Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?

Aline Raquel Voltan,1 Guillermo Quindós,2 Kaila P Medina Alarcón,3 Ana Marisa Fusco-Almeida,3 Maria José Soares Mendes-Giannini,3 Marlus Chorilli1 1Department of Drugs and Medicines, Faculty of Pharmaceutical Sciences, Univ. Estadual Paulista, Araraquara, Sao Paulo,...

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Autores principales: Voltan AR, Quindós G, Alarcón KPM, Fusco-Almeida AM, Mendes-Giannini MJS, Chorilli M
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:38a15c3f38c44a339da89468d8d538582021-12-02T00:04:48ZFungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?1178-2013https://doaj.org/article/38a15c3f38c44a339da89468d8d538582016-08-01T00:00:00Zhttps://www.dovepress.com/fungal-diseases-could-nanostructured-drug-delivery-systems-be-a-novel--peer-reviewed-article-IJNhttps://doaj.org/toc/1178-2013Aline Raquel Voltan,1 Guillermo Quindós,2 Kaila P Medina Alarcón,3 Ana Marisa Fusco-Almeida,3 Maria José Soares Mendes-Giannini,3 Marlus Chorilli1 1Department of Drugs and Medicines, Faculty of Pharmaceutical Sciences, Univ. Estadual Paulista, Araraquara, Sao Paulo, Brazil; 2Immunology, Microbiology, and Parasitology Department, Facultad de Medicina y Odontología, Universidad del País Vasco, Bilbao, Spain; 3Department of Clinical Analysis, Faculdade de Ciências Farmacêuticas, Univ. Estadual Paulista, Araraquara, Sao Paulo, Brazil Abstract: Invasive mycoses are a major problem for immunocompromised individuals and patients in intensive care units. Morbidity and mortality rates of these infections are high because of late diagnosis and delayed treatment. Moreover, the number of available antifungal agents is low, and there are problems with toxicity and resistance. Alternatives for treating invasive fungal infections are necessary. Nanostructured systems could be excellent carriers for antifungal drugs, reducing toxicity and targeting their action. The use of nanostructured systems for antifungal therapy began in the 1990s, with the appearance of lipid formulations of amphotericin B. This review encompasses different antifungal drug delivery systems, such as liposomes, carriers based on solid lipids and nanostructure lipids, polymeric nanoparticles, dendrimers, and others. All these delivery systems have advantages and disadvantages. Main advantages are the improvement in the antifungal properties, such as bioavailability, reduction in toxicity, and target tissue, which facilitates innovative therapeutic techniques. Conversely, a major disadvantage is the high cost of production. In the near future, the use of nanosystems for drug delivery strategies can be used for delivering peptides, including mucoadhesive systems for the treatment of oral and vaginal candidiasis. Keywords: fungal diseases, antifungal agents, amphotericin B, azoles, nanoparticles, nanotech­nologyVoltan ARQuindós GAlarcón KPMFusco-Almeida AMMendes-Giannini MJSChorilli MDove Medical PressarticleFungal diseasesantifungal agentsamphotericin Bazolesnanoparticlesnanotechonology.Medicine (General)R5-920ENInternational Journal of Nanomedicine, Vol 2016, Iss default, Pp 3715-3730 (2016)
institution DOAJ
collection DOAJ
language EN
topic Fungal diseases
antifungal agents
amphotericin B
azoles
nanoparticles
nanotechonology.
Medicine (General)
R5-920
spellingShingle Fungal diseases
antifungal agents
amphotericin B
azoles
nanoparticles
nanotechonology.
Medicine (General)
R5-920
Voltan AR
Quindós G
Alarcón KPM
Fusco-Almeida AM
Mendes-Giannini MJS
Chorilli M
Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?
description Aline Raquel Voltan,1 Guillermo Quindós,2 Kaila P Medina Alarcón,3 Ana Marisa Fusco-Almeida,3 Maria José Soares Mendes-Giannini,3 Marlus Chorilli1 1Department of Drugs and Medicines, Faculty of Pharmaceutical Sciences, Univ. Estadual Paulista, Araraquara, Sao Paulo, Brazil; 2Immunology, Microbiology, and Parasitology Department, Facultad de Medicina y Odontología, Universidad del País Vasco, Bilbao, Spain; 3Department of Clinical Analysis, Faculdade de Ciências Farmacêuticas, Univ. Estadual Paulista, Araraquara, Sao Paulo, Brazil Abstract: Invasive mycoses are a major problem for immunocompromised individuals and patients in intensive care units. Morbidity and mortality rates of these infections are high because of late diagnosis and delayed treatment. Moreover, the number of available antifungal agents is low, and there are problems with toxicity and resistance. Alternatives for treating invasive fungal infections are necessary. Nanostructured systems could be excellent carriers for antifungal drugs, reducing toxicity and targeting their action. The use of nanostructured systems for antifungal therapy began in the 1990s, with the appearance of lipid formulations of amphotericin B. This review encompasses different antifungal drug delivery systems, such as liposomes, carriers based on solid lipids and nanostructure lipids, polymeric nanoparticles, dendrimers, and others. All these delivery systems have advantages and disadvantages. Main advantages are the improvement in the antifungal properties, such as bioavailability, reduction in toxicity, and target tissue, which facilitates innovative therapeutic techniques. Conversely, a major disadvantage is the high cost of production. In the near future, the use of nanosystems for drug delivery strategies can be used for delivering peptides, including mucoadhesive systems for the treatment of oral and vaginal candidiasis. Keywords: fungal diseases, antifungal agents, amphotericin B, azoles, nanoparticles, nanotech­nology
format article
author Voltan AR
Quindós G
Alarcón KPM
Fusco-Almeida AM
Mendes-Giannini MJS
Chorilli M
author_facet Voltan AR
Quindós G
Alarcón KPM
Fusco-Almeida AM
Mendes-Giannini MJS
Chorilli M
author_sort Voltan AR
title Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?
title_short Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?
title_full Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?
title_fullStr Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?
title_full_unstemmed Fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?
title_sort fungal diseases: could nanostructured drug delivery systems be a novel paradigm for therapy?
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/38a15c3f38c44a339da89468d8d53858
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