternatives. In particular, increasing interest has been gathered around integrating nanotechnology in cancer management and subsequentially developing various tumor-targeting nanoparticles for cancer applications. In this respect, the present paper briefly describes the most used cancer treatments in clinical practice to set a reference framework for recent research findings, further focusing on the novel developments in the field. More specifically, this review elaborates on the top recent studies concerning various nanomaterials (i.e., carbon-based, metal-based, liposomes, cubosomes, lipid-based, polymer-based, micelles, virus-based, exosomes, and cell membrane-coated nanomaterials) that show promising potential in different cancer applications.
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  • 文章类型: Journal Article
    控制药物递送是来自各个领域的众多科学家感兴趣的问题。也是整个社会的基本问题。在许多疾病的治疗中,至关重要的是控制药物的剂量很长一段时间,从而保持其在组织中的最佳浓度。心脏病在这方面尤为重要。一种这样的疾病是影响全世界数百万人的阻塞性动脉疾病。近年来,支架和球囊导管在这种情况的治疗中已经达到了重要的地位。球囊导管也成功地用于管理泪道,鼻旁窦,或唾液腺疾病。现代技术不断努力通过改进前几代支架和球囊导管的设计来改善其结果,结构,和组成材料。这些进展导致药物洗脱支架(DES)和药物洗脱球囊(DEB)的连续模型的发展。本文介绍了DES和DEB发展的里程碑,这是治疗冠状动脉疾病的重要选择。本报告回顾了与建筑设计和材料成就相关的工作,以及准备技术,DES和DEB。特别注意用于生产上述装置的聚合物生物可降解材料。还收集了有关生产药物释放包衣的各种方法及其释放活性物质的有效性的信息。
    Controlled drug delivery is a matter of interest to numerous scientists from various domains, as well as an essential issue for society as a whole. In the treatment of many diseases, it is crucial to control the dosing of a drug for a long time and thus maintain its optimal concentration in the tissue. Heart diseases are particularly important in this aspect. One such disease is an obstructive arterial disease affecting millions of people around the world. In recent years, stents and balloon catheters have reached a significant position in the treatment of this condition. Balloon catheters are also successfully used to manage tear ducts, paranasal sinuses, or salivary glands disorders. Modern technology is continually striving to improve the results of previous generations of stents and balloon catheters by refining their design, structure, and constituent materials. These advances result in the development of both successive models of drug-eluting stents (DES) and drug-eluting balloons (DEB). This paper presents milestones in the development of DES and DEB, which are a significant option in the treatment of coronary artery diseases. This report reviews the works related to achievements in construction designs and materials, as well as preparation technologies, of DES and DEB. Special attention was paid to the polymeric biodegradable materials used in the production of the above-mentioned devices. Information was also collected on the various methods of producing drug release coatings and their effectiveness in releasing the active substance.
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  • 文章类型: Journal Article
    BACKGROUND: Polymeric networks for controlled drug delivery possess wide pharmaceutical and biomedical applications.
    METHODS: In this review, we explore the diversity of polymeric networks that exist, from simple to highly complex and \'smart\' embodiments. The patented delivery systems reviewed reflect this, based on both conventional polymeric networks and stimulus-responsive networks where engineering of a controlled molecular architecture of polymeric networks enables a defined response to external or internal stimuli. Future trends in terms of nano-sized polymeric network patents are also highlighted.
    CONCLUSIONS: A critical analysis of challenges potentially facing extended propulsion of the research and development of polymeric networks is provided. The significant therapeutic potential of polymer networks for controlled drug delivery is highlighted in the patented drug delivery systems examined; however, there needs to be enhanced representation of such systems in the market and thus available to patients. Concerted efforts are therefore necessary to propel these systems from the experimental setting to pilot scale production, and preclinical and clinical testing, for extension of their practicality.
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