Schneider-Futschik Elena K, Reyes-Ortega Felisa
Department of Biochemistry & Pharmacology, Faculty of Medicine, School of Biomedical Sciences, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC 3010, Australia.
Visual Quality Research Group, Department of Ophthalmology, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofía University Hospital and University of Cordoba, 14004 Cordoba, Spain.
Pharmaceutics. 2021 Jul 27;13(8):1157. doi: 10.3390/pharmaceutics13081157.
Nanomaterials provide enormous opportunities to overcome the limitations of conventional ocular delivery systems, such as low therapeutic efficacy, side effects due to the systemic exposure, or invasive surgery. Apart from the more common ocular disorders, there are some genetic diseases, such as cystic fibrosis, that develop ocular disorders as secondary effects as long as the disease progresses. These patients are more difficult to be pharmacologically treated using conventional drug routes (topically, systemic), since specific pharmacological formulations can be incompatible, display increased toxicity, or their therapeutic efficacy decreases with the administration of different kind of chemical molecules. Magnetic nanoparticles can be used as potent drug carriers and magnetic hyperthermia agents due to their response to an external magnetic field. Drugs can be concentrated in the target point, limiting the damage to other tissues. The other advantage of these magnetic nanoparticles is that they can act as magnetic resonance imaging agents, allowing the detection of the exact location of the disease. However, there are some drawbacks related to their use in drug delivery, such as the limitation to maintain efficacy in the target organ once the magnetic field is removed from outside. Another disadvantage is the difficulty in maintaining the therapeutic action in three dimensions inside the human body. This review summarizes all the application possibilities related to magnetic nanoparticles in ocular diseases.
纳米材料为克服传统眼部给药系统的局限性提供了巨大机遇,比如治疗效果低、全身暴露导致的副作用或侵入性手术。除了更常见的眼部疾病外,还有一些遗传疾病,如囊性纤维化,只要疾病进展,就会引发眼部疾病作为继发效应。这些患者使用传统给药途径(局部、全身)进行药物治疗更加困难,因为特定的药物制剂可能不相容、毒性增加,或者随着不同种类化学分子的给药,其治疗效果会降低。磁性纳米颗粒由于对外部磁场有响应,可作为有效的药物载体和磁热疗剂。药物可集中在靶点,限制对其他组织的损伤。这些磁性纳米颗粒的另一个优点是它们可作为磁共振成像剂,能够检测疾病的确切位置。然而,它们在药物递送中的应用存在一些缺点,比如一旦外部磁场移除,在靶器官中维持疗效的局限性。另一个缺点是在人体三维空间内维持治疗作用存在困难。本综述总结了磁性纳米颗粒在眼部疾病中的所有应用可能性。