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纳米技术在全球传染病中的应用。

Nanotechnology approaches for global infectious diseases.

机构信息

David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.

Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.

出版信息

Nat Nanotechnol. 2021 Apr;16(4):369-384. doi: 10.1038/s41565-021-00866-8. Epub 2021 Mar 22.

Abstract

Infectious diseases are a major driver of morbidity and mortality globally. Treatment of malaria, tuberculosis and human immunodeficiency virus infection are particularly challenging, as indicated by the ongoing transmission and high mortality associated with these diseases. The formulation of new and existing drugs in nano-sized carriers promises to overcome several challenges associated with the treatment of these diseases, including low on-target bioavailability, sub-therapeutic drug accumulation in microbial sanctuaries and reservoirs, and low patient adherence due to drug-related toxicities and extended therapeutic regimens. Further, nanocarriers can be used for formulating vaccines, which represent a major weapon in our fight against infectious diseases. Here we review the current burden of infectious diseases with a focus on major drivers of morbidity and mortality. We then highlight how nanotechnology could aid in improving existing treatment modalities. We summarize our progress so far and outline potential future directions to maximize the impact of nanotechnology on the global population.

摘要

传染病是全球发病率和死亡率的主要驱动因素。疟疾、结核病和人类免疫缺陷病毒感染的治疗尤其具有挑战性,这些疾病的持续传播和高死亡率表明了这一点。纳米载体中新药物和现有药物的制剂有望克服与这些疾病治疗相关的几个挑战,包括靶生物利用度低、药物在微生物避难所和储库中的蓄积低于治疗剂量、以及由于药物毒性和延长的治疗方案导致的低患者依从性。此外,纳米载体可用于疫苗的配方,这是我们对抗传染病的主要武器之一。在这里,我们回顾了传染病的当前负担,重点关注发病率和死亡率的主要驱动因素。然后,我们强调了纳米技术如何帮助改善现有的治疗方式。我们总结了迄今为止的进展,并概述了潜在的未来方向,以最大限度地发挥纳米技术对全球人口的影响。

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