Departamento de Microbiologia, Facultad de Ciencias de la Salud, Universidad de Talca, Talca 3460000, Maule, Chile.
Marine College, Shandong University, Weihai, 264209, China.
Curr Med Chem. 2021;28(30):6274-6286. doi: 10.2174/0929867328666210223141555.
Drug delivery systems such as hydrogels have become relevant in cardiovascular and metabolic therapies due to their sustained and controlled release properties of drugs, versatile polymer structures, safety, and biodegradability.
The literature presented demonstrates that a hydrogel-based controlled release system increases the therapeutic efficacy in different components of the metabolic syndrome. Hypertension has been the most explored component with advances in in vitro and murine models. However, clinical evidence in humans is scarce, and more translational studies are needed. Hydrogel-based systems for diabetes, obesity, and dyslipidemia have been little explored. Observations mainly demonstrated an increase in therapeutic efficacy, in vitro and in vivo, for the use of insulin, leptin, and natural components, such as epigallocatechin gallate. In all cases, the hydrogel systems achieve better plasma levels of the loaded compound, higher bioavailability, and low cytotoxicity compared to conventional systems. Also, the evidence existing suggests that the development of an injectable hydrogel system for controlled release of drugs or therapeutic compounds is presented as an attractive option for MeS treatment, and due to the possibility of sustained pharmacological release, there is no need for repeated doses and a safe administration route.
The following review aims to evaluate the use of the hydrogel systems in the therapy of diabetes, obesity, hypertension, and dyslipidemia, which are the main components of metabolic syndrome.
水凝胶等药物输送系统因其药物的持续和控制释放特性、多功能聚合物结构、安全性和生物可降解性而在心血管和代谢治疗中变得相关。
所呈现的文献表明,基于水凝胶的控释系统增加了代谢综合征不同成分的治疗效果。高血压是研究最多的成分,在体外和小鼠模型中都有进展。然而,人类的临床证据很少,需要更多的转化研究。用于糖尿病、肥胖和血脂异常的基于水凝胶的系统很少被探索。观察主要表明,胰岛素、瘦素和天然成分(如表没食子儿茶素没食子酸酯)的使用在体外和体内的治疗效果都有所提高。在所有情况下,与传统系统相比,水凝胶系统可实现载药化合物的更好血浆水平、更高的生物利用度和低细胞毒性。此外,现有证据表明,开发用于药物或治疗化合物的控释的可注射水凝胶系统是治疗代谢综合征的一种有吸引力的选择,并且由于可能持续的药理释放,因此不需要重复剂量和安全的给药途径。
本综述旨在评估水凝胶系统在治疗糖尿病、肥胖、高血压和血脂异常中的应用,这些是代谢综合征的主要成分。