Department of Biomedical and Pharmaceutical Sciences, College of Pharmacy, University of Rhode Island, Kingston, RI 02881, USA.
Department of Molecular Microbiology and Immunology, Brown University, Providence, RI 02912, USA.
Eur J Pharm Biopharm. 2021 Jul;164:1-12. doi: 10.1016/j.ejpb.2021.03.017. Epub 2021 Apr 18.
Idiopathic pulmonary fibrosis (IPF) is a debilitating and fatal condition that causes severe scarring of the lungs. While the pathogenesis of IPF continues to be extensively studied and several factors have been considered, an exact cause has yet to be established. With inadequate treatment options and no cure available, overall disease prognosis is still poor. Existing oral therapies, pirfenidone and nintedanib, may attempt to improve the patients' quality of life by mitigating symptoms and slowing disease progression, however chronic doses and systemic deliveries of these drugs can lead to severe side effects. The lack of effective treatment options calls for further investigation of restorative as well as additional palliative therapies for IPF. Nanoparticle-based sustained drug delivery strategies can be utilized to ensure targeted delivery for site-specific treatment as well as long-acting therapy, improving overall patient compliance. This review provides an update on promising strategies for the delivery of anti-fibrotic agents, along with an overview of key therapeutic targets as well as relevant emerging therapies currently being evaluated for IPF treatment.
特发性肺纤维化(IPF)是一种使人虚弱和致命的疾病,会导致肺部严重瘢痕化。虽然 IPF 的发病机制仍在广泛研究中,并且已经考虑了几个因素,但尚未确定确切的病因。由于治疗选择不足且尚无治愈方法,总体疾病预后仍然较差。现有的口服治疗药物吡非尼酮和尼达尼布可能通过减轻症状和减缓疾病进展来尝试改善患者的生活质量,但是这些药物的慢性剂量和全身给药会导致严重的副作用。缺乏有效的治疗方法需要进一步研究修复以及针对 IPF 的其他姑息性治疗方法。基于纳米颗粒的持续药物输送策略可用于确保针对特定部位的治疗以及长效治疗的靶向输送,从而提高整体患者的依从性。本综述提供了有关抗纤维化药物输送的有前途的策略的最新信息,以及关键治疗靶点的概述,以及目前正在评估用于 IPF 治疗的相关新兴疗法。