Affiliation:
1. Departement de Pathologie et Microbiologie, Faculte de Medecine Veterinaire Universite de Montreal, Saint-Hyacinthe, Quebec, Canada
Abstract
Background:
Leishmania are sandfly-transmitted protozoan parasites that harbour within the macrophages
of a mammalian host and cause leishmaniasis, a serious zoonotic disease that threatens the lives of millions
worldwide. Its numerous forms (cutaneous, mucocutaneous, and visceral) are currently treated with a sparse
arsenal of drugs, specifically antimonials, amphotericin B, miltefosine, and paromomycin, for which drug resistance
and clinical failure are rampant. Medicine is presently trending towards nanotechnology to aid in the successful
delivery of drugs. Vehicles such as lipid-based nanocarriers, polymer-based nanoparticles, and metal ions
and oxides have been previously demonstrated to improve bioavailability of drugs and decrease toxicity for the
patient. These cutting-edge solutions can be combined with existing active molecules, as well as novel drugs or
plant extracts with promising antileishmanial activity.
Conclusion:
This review explores the current evidence for the treatment of leishmaniases using nanoscale drug
delivery systems (specifically lipid-, polymer- and metal-based systems) and encourages further development of
the aforementioned nanotechnologies for treatment of Leishmania.
Funder
Natural Sciences and Engineering Research Council of Canada (NSERC) Discovery Grant
Publisher
Bentham Science Publishers Ltd.
Subject
Drug Discovery,Pharmacology
Reference116 articles.
1. Louzir H.; Aoun K.; Späth G.F.;
Leishmania epidemiology, diagnosis, chemotherapy and vaccination approaches in the international network of Pasteur Institutes. Med Sci [http://dx.doi.org/10.1051/medsci/20132912020]. [PMID: 24356147].2013,29(12),1151-1160
2. von Stebut E.; Tenzer S.; Cutaneous leishmaniasis: Distinct functions of dendritic cells and macrophages in the interaction of the host immune system with Leishmania major. Int J Med Microbiol [PMID: 29129568].2017
3. Handler MZ; Patel PA; Kapila R; Al-Qubati Y; Schwartz RA; Cutaneous and mucocutaneous leishmaniasis: Differential diagnosis, diagnosis, histopathology, and management J Am Acad Dermatol 2015,73(6)
4. Bush J.T.; Wasunna M.; Alves F.; Systematic review of clinical trials assessing the therapeutic efficacy of visceral leishmaniasis treatments: A first step to assess the feasibility of establishing an individual patient data sharing platform. PLoS Negl Trop Dis [http://dx.doi.org/10.1371/journal.pntd.0005781]. [PMID: 28873394].2017,11(9)
5. Barrett M.P.; Croft S.L.; Management of trypanosomiasis and leishmaniasis. Br Med Bull [http://dx.doi.org/10.1093/bmb/lds031]. [PMID: 23137768].2012,104,175-196
Cited by
11 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献