Nanomedicine and drug delivery strategies for treatment of inflammatory bowel disease

World J Gastroenterol. 2015 Oct 28;21(40):11343-52. doi: 10.3748/wjg.v21.i40.11343.

Abstract

Crohn's disease and ulcerative colitis are two important categories of human inflammatory bowel disease (IBD). Because the precise mechanisms of the inflammation and immune responses in IBD have not been fully elucidated, the treatment of IBD primarily aims to inhibit the pathogenic factors of the inflammatory cascade. Inconsistencies exist regarding the response and side effects of the drugs that are currently used to treat IBD. Recent studies have suggested that the use of nanomedicine might be advantageous for the treatment of intestinal inflammation because nano-sized molecules can effectively penetrate epithelial and inflammatory cells. We reviewed nanomedicine treatments, such as the use of small interfering RNAs, antisense oligonucleotides, and anti-inflammatory molecules with delivery systems in experimental colitis models and clinical trials for IBD based on a systematic search. The efficacy and usefulness of the treatments reviewed in this manuscript have been demonstrated in experimental colitis models and clinical trials using various types of nanomedicine. Nanomedicine is expected to become a new therapeutic approach to the treatment of IBD.

Keywords: Antisense oligonucleotide; Crohn’s disease; Inflammatory bowel disease; Nanomedicine; Small interfering RNA; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / administration & dosage*
  • Anti-Inflammatory Agents / adverse effects
  • Anti-Inflammatory Agents / chemistry
  • Chemistry, Pharmaceutical
  • Colitis, Ulcerative / diagnosis
  • Colitis, Ulcerative / drug therapy*
  • Colitis, Ulcerative / genetics
  • Crohn Disease / diagnosis
  • Crohn Disease / drug therapy*
  • Crohn Disease / genetics
  • Drug Carriers
  • Drug Delivery Systems / instrumentation
  • Drug Delivery Systems / methods*
  • Gastrointestinal Agents / administration & dosage*
  • Gastrointestinal Agents / adverse effects
  • Gastrointestinal Agents / chemistry
  • Gene Transfer Techniques
  • Genetic Therapy / methods
  • Humans
  • Nanomedicine / methods*
  • Nanoparticles
  • Oligonucleotides, Antisense / administration & dosage
  • Oligonucleotides, Antisense / chemistry
  • RNA, Small Interfering / administration & dosage
  • RNA, Small Interfering / chemistry
  • RNAi Therapeutics

Substances

  • Anti-Inflammatory Agents
  • Drug Carriers
  • Gastrointestinal Agents
  • Oligonucleotides, Antisense
  • RNA, Small Interfering