Nanotechnology and pulmonary delivery to overcome resistance in infectious diseases

Fernanda Andrade, Diana Rafael, Mafalda Videira, Domingos Ferreira, Alejandro Sosnik, Bruno Sarmento

Research output: Contribution to journalReview articlepeer-review

Abstract

Used since ancient times especially for the local treatment of pulmonary diseases, lungs and airways are a versatile target route for the administration of both local and systemic drugs. Despite the existence of different platforms and devices for the pulmonary administration of drugs, only a few formulations are marketed, partly due to physiological and technological limitations.Respiratory infections represent a significant burden to health systems worldwide mainly due to intrahospital infections that more easily affect immune-compromised patients. Moreover, tuberculosis (TB) is an endemic infectious disease in many developing nations and it has resurged in the developed world associated with the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic.Currently, medicine faces the specter of antibiotic resistance. Besides the development of new anti-infectious drugs, the development of innovative and more efficient delivery systems for drugs that went off patent appears as a promising strategy pursued by the pharmaceutical industry to improve the therapeutic outcomes and to prolong the utilities of their intellectual property portfolio. In this context, nanotechnology-based drug delivery systems (nano-DDS) emerged as a promising approach to circumvent the limitations of conventional formulations and to treat drug resistance, opening the hypothesis for new developments in this area.

Original languageEnglish
Pages (from-to)1816-1827
Number of pages12
JournalAdvanced Drug Delivery Reviews
Volume65
Issue number13-14
DOIs
StatePublished - 2013

Keywords

  • Drug resistance
  • Inhalation
  • Nanoparticles
  • Respiratory infections
  • Tuberculosis

ASJC Scopus subject areas

  • Pharmaceutical Science

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