摘要
始终需要替代和有效的药物递送方法。鼻腔可以被认为是一种非侵入性的有效给药途径。它已用于局部,全身,脑靶向和疫苗接种。尽管目前市场上有许多鼻内产品,但大多数用于本地交付,而用于其他目标的产品较少。随着纳米技术在药物输送中的应用迅速扩展,鼻腔输送作为一种有前途的方法已变得有吸引力。纳米颗粒系统促进药物穿过粘膜屏障的运输,保护药物免于鼻酶降解,增强疫苗到鼻腔淋巴组织的佐剂活性,并提供肽类进入大脑和全身循环的途径,除了具有治疗脑肿瘤的潜力。这篇综述文章旨在讨论鼻内纳米颗粒系统(包括纳米悬浮液,脂质和表面活性剂以及基于聚合物的纳米颗粒)在鼻内给药方面的潜在益处。这篇综述的目的是关注过去十年中用于鼻内递送局部,全身,大脑和疫苗接种目的的纳米技术应用的主题,涉及影响递送,监管方面和患者期望的因素。这篇评论进一步确定了在产品开发中应用按质量设计方法(QbD)的好处。根据对基于纳米技术的鼻内给药的报道研究,潜在的注意力已集中在脑靶向和疫苗给药上,并取得了可喜的结果。尽管在该领域进行了大量的研究工作,但尚无用于鼻内递送的基于纳米颗粒的产品。因此,需要进一步的努力来促进鼻内纳米颗粒产品的引入,这些产品可以在患者高度接受的情况下满足法规事务的要求。
关键词: 鼻内纳米颗粒系统,药物输送,设计质量,法规,患者期望。
[http://dx.doi.org/10.1016/j.ijpharm.2004.07.019] [PMID: 15454302]
[http://dx.doi.org/10.1177/0192623307310946] [PMID: 18337220]
[http://dx.doi.org/10.1158/0008-5472.CAN-12-4561] [PMID: 23423979]
[http://dx.doi.org/10.1124/dmd.112.044925] [PMID: 22498894]
[http://dx.doi.org/10.1016/j.nano.2005.03.002] [PMID: 17292064]
[http://dx.doi.org/10.3389/fphar.2017.00051] [PMID: 28261093]
[http://dx.doi.org/10.2217/nnm.10.10] [PMID: 20394539]
[http://dx.doi.org/10.1038/sj.clpt.6100400] [PMID: 17957183]
[http://dx.doi.org/10.1016/j.ejpb.2007.08.001] [PMID: 17826969]
[http://dx.doi.org/10.1007/978-3-319-08084-0_15]
[http://dx.doi.org/10.2174/138920010791110836] [PMID: 20384585]
[http://dx.doi.org/10.1039/c2cs15260f] [PMID: 22286540]
[http://dx.doi.org/10.1016/j.ijpharm.2006.01.008] [PMID: 16469459]
[http://dx.doi.org/10.1002/jps.20318] [PMID: 15858850]
[http://dx.doi.org/10.1016/j.jconrel.2016.07.001] [PMID: 27397490]
[http://dx.doi.org/10.1016/S1359-6446(02)02452-2] [PMID: 12546871]
[http://dx.doi.org/10.1007/s11095-012-0915-1] [PMID: 23135822]
[http://dx.doi.org/10.1002/cne.902160305] [PMID: 6306065]
[http://dx.doi.org/10.1089/jam.2006.19.92] [PMID: 16551220]
[http://dx.doi.org/10.1016/S0169-409X(97)00058-6] [PMID: 10837577]
[http://dx.doi.org/10.1016/j.ejps.2006.11.018] [PMID: 17223022]
[http://dx.doi.org/10.1634/stemcells.2007-0891] [PMID: 18308944]
[http://dx.doi.org/10.1016/j.addr.2011.11.002] [PMID: 22119441]
[http://dx.doi.org/10.1016/S0169-409X(97)00067-7] [PMID: 10837586]
[http://dx.doi.org/10.1021/mp100029t] [PMID: 20420446]
[http://dx.doi.org/10.1016/j.ijpharm.2016.11.055] [PMID: 27890621]
[http://dx.doi.org/10.1016/j.jconrel.2012.05.040] [PMID: 22659331]
[http://dx.doi.org/10.2174/1567201811666140321113555] [PMID: 24655046]
[http://dx.doi.org/10.1016/j.ijpharm.2007.03.025] [PMID: 17475423]
[http://dx.doi.org/10.1159/000321044] [PMID: 21325837]
[http://dx.doi.org/10.1016/j.pharmthera.2012.03.003] [PMID: 22465159]
[http://dx.doi.org/10.22270/jddt.v2i3.163]
[http://dx.doi.org/10.1248/bpb.b14-00398] [PMID: 25739664]
[http://dx.doi.org/10.1034/j.1399-6576.2002.460702.x] [PMID: 12139528]
[http://dx.doi.org/10.1097/00005537-200104000-00008] [PMID: 11359126]
[http://dx.doi.org/10.1016/0169-409X(93)90015-V]
[http://dx.doi.org/10.2165/00137696-200301020-00004]
[http://dx.doi.org/10.1016/S1081-1206(10)62271-5] [PMID: 10795647]
[http://dx.doi.org/10.1208/s12248-013-9494-2] [PMID: 23686396]
[http://dx.doi.org/10.1592/phco.22.16.1458.33692] [PMID: 12432972]
[http://dx.doi.org/10.1016/j.clinthera.2009.01.016] [PMID: 19243710]
[http://dx.doi.org/10.1023/B:PHAR.0000026823.82950.ff] [PMID: 15230360]
[http://dx.doi.org/10.2174/1567201053586047] [PMID: 16305417]
[http://dx.doi.org/10.1208/s12248-015-9719-7]
[http://dx.doi.org/10.3109/1061186X.2010.523790] [PMID: 21047271]
[http://dx.doi.org/10.1080/17425247.2016.1206074] [PMID: 27351299]
[http://dx.doi.org/10.1111/j.1526-4610.2005.05004.x] [PMID: 15663607]
[http://dx.doi.org/10.2165/00023210-200519020-00003] [PMID: 15697326]
[http://dx.doi.org/10.1111/head.12905] [PMID: 27613076]
[http://dx.doi.org/10.1111/j.1526-4610.2006.00339.x] [PMID: 16492230]
[http://dx.doi.org/10.1016/S0011-393X(05)80180-8]
[http://dx.doi.org/10.3109/10717544.2012.762435] [PMID: 23650968]
[http://dx.doi.org/10.1007/s12020-015-0637-3] [PMID: 26024973]
[http://dx.doi.org/10.1016/S0301-2115(01)00297-4] [PMID: 12069736]
[http://dx.doi.org/10.1208/s12248-014-9596-5] [PMID: 24700272]
[http://dx.doi.org/10.2146/ajhp140630] [PMID: 26346210]
[http://dx.doi.org/10.1212/WNL.0b013e3182824e66] [PMID: 23365053]
[http://dx.doi.org/10.1016/j.annemergmed.2014.09.024] [PMID: 25447557]
[http://dx.doi.org/10.1016/S0885-3924(02)00522-5] [PMID: 12551810]
[http://dx.doi.org/10.1016/j.ajem.2012.02.019] [PMID: 22633713]
[http://dx.doi.org/10.1602/neurorx.2.1.3] [PMID: 15717053]
[http://dx.doi.org/10.1016/j.jpainsymman.2012.09.001] [PMID: 23131704]
[http://dx.doi.org/10.1080/03008870310009650] [PMID: 15000582]
[http://dx.doi.org/10.1007/s13346-012-0085-z] [PMID: 23316448]
[http://dx.doi.org/10.1007/s00428-003-0898-8] [PMID: 14551766]
[http://dx.doi.org/10.1016/S0169-409X(01)00162-4] [PMID: 11516777]
[http://dx.doi.org/10.1016/j.coi.2011.03.009] [PMID: 21511452]
[http://dx.doi.org/10.1002/jps.21493] [PMID: 18661544]
[http://dx.doi.org/10.1016/j.tox.2008.09.014] [PMID: 18929619]
[http://dx.doi.org/10.2174/0929867321666140716103130] [PMID: 25039773]
[http://dx.doi.org/10.2147/IJN.S596] [PMID: 18686775]
[http://dx.doi.org/10.1016/j.drudis.2010.02.009] [PMID: 20206289]
[http://dx.doi.org/10.1016/S0378-5173(99)00463-9] [PMID: 10704811]
[http://dx.doi.org/10.1016/j.ijpharm.2004.07.006] [PMID: 15454304]
[http://dx.doi.org/10.1002/(SICI)1521-3765(19990503)5:5<1440:AID-CHEM1440>3.0.CO;2-M]
[http://dx.doi.org/10.1155/2014/801820] [PMID: 26556202]
[http://dx.doi.org/10.1016/j.ijpharm.2006.02.031] [PMID: 16567070]
[http://dx.doi.org/10.1016/j.ddtec.2005.05.008] [PMID: 24981748]
[http://dx.doi.org/10.1208/s12248-009-9169-1] [PMID: 20077052]
[http://dx.doi.org/10.1016/j.biomaterials.2006.01.038] [PMID: 16510178]
[http://dx.doi.org/10.1016/j.jconrel.2016.04.014] [PMID: 27080572]
[http://dx.doi.org/10.1248/bpb.16.457] [PMID: 8364491]
[http://dx.doi.org/10.1007/s13346-013-0133-3] [PMID: 23894728]
[http://dx.doi.org/10.1021/mp070024d] [PMID: 17705442]
[http://dx.doi.org/10.1088/0957-4484/21/12/125102] [PMID: 20182010]
[http://dx.doi.org/10.3390/nano5031351] [PMID: 28347068]
[http://dx.doi.org/10.1080/10611860400015936] [PMID: 15621689]
[http://dx.doi.org/10.1016/j.addr.2004.09.004] [PMID: 15560949]
[http://dx.doi.org/10.3390/pharmaceutics10010034] [PMID: 29543755]
[http://dx.doi.org/10.3109/10611860108997935] [PMID: 11697030]
[http://dx.doi.org/10.1016/0142-9612(86)90091-8] [PMID: 3955160]
[http://dx.doi.org/10.1016/j.ijpharm.2015.12.046] [PMID: 26721725]
[http://dx.doi.org/10.1021/acs.molpharmaceut.5b00088] [PMID: 25997083]
[http://dx.doi.org/10.1039/C6NR07581A] [PMID: 28009915]
[http://dx.doi.org/10.1073/pnas.0801763105] [PMID: 18697944]
[http://dx.doi.org/10.1021/nl052396o] [PMID: 16608261]
[http://dx.doi.org/10.1103/PhysRevE.78.061914] [PMID: 19256875]
[http://dx.doi.org/10.1016/j.biomaterials.2010.06.051] [PMID: 20656344]
[http://dx.doi.org/10.1021/nl070363y] [PMID: 17465586]
[PMID: 24872703]
[http://dx.doi.org/10.1016/j.colsurfb.2007.04.009] [PMID: 17555948]
[http://dx.doi.org/10.1016/j.addr.2008.11.002] [PMID: 19133304]
[http://dx.doi.org/10.1016/j.ajps.2014.12.007]
[http://dx.doi.org/10.1089/0894268041457183] [PMID: 15294069]
[http://dx.doi.org/10.1016/j.lfs.2016.08.033] [PMID: 27593571]
[http://dx.doi.org/10.1016/j.ejpb.2011.01.007] [PMID: 21266197]
[http://dx.doi.org/10.1016/j.ejps.2013.03.012] [PMID: 23542493]
[http://dx.doi.org/10.1016/j.colsurfb.2016.08.011] [PMID: 27566226]
[http://dx.doi.org/10.1208/s12249-012-9896-y] [PMID: 23255198]
[http://dx.doi.org/10.1016/j.ijpharm.2015.06.046] [PMID: 26142244]
[http://dx.doi.org/10.1186/1556-276X-8-102] [PMID: 23432972]
[http://dx.doi.org/10.1002/jps.1023] [PMID: 11357170]
[http://dx.doi.org/10.3109/10408447809029333]
[http://dx.doi.org/10.1080/02652040010000334] [PMID: 11253938]
[http://dx.doi.org/10.1081/LPR-100108460] [PMID: 19530931]
[http://dx.doi.org/10.1016/j.peptides.2009.03.018] [PMID: 19540427]
[http://dx.doi.org/10.1248/cpb.40.1569] [PMID: 1394679]
[http://dx.doi.org/10.1081/DDC-100102275] [PMID: 10529890]
[http://dx.doi.org/10.1080/10611860701453653] [PMID: 17613660]
[http://dx.doi.org/10.1016/j.ejpb.2014.03.004] [PMID: 24681294]
[http://dx.doi.org/10.1002/jps.21939]
[http://dx.doi.org/10.1016/j.vaccine.2007.09.042] [PMID: 17959279]
[http://dx.doi.org/10.1016/0264-410X(95)93129-W] [PMID: 7625109]
[PMID: 1398758]
[http://dx.doi.org/10.1016/j.actbio.2012.11.007] [PMID: 23159567]
[http://dx.doi.org/10.1016/j.vaccine.2008.02.058] [PMID: 18396362]
[http://dx.doi.org/10.1016/j.biomaterials.2007.03.028] [PMID: 17449093]
[http://dx.doi.org/10.1016/S0939-6411(00)00087-4] [PMID: 10840199]
[http://dx.doi.org/10.1007/s13346-012-0105-z] [PMID: 25788348]
[http://dx.doi.org/10.1007/s13346-012-0110-2] [PMID: 25787328]
[http://dx.doi.org/10.2147/DDDT.S102500] [PMID: 28684900]
[http://dx.doi.org/10.1021/acs.molpharmaceut.6b00586] [PMID: 27661966]
[http://dx.doi.org/10.1016/j.ejpb.2017.04.009] [PMID: 28433786]
[http://dx.doi.org/10.3109/10717544.2013.838077] [PMID: 24156390]
[http://dx.doi.org/10.2174/15701638113109990031] [PMID: 23863098]
[http://dx.doi.org/10.1080/10717544.2016.1259371] [PMID: 28165822]
[http://dx.doi.org/10.1016/j.ijpharm.2012.06.042] [PMID: 22743007]
[http://dx.doi.org/10.1088/0953-8984/18/41/R01]
[http://dx.doi.org/10.1007/s40005-016-0228-1]
[http://dx.doi.org/10.2174/1568026615666150108144655] [PMID: 25579345]
[http://dx.doi.org/10.1517/17425247.2013.812069] [PMID: 23795561]
[http://dx.doi.org/10.1016/S0264-410X(03)00381-5]] [PMID: 12922114]
[http://dx.doi.org/10.1371/journal.pone.0021823] [PMID: 21789184]
[http://dx.doi.org/10.1089/aid.2007.0148] [PMID: 18260780]
[http://dx.doi.org/10.4161/hv.6.7.11818] [PMID: 20421727]
[http://dx.doi.org/10.1208/s12249-008-9178-x] [PMID: 19148761]
[http://dx.doi.org/10.2147/IJN.S91529] [PMID: 26664118]
[http://dx.doi.org/10.3109/03639049809108571] [PMID: 9876569]
[http://dx.doi.org/10.1016/S1773-2247(06)50061-9]
[http://dx.doi.org/10.2147/IJN.S98547] [PMID: 27307734]
[http://dx.doi.org/10.2147/IJN.S119033] [PMID: 27994459]
[http://dx.doi.org/10.1016/j.jconrel.2013.09.012] [PMID: 24076340]
[http://dx.doi.org/10.1016/j.ijpharm.2008.03.029] [PMID: 18455333]
[http://dx.doi.org/10.1080/10611860802476504] [PMID: 18988064]
[http://dx.doi.org/10.1016/j.ijpharm.2018.03.055] [PMID: 29605695]
[http://dx.doi.org/10.1016/j.ijpharm.2017.07.030] [PMID: 28729175]
[http://dx.doi.org/10.3109/10717544.2015.1092619] [PMID: 26401600]
[http://dx.doi.org/10.1080/10717540802035251] [PMID: 18763162]
[http://dx.doi.org/10.1016/j.ijpharm.2012.04.007] [PMID: 22525082]
[http://dx.doi.org/10.1080/10717544.2017.1309476] [PMID: 28415883]
[PMID: 26834457]
[http://dx.doi.org/10.1039/C5RA19113K]
[PMID: 26770349]
[http://dx.doi.org/10.1007/s11095-015-1744-9] [PMID: 26113236]
[http://dx.doi.org/10.1016/j.etap.2012.04.012] [PMID: 22613079]
[http://dx.doi.org/10.1016/j.neuroscience.2015.07.016] [PMID: 26166725]
[http://dx.doi.org/10.1016/j.neuroscience.2014.05.019] [PMID: 24845869]
[http://dx.doi.org/10.4172/2157-7439.S7-006]
[http://dx.doi.org/10.1016/j.provac.2009.07.027]
[http://dx.doi.org/10.1016/j.actbio.2016.04.012] [PMID: 27063491]
[http://dx.doi.org/10.1371/journal.pone.0139785] [PMID: 26440657]
[http://dx.doi.org/10.1186/1471-2172-9-38] [PMID: 18647414]
[http://dx.doi.org/10.1016/j.ejps.2013.07.006] [PMID: 23876823]
[http://dx.doi.org/10.1016/j.ijpharm.2013.11.038] [PMID: 24286922]
[http://dx.doi.org/10.1016/j.matpr.2015.10.067]
[http://dx.doi.org/10.1016/j.jddst.2016.03.008]
[http://dx.doi.org/10.1039/C5RA19793G]
[http://dx.doi.org/10.1166/jbn.2015.2078] [PMID: 26295147]
[http://dx.doi.org/10.4155/tde-2017-0005]
[http://dx.doi.org/10.1208/s12249-016-0552-9] [PMID: 27207184]
[http://dx.doi.org/10.3109/10837450.2014.959177] [PMID: 25228122]
[http://dx.doi.org/10.1080/21691401.2017.1337024] [PMID: 28604104]
[http://dx.doi.org/10.1016/j.ijbiomac.2016.03.019] [PMID: 26976069]
[http://dx.doi.org/10.3109/10717544.2013.838014] [PMID: 24128122]
[http://dx.doi.org/10.1016/j.nano.2015.12.374] [PMID: 26767514]
[http://dx.doi.org/10.1007/s00430-009-0137-2] [PMID: 19967396]
[http://dx.doi.org/10.1016/j.jddst.2015.05.007]
[http://dx.doi.org/10.1016/j.vaccine.2012.09.007] [PMID: 22989689]
[http://dx.doi.org/10.1371/journal.pone.0002954] [PMID: 18698426]
[http://dx.doi.org/10.2174/138161210791164108] [PMID: 20210751]
[http://dx.doi.org/10.1016/S0168-3659(00)00339-4] [PMID: 11166403]
[http://dx.doi.org/10.3390/md8072117] [PMID: 20714426]
[http://dx.doi.org/10.3109/03639045.2013.789051] [PMID: 23600649]
[http://dx.doi.org/10.1016/j.jconrel.2005.11.014] [PMID: 16380189]
[http://dx.doi.org/10.3233/JAD-2009-1092] [PMID: 19542625]
[http://dx.doi.org/10.1016/j.ejps.2016.05.012] [PMID: 27185298]
[http://dx.doi.org/10.1038/srep05128] [PMID: 24894817]
[http://dx.doi.org/10.1016/j.jconrel.2011.03.009] [PMID: 21402114]
[http://dx.doi.org/10.1016/j.jconrel.2016.02.032] [PMID: 26902800]
[http://dx.doi.org/10.1016/j.ejmech.2006.07.015] [PMID: 17095123]
[http://dx.doi.org/10.1016/j.eurpolymj.2017.03.012]
[http://dx.doi.org/10.1016/S1359-6446(04)03276-3] [PMID: 15676297]
[http://dx.doi.org/10.1016/j.addr.2005.09.018] [PMID: 16305813]
[http://dx.doi.org/10.4103/0975-7406.130965] [PMID: 25035633]
[http://dx.doi.org/10.1038/mt.2011.291] [PMID: 22252450]
[http://dx.doi.org/10.1021/acs.molpharmaceut.5b00402] [PMID: 26226403]
[http://dx.doi.org/10.1016/j.ijpharm.2010.04.021] [PMID: 20417700]
[http://dx.doi.org/10.1016/j.addr.2005.09.019] [PMID: 16297497]
[http://dx.doi.org/10.1098/rspa.2009.0448]
[http://dx.doi.org/10.1016/j.toxlet.2014.04.020] [PMID: 24813635]
[http://dx.doi.org/10.1208/s12249-014-0189-5] [PMID: 25142821]
[http://dx.doi.org/10.1016/j.ijbiomac.2014.03.022] [PMID: 24705169]
[http://dx.doi.org/10.1016/j.actbio.2011.07.025] [PMID: 21839863]
[http://dx.doi.org/10.1155/2014/156010] [PMID: 25126544]
[http://dx.doi.org/10.2147/IJN.S120939] [PMID: 27994458]
[http://dx.doi.org/10.1002/bdd.621] [PMID: 18837064]
[http://dx.doi.org/10.3109/10611860903483396] [PMID: 20001275]
[http://dx.doi.org/10.3109/10717544.2014.948643] [PMID: 25544603]
[http://dx.doi.org/10.1002/jps.24557]
[http://dx.doi.org/10.1016/j.ijpharm.2013.11.049] [PMID: 24300213]
[http://dx.doi.org/10.3109/10717544.2014.907372] [PMID: 24786489]
[http://dx.doi.org/10.1016/j.arabjc.2014.01.025]
[http://dx.doi.org/10.1016/j.ijpharm.2015.06.018] [PMID: 26134895]
[http://dx.doi.org/10.1016/j.ejps.2015.07.002] [PMID: 26143262]
[http://dx.doi.org/10.1080/10837450.2016.1236130] [PMID: 27616074]
[PMID: 24039397]
[http://dx.doi.org/10.1007/s13346-012-0108-9] [PMID: 23316447]
[http://dx.doi.org/10.2500/ar.2016.7.0185] [PMID: 28683244]
[http://dx.doi.org/10.1186/2045-7022-2-9] [PMID: 22643067]
[http://dx.doi.org/10.1016/j.clinthera.2007.01.014] [PMID: 17379058]
[http://dx.doi.org/10.1097/WOX.0b013e3181865f99] [PMID: 23282579]