Nanoparticle-based drug delivery to the vagina: A review

JOURNAL OF CONTROLLED RELEASE

卷:190

Review

Ensign, Laura M.^1,2  Cone, Richard^1,6  Hanes, Justin^1,2,3,4,5,7 

[1] Johns Hopkins Univ, Sch Med, Ctr Nanomed, Baltimore, MD 21231 USA

[2] Johns Hopkins Univ, Sch Med, Wilmer Eye Inst, Dept Ophthalmol, Baltimore, MD 21231 USA

[3] Johns Hopkins Univ, Sch Med, Dept Biomed Engn, Baltimore, MD 21205 USA

[4] Johns Hopkins Univ, Inst NanoBioTechnol, Ctr Canc Nanotechnol Excellence, Baltimore, MD 21218 USA

[5] Johns Hopkins Univ, Sch Med, Dept Neurosurg, Baltimore, MD 21287 USA

[6] Johns Hopkins Univ, Dept Biophys, Baltimore, MD 21218 USA

[7] Johns Hopkins Univ, Sch Med, Dept Oncol, Baltimore, MD 21287 USA

关键词: Microbicides;    HIV PrEP;    Cervical cancer;    Sexually transmitted infections;    Mucosal vaccines;   

DOI  :  10.1016/j.jconrel.2014.04.033

来源: Elsevier

【 摘 要 】

Vaginal drug administration can improve prophylaxis and treatment of many conditions affecting the female reproductive tract, including sexually transmitted diseases, fungal and bacterial infections, and cancer. However, achieving sustained local drug concentrations in the vagina can be challenging, due to the high permeability of the vaginal epithelium and expulsion of conventional soluble drug dosage forms. Nanoparticle-based drug delivery platforms have received considerable attention for vaginal drug delivery, as nanoparticles can provide sustained release, cellular targeting, and even intrinsic antimicrobial or adjuvant properties that can improve the potency and/or efficacy of prophylactic and therapeutic modalities. Here, we review the use of polymeric nanoparticles, liposomes, dendrimers, and inorganic nanoparticles for vaginal drug delivery. Although most of the work toward nanoparticle-based drug delivery in the vagina has been focused on HIV prevention, strategies for treatment and prevention of other sexually transmitted infections, treatment for reproductive tract cancer, and treatment of fungal and bacterial infections are also highlighted. (C) 2014 Elsevier B.V. All rights reserved.

【 授权许可】

Free