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基于生物材料的免疫调节策略在炎症性肠病中的应用:现状与未来。

Biomaterial-based strategies for immunomodulation in IBD: current and future scenarios.

机构信息

Chemical Biology Unit, Institute of Nano Science and Technology, Knowledge, City, Sector-81, Mohali-140306, Punjab, India.

Department of Biology, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.

出版信息

J Mater Chem B. 2023 Jun 28;11(25):5668-5692. doi: 10.1039/d3tb00276d.

Abstract

Instinctive gastrointestinal inflammatory conditions with persistent intestinal inflammation are known as "inflammatory bowel diseases" (IBDs). IBDs are growing progressively common throughout the world although it is still unclear what causes them. IBDs that cause recurrent, intermittent, and disburse inflammatory responses, may also have systemic symptoms such as ulcerative colitis and Crohn's disease. It has been discovered that a number of medications, including antibiotics, corticosteroids, and immune-suppressants, can promote mucous and damaged epithelial restoration. The incidences of general and specific therapy failure in IBD continue to climb, even though the availability of advanced biologics including anti-interleukins, anti-integrins, anti-tumor necrosis factor (anti-TNF), and small molecules such as tofacitinib exist. Management therapies that are currently being researched include specifically JAK (janus kinase) inhibitors, anti-IL (anti-interleukin) (IL-12, IL23), and leukocyte inhibitors such as sphingosine-1-phosphate receptors. Clinical treatments can have various adverse effects. In order to give pharmacological drugs to the disease-specific sites with improved efficacy and fewer complications, innovative frameworks centered on biomaterials are needed. We provide an outlook on the current state of several biomaterials used to treat IBD. This article comprehensively addresses numerous microparticles, nanoparticles, and hydrogels that have recently been made from natural bio-polymers and lipids. To support colon-specific target delivery and steady release of medications during IBD therapies, these various biomaterial-based monotherapies could be employed as efficient drug delivery systems.

摘要

以肠道炎症持续存在为特征的本能性胃肠道炎症被称为“炎症性肠病”(IBD)。尽管其病因仍不清楚,但 IBD 在全球范围内的发病率正在不断上升。IBD 会引起反复发作、间歇性和弥散性炎症反应,也可能伴有溃疡性结肠炎和克罗恩病等全身症状。现已发现,包括抗生素、皮质类固醇和免疫抑制剂在内的多种药物可促进黏液和受损上皮的恢复。尽管有包括抗白细胞介素、抗整合素、抗肿瘤坏死因子(抗 TNF)和小分子如托法替尼在内的先进生物制剂可供使用,但 IBD 的一般和特定治疗失败的发生率仍在不断上升。目前正在研究的治疗方法包括特定的 JAK(Janus 激酶)抑制剂、抗白细胞介素(IL)(IL-12、IL-23)和白细胞抑制剂,如鞘氨醇 1-磷酸受体。临床治疗可能会产生各种不良反应。为了使药物能够以更高的疗效和更少的并发症到达疾病特定部位,需要以生物材料为中心的创新框架。我们对几种用于治疗 IBD 的生物材料的现状进行了展望。本文全面介绍了最近由天然生物聚合物和脂质制成的多种微粒、纳米颗粒和水凝胶。为了支持在 IBD 治疗中结肠特异性靶向递药和药物的稳定释放,这些各种基于生物材料的单一疗法可以作为有效的药物递送系统。

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