[关键词]
[摘要]
眼部复杂的给药屏障使得传统眼用制剂难以经眼表到达眼后段病变组织。因此,玻璃体腔注射药物在眼后段疾病中得到广泛应用,这种侵入性的给药途径存在药物半衰期短、需反复注射、并发症多等缺陷。当前,纳米制剂新型眼部药物递送系统,因其能克服眼部给药屏障、增强药物渗透性、提高药物生物利用度,使得药物高效递送至眼后段成为可能。但有关纳米递送药物所使用的载体材料相对繁杂,同时各项研究结论亦存在较大差异,不利于后期相关药物的研发。因此,文章以眼部给药的主要生理屏障为研究基础,重点概述了各类常见纳米药物递送系统在眼后段疾病中的应用,并探讨了其在眼后段疾病中的研究进展,以期为眼后段疾病的治疗提供更加安全、高效的治疗策略。
[Key word]
[Abstract]
The complex barriers to drug delivery in the eye make it difficult for traditional ophthalmic preparations to reach pathological tissues in the posterior segment of the eye via ocular surface. Therefore, intravitreal drug injection has been widely used for treating posterior segment diseases, but this invasive approach to drug delivery has disadvantages such as short drug half-lives, repeated injections, and many complications. Ophthalmic nanodrug delivery systems, which can overcome ocular drug delivery barriers, enhance drug permeability, and improve drug bioavailability, now make it possible to efficiently deliver drugs to the posterior segment of the eye. However, the carrier materials utilized for nanomedicine delivery are inherently intricate, and substantial disparities exist among research findings, posing a hindrance to the subsequent advancement of pertinent drug formulations. Consequently, this review centers on the principal physiological obstacles encountered in ocular drug delivery, emphasizing the utilization of diverse nanomedicine delivery systems in posterior segment pathologies. It aims to delve into their research progress in posterior segment diseases and establish a safer, more effective therapeutic approach for treating these ocular conditions.
[中图分类号]
[基金项目]
国家自然科学基金资助项目(No.82260208); 贵州医科大学博士启动基金项目(No.gyfybsky-2022-06)