Management of Rheumatoid Arthritis By Development of Nanocarriers and their Significance Over Conventional Dosage Forms.

Hafsa Khan, Nita Yadav, Shipra Sharma, Reetika Rawat
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Abstract

Background: Rheumatoid Arthritis is one of the most common auto-immune diseases that cause inflammation. It is characterized by pain, stiffness, tenderness, and swelling in joints, which may even lead to heart, lungs, or brain-related problems where age is the major factor involved, as around 55% older adults have been affected by it. Treatments including non-steroidal anti- inflammatory drugs (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs) etc., that are modified and formulated as nanocarriers for enhanced bioavailability, majorly aim at enhancing the rate and extent of drug reaching the bloodstream such as solid-lipid nanoparticles, liposomes, polymeric- micelles, polymeric nanoparticles etc. are used in the management of rheumatoid arthritis.

Methods: The following tools (Pubmed, Scopus, Google search engine, Google Scholar, Medline Search Engine, Elsevier) were used in the literature search.

Results: Through the literature review, the development of nanocarrier shows a promising approach in the management of rheumatoid arthritis as compared to the conventional drug treatment such as biologic agents and non-steroidal anti-inflammatory drugs etc. Conclusion: Rheumatoid Arthritis is a condition that occurs when the immune system, which normally helps to protect the body from infection and disease, attacks its own tissues. The disease causes pain, swelling as well as loss of function in joints. Therefore, life-long management is required by reducing the dose frequency and dosage regimen, which can be effectively approached by the development of a nano-carrier for significant drug uptake and low toxicity.

纳米载体在类风湿关节炎治疗中的应用及其相对于传统剂型的意义。
背景:类风湿关节炎是引起炎症的最常见的自身免疫性疾病之一。它的特点是关节疼痛、僵硬、压痛和肿胀,甚至可能导致心脏、肺部或大脑相关的问题,其中年龄是主要因素,约55%的老年人受到它的影响。治疗方法包括非甾体抗炎药(NSAIDs)、改善疾病的抗风湿药(DMARDs)等,它们被修饰和配制成纳米载体以提高生物利用度,主要目的是提高药物到达血液的速度和程度,如固体脂质纳米颗粒、脂质体、聚合物胶束、聚合物纳米颗粒等,用于类风湿关节炎的治疗。方法:采用Pubmed、Scopus、谷歌搜索引擎、谷歌Scholar、Medline搜索引擎、Elsevier等工具进行文献检索。结果:通过文献综述,与生物制剂、非甾体类抗炎药等常规药物治疗相比,纳米载体的开发在类风湿关节炎的治疗中具有广阔的应用前景。结论:类风湿性关节炎是免疫系统攻击自身组织时发生的一种疾病,而免疫系统通常有助于保护身体免受感染和疾病的侵害。这种疾病会导致关节疼痛、肿胀和功能丧失。因此,需要通过减少给药频率和给药方案来进行终身管理,这可以通过开发具有显著药物摄取和低毒性的纳米载体来有效地解决。
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