Nanomedicine Therapies for Pediatric Diseases.

Shicheng Yang, Kushi Aggarwal, Jillian Jurczyszak, Needa Brown, Srinivas Sridhar
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Abstract

In 2020, the top 10 causes of death among children and adolescents between the ages of 1 and 19 years old included cancer, congenital anomalies, heart disease, and chronic respiratory disease; all these conditions are potentially treatable with medical intervention. However, children exhibit specific physiological and developmental characteristics that can significantly impact drug pharmacokinetics, pharmacodynamics, and safety profile. These factors illustrate the importance of a heightened focus on pediatric drug development. Traditional drugs lack proper circulation, permeability, targeting, accumulation, and release, and they often require dose adjustments or modifications, which can result in suboptimal therapeutic outcomes and increased risks of adverse effects in pediatric patients. Nanomedicines have emerged as efficient drug delivery systems because of their unique properties, which can improve the solubility and stability of drugs by encapsulating them in different forms of nanoparticles. This review discusses the challenges of pediatric therapy, and the current state of nanomedicines for pediatric diseases in terms of Food and Drug Administration-approved nanomedicines, the types of diseases treated or diagnosed, and preclinical studies that have the potential to be translated to the clinic. In summary, nanomedicine holds significant potential for addressing the unique and pressing challenges associated with diagnosing and treating pediatric diseases.

儿科疾病的纳米医学疗法。
2020 年,导致 1 至 19 岁儿童和青少年死亡的十大原因包括癌症、先天性畸形、心脏病和慢性呼吸道疾病;所有这些疾病都有可能通过医疗干预得到治疗。然而,儿童表现出的特殊生理和发育特征会对药物的药代动力学、药效学和安全性产生重大影响。这些因素说明了加强对儿科药物开发的关注的重要性。传统药物缺乏适当的循环性、渗透性、靶向性、蓄积性和释放性,而且往往需要调整剂量或改变剂型,这可能导致治疗效果不理想,并增加儿童患者出现不良反应的风险。纳米药物因其独特的特性而成为高效的给药系统,通过将药物封装在不同形式的纳米颗粒中,可以提高药物的溶解度和稳定性。本综述从食品药品管理局批准的纳米药物、治疗或诊断的疾病类型以及有可能应用于临床的临床前研究等方面讨论了儿科治疗所面临的挑战和儿科疾病纳米药物的现状。总之,纳米医学在应对与诊断和治疗儿科疾病有关的独特而紧迫的挑战方面具有巨大潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
17.60
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