Inflammatory bowel diseases (IBDs) are a group of debilitating inflammatory complications specially inflicting colonic tissue in which full long term remission with current standardized treatments is yet intangible. Therapeutic side effects and efficacy considerations necessitate the development of more effective systems which lower the required drug doses, reduce systemic adverse effects and deliver the drug specifically to the desired site of action in colon. The large surface area in large intestine is suitable for drug absorption but the primary approaches to treatment depend on the gastrointestinal (GI) condition and its movements. Hereafter, there are novel GI-independent targeted drug delivery systems or therapeutic approaches, including micro- and nanoparticles that have been developed for IBD treatment and have the potential to overcome some of the current drawbacks of conventional IBD therapy. This review provides broad but concise information over the arena of the evolving systems aimed at different targets involved in IBD which are being studied in animal or in vitro models of this complication, while comparing these to conventional treatments. It further discusses important pros and cons of therapeutic approaches against IBD while helping to better understand and evaluate the future impact of novel drug delivery systems on human IBD and assisting in focusing the future research in this topic, on strategies which could provide maximum remission in IBD patients.

译文

:炎症性肠病(IBDs)是一组使人衰弱的炎症性并发症,特别是结肠组织受累,目前采用标准治疗方法仍无法长期完全缓解。考虑到治疗性副作用和功效,必须开发出更有效的系统,以降低所需的药物剂量,减少全身性不良反应并将药物特异性地递送至结肠中所需的作用部位。大肠中的大表面积适合于药物吸收,但是主要的治疗方法取决于胃肠道(GI)状况及其运动。此后,存在新颖的不依赖于GI的靶向药物递送系统或治疗方法,包括已开发用于IBD治疗的微颗粒和纳米颗粒,并且具有克服常规IBD治疗的一些当前缺点的潜力。这篇综述提供了针对正在涉及该疾病的动物或体外模型正在研究的,涉及IBD的不同靶标的正在发展的系统领域的广泛而简洁的信息,同时将它们与常规治疗进行了比较。它进一步讨论了针对IBD的治疗方法的重要利弊,同时有助于更好地理解和评估新型药物递送系统对人IBD的未来影响,并帮助该主题的未来研究重点关注可最大程度缓解IBD的策略。耐心。

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