Nanostructured delivery systems with improved leishmanicidal activity: a critical review

Natascia Bruni,1 Barbara Stella,2 Leonardo Giraudo,1 Carlo Della Pepa,2 Daniela Gastaldi,3 Franco Dosio2 1Candioli Pharmaceutical Institute Srl, Beinasco, Italy; 2Department of Drug Science and Technology, University of Turin, Turin, Italy; 3Department of Molecular Biotechnology and Health Sciences...

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Autores principales: Bruni N, Stella B, Giraudo L, Della Pepa C, Gastaldi D, Dosio F
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:7a6e5040b8c04bb1a471865f0d69970f2021-12-02T02:48:58ZNanostructured delivery systems with improved leishmanicidal activity: a critical review1178-2013https://doaj.org/article/7a6e5040b8c04bb1a471865f0d69970f2017-07-01T00:00:00Zhttps://www.dovepress.com/nanostructured-delivery-systems-with-improved-leishmanicidal-activity--peer-reviewed-article-IJNhttps://doaj.org/toc/1178-2013Natascia Bruni,1 Barbara Stella,2 Leonardo Giraudo,1 Carlo Della Pepa,2 Daniela Gastaldi,3 Franco Dosio2 1Candioli Pharmaceutical Institute Srl, Beinasco, Italy; 2Department of Drug Science and Technology, University of Turin, Turin, Italy; 3Department of Molecular Biotechnology and Health Sciences, University of Turin, Turin, Italy Abstract: Leishmaniasis is a vector-borne zoonotic disease caused by protozoan parasites of the genus Leishmania, which are responsible for numerous clinical manifestations, such as cutaneous, visceral, and mucocutaneous leishmaniasis, depending on the site of infection for particular species. These complexities threaten 350 million people in 98 countries worldwide. Amastigotes living within macrophage phagolysosomes are the principal target of antileishmanial treatment, but these are not an easy target as drugs must overcome major structural barriers. Furthermore, limitations on current therapy are related to efficacy, toxicity, and cost, as well as the length of treatment, which can increase parasitic resistance. Nanotechnology has emerged as an attractive alternative as conventional drugs delivered by nanosized carriers have improved bioavailability and reduced toxicity, together with other characteristics that help to relieve the burden of this disease. The significance of using colloidal carriers loaded with active agents derives from the physiological uptake route of intravenous administered nanosystems (the phagocyte system). Nanosystems are thus able to promote a high drug concentration in intracellular mononuclear phagocyte system (MPS)-infected cells. Moreover, the versatility of nanometric drug delivery systems for the deliberate transport of a range of molecules plays a pivotal role in the design of therapeutic strategies against leishmaniasis. This review discusses studies on nanocarriers that have greatly contributed to improving the efficacy of antileishmaniasis drugs, presenting a critical review and some suggestions for improving drug delivery. Keywords: amphotericin B, drug delivery systems, drug targeting, human leishmaniasis, polymeric nanoparticleBruni NStella BGiraudo LDella Pepa CGastaldi DDosio FDove Medical Pressarticleamphotericin Bdrug delivery systemsdrug targetinghuman leishmaniasispolymeric nanoparticle.Medicine (General)R5-920ENInternational Journal of Nanomedicine, Vol Volume 12, Pp 5289-5311 (2017)
institution DOAJ
collection DOAJ
language EN
topic amphotericin B
drug delivery systems
drug targeting
human leishmaniasis
polymeric nanoparticle
.
Medicine (General)
R5-920
spellingShingle amphotericin B
drug delivery systems
drug targeting
human leishmaniasis
polymeric nanoparticle
.
Medicine (General)
R5-920
Bruni N
Stella B
Giraudo L
Della Pepa C
Gastaldi D
Dosio F
Nanostructured delivery systems with improved leishmanicidal activity: a critical review
description Natascia Bruni,1 Barbara Stella,2 Leonardo Giraudo,1 Carlo Della Pepa,2 Daniela Gastaldi,3 Franco Dosio2 1Candioli Pharmaceutical Institute Srl, Beinasco, Italy; 2Department of Drug Science and Technology, University of Turin, Turin, Italy; 3Department of Molecular Biotechnology and Health Sciences, University of Turin, Turin, Italy Abstract: Leishmaniasis is a vector-borne zoonotic disease caused by protozoan parasites of the genus Leishmania, which are responsible for numerous clinical manifestations, such as cutaneous, visceral, and mucocutaneous leishmaniasis, depending on the site of infection for particular species. These complexities threaten 350 million people in 98 countries worldwide. Amastigotes living within macrophage phagolysosomes are the principal target of antileishmanial treatment, but these are not an easy target as drugs must overcome major structural barriers. Furthermore, limitations on current therapy are related to efficacy, toxicity, and cost, as well as the length of treatment, which can increase parasitic resistance. Nanotechnology has emerged as an attractive alternative as conventional drugs delivered by nanosized carriers have improved bioavailability and reduced toxicity, together with other characteristics that help to relieve the burden of this disease. The significance of using colloidal carriers loaded with active agents derives from the physiological uptake route of intravenous administered nanosystems (the phagocyte system). Nanosystems are thus able to promote a high drug concentration in intracellular mononuclear phagocyte system (MPS)-infected cells. Moreover, the versatility of nanometric drug delivery systems for the deliberate transport of a range of molecules plays a pivotal role in the design of therapeutic strategies against leishmaniasis. This review discusses studies on nanocarriers that have greatly contributed to improving the efficacy of antileishmaniasis drugs, presenting a critical review and some suggestions for improving drug delivery. Keywords: amphotericin B, drug delivery systems, drug targeting, human leishmaniasis, polymeric nanoparticle
format article
author Bruni N
Stella B
Giraudo L
Della Pepa C
Gastaldi D
Dosio F
author_facet Bruni N
Stella B
Giraudo L
Della Pepa C
Gastaldi D
Dosio F
author_sort Bruni N
title Nanostructured delivery systems with improved leishmanicidal activity: a critical review
title_short Nanostructured delivery systems with improved leishmanicidal activity: a critical review
title_full Nanostructured delivery systems with improved leishmanicidal activity: a critical review
title_fullStr Nanostructured delivery systems with improved leishmanicidal activity: a critical review
title_full_unstemmed Nanostructured delivery systems with improved leishmanicidal activity: a critical review
title_sort nanostructured delivery systems with improved leishmanicidal activity: a critical review
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/7a6e5040b8c04bb1a471865f0d69970f
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