Gao Caifang, Liu Lijuan, Zhou Yangyang, Bian Zhaoxiang, Wang Shengpeng, Wang Yitao
State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Avenida da Universidade, Taipa, Macao, SAR China.
PU-UM Innovative Institute of Chinese Medical Sciences, Guangdong-Macau Traditional Chinese Medicine Technology Industrial Park Development Co., Ltd, Hengqin New Area, Zhuhai, China.
Chin Med. 2019 Jun 17;14:23. doi: 10.1186/s13020-019-0245-x. eCollection 2019.
Inflammatory bowel disease (IBD) is an idiopathic intestinal inflammatory disease that comprises ulcerative colitis (UC) and Crohn's disease (CD). IBD involves the ileum, rectum, and colon, and common clinical manifestations of IBD are diarrhea, abdominal pain, and even bloody stools. Currently, non-steroidal anti-inflammatory drugs, glucocorticoids, and immunosuppressive agents are used for the treatment of IBD, while their clinical application is severely limited due to unwanted side effects. Chinese medicine (CM) is appealing more and more attention and investigation for the treatment of IBD owing to the potent anti-inflammation pharmacological efficacy and high acceptance by patients. In recent years, novel drug delivery systems are introduced apace to encapsulate CM and many CM-derived active constituents in order to improve solubility, stability and targeting ability. In this review, advanced drug delivery systems developed in the past and present to deliver CM for the treatment of IBD are summarized and future directions are discussed.
炎症性肠病(IBD)是一种特发性肠道炎症性疾病,包括溃疡性结肠炎(UC)和克罗恩病(CD)。IBD累及回肠、直肠和结肠,其常见临床表现为腹泻、腹痛,甚至便血。目前,非甾体抗炎药、糖皮质激素和免疫抑制剂用于治疗IBD,但由于不良反应,它们的临床应用受到严重限制。由于具有强大的抗炎药理功效以及患者的高接受度,中药在IBD治疗中越来越受到关注和研究。近年来,新型药物递送系统迅速涌现,用于包裹中药及其许多活性成分,以提高溶解度、稳定性和靶向能力。在本综述中,总结了过去和现在开发的用于递送中药治疗IBD的先进药物递送系统,并讨论了未来的发展方向。