Insights on drug and gene delivery systems in liver fibrosis

Complications of the liver are amongst the world's worst diseases. Liver fibrosis is the first stage of liver problems, while cirrhosis is the last stage, which can lead to death. The creation of effective anti-fibrotic drug delivery methods appears critical due to the liver's metabolic ca...

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Main Authors: Kunj Vyas, Mayur M Patel
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Asian Journal of Pharmaceutical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1818087623000065
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author Kunj Vyas
Mayur M Patel
author_facet Kunj Vyas
Mayur M Patel
author_sort Kunj Vyas
collection DOAJ
description Complications of the liver are amongst the world's worst diseases. Liver fibrosis is the first stage of liver problems, while cirrhosis is the last stage, which can lead to death. The creation of effective anti-fibrotic drug delivery methods appears critical due to the liver's metabolic capacity for drugs and the presence of insurmountable physiological impediments in the way of targeting. Recent breakthroughs in anti-fibrotic agents have substantially assisted in fibrosis; nevertheless, the working mechanism of anti-fibrotic medications is not fully understood, and there is a need to design delivery systems that are well-understood and can aid in cirrhosis. Nanotechnology-based delivery systems are regarded to be effective but they have not been adequately researched for liver delivery. As a result, the capability of nanoparticles in hepatic delivery was explored. Another approach is targeted drug delivery, which can considerably improve efficacy if delivery systems are designed to target hepatic stellate cells (HSCs). We have addressed numerous delivery strategies that target HSCs, which can eventually aid in fibrosis. Recently genetics have proved to be useful, and methods for delivering genetic material to the target place have also been investigated where different techniques are depicted. To summarize, this review paper sheds light on the most recent breakthroughs in drug and gene-based nano and targeted delivery systems that have lately shown useful for the treatment of liver fibrosis and cirrhosis.
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spelling doaj.art-4d4ccd9b9d4c451790ad2388f2c02e4c2023-04-26T05:56:45ZengElsevierAsian Journal of Pharmaceutical Sciences1818-08762023-03-01182100779Insights on drug and gene delivery systems in liver fibrosisKunj Vyas0Mayur M Patel1Department of Pharmaceutics, Institute of Pharmacy, Nirma University SG Highway, Gujarat 382481, IndiaCorresponding author.; Department of Pharmaceutics, Institute of Pharmacy, Nirma University SG Highway, Gujarat 382481, IndiaComplications of the liver are amongst the world's worst diseases. Liver fibrosis is the first stage of liver problems, while cirrhosis is the last stage, which can lead to death. The creation of effective anti-fibrotic drug delivery methods appears critical due to the liver's metabolic capacity for drugs and the presence of insurmountable physiological impediments in the way of targeting. Recent breakthroughs in anti-fibrotic agents have substantially assisted in fibrosis; nevertheless, the working mechanism of anti-fibrotic medications is not fully understood, and there is a need to design delivery systems that are well-understood and can aid in cirrhosis. Nanotechnology-based delivery systems are regarded to be effective but they have not been adequately researched for liver delivery. As a result, the capability of nanoparticles in hepatic delivery was explored. Another approach is targeted drug delivery, which can considerably improve efficacy if delivery systems are designed to target hepatic stellate cells (HSCs). We have addressed numerous delivery strategies that target HSCs, which can eventually aid in fibrosis. Recently genetics have proved to be useful, and methods for delivering genetic material to the target place have also been investigated where different techniques are depicted. To summarize, this review paper sheds light on the most recent breakthroughs in drug and gene-based nano and targeted delivery systems that have lately shown useful for the treatment of liver fibrosis and cirrhosis.http://www.sciencedirect.com/science/article/pii/S1818087623000065Liver fibrosisGene delivery systemNano drug delivery systemCirrhosisTargeted delivery systemVector
spellingShingle Kunj Vyas
Mayur M Patel
Insights on drug and gene delivery systems in liver fibrosis
Asian Journal of Pharmaceutical Sciences
Liver fibrosis
Gene delivery system
Nano drug delivery system
Cirrhosis
Targeted delivery system
Vector
title Insights on drug and gene delivery systems in liver fibrosis
title_full Insights on drug and gene delivery systems in liver fibrosis
title_fullStr Insights on drug and gene delivery systems in liver fibrosis
title_full_unstemmed Insights on drug and gene delivery systems in liver fibrosis
title_short Insights on drug and gene delivery systems in liver fibrosis
title_sort insights on drug and gene delivery systems in liver fibrosis
topic Liver fibrosis
Gene delivery system
Nano drug delivery system
Cirrhosis
Targeted delivery system
Vector
url http://www.sciencedirect.com/science/article/pii/S1818087623000065
work_keys_str_mv AT kunjvyas insightsondrugandgenedeliverysystemsinliverfibrosis
AT mayurmpatel insightsondrugandgenedeliverysystemsinliverfibrosis