Nano- and Microformulations to Advance Therapies for Visceral Leishmaniasis.

Nano- and Microformulations to Advance Therapies for Visceral Leishmaniasis.
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纳米和微制剂促进内脏利什曼病的治疗。

DOI:
10.1021/acsbiomaterials.0c01132
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发表时间:
2021-05-10
影响因子:
5.8
通讯作者:
Ainslie, Kristy M.
Ainslie, Kristy M.
中科院分区:
工程技术2区
文献类型:
--
作者:
Varma, Devika M.;Redding, Elizabeth A.;Bachelder, Eric M.;Ainslie, Kristy M.

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内脏利什曼病 (VL) 是一种致命的、媒介传播的、被忽视的热带疾病,是世界干旱地区的地方病,由利什曼原虫属的原生动物寄生虫引起。化疗是这种全身性疾病的主要治疗方法,并且存在多种针对这种细胞内寄生虫的有效疗法。然而,系统毒性、高成本、艰巨的治疗方案和耐药性上升等多种因素是有效治疗 VL 的障碍。基于材料的平台有可能通过提供更好的药代动力学特征和创建患者友好的给药途径,同时降低耐药风险,彻底改变利什曼病的化疗。本综述重点介绍了有前途的药物输送策略和已在临床前模型中进行评估的新型疗法,证明了推进 VL 化疗的潜力。
Visceral leishmaniasis (VL) is a deadly, vector-borne, neglected tropical disease endemic to arid parts of the world and is caused by a protozoan parasite of the genus Leishmania. Chemotherapy is the primary treatment for this systemic disease, and multiple potent therapies exist against this intracellular parasite. However, several factors, such as systemic toxicity, high costs, arduous treatment regimen, and rising drug resistance, are barriers for effective therapy against VL. Material-based platforms have the potential to revolutionize chemotherapy for leishmaniasis by imparting a better pharmacokinetic profile and creating patient-friendly routes of administration, while also lowering the risk for drug resistance. This review highlights promising drug delivery strategies and novel therapies that have been evaluated in preclinical models, demonstrating the potential to advance chemotherapy for VL.
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