Nano- and Microformulations to Advance Therapies for Visceral Leishmaniasis

ACS Biomater Sci Eng. 2021 May 10;7(5):1725-1741. doi: 10.1021/acsbiomaterials.0c01132. Epub 2020 Oct 14.

Abstract

Visceral leishmaniasis (VL) is a deadly, vector-borne, neglected tropical disease endemic to arid parts of the world and is caused by a protozoan parasite of the genus Leishmania. Chemotherapy is the primary treatment for this systemic disease, and multiple potent therapies exist against this intracellular parasite. However, several factors, such as systemic toxicity, high costs, arduous treatment regimen, and rising drug resistance, are barriers for effective therapy against VL. Material-based platforms have the potential to revolutionize chemotherapy for leishmaniasis by imparting a better pharmacokinetic profile and creating patient-friendly routes of administration, while also lowering the risk for drug resistance. This review highlights promising drug delivery strategies and novel therapies that have been evaluated in preclinical models, demonstrating the potential to advance chemotherapy for VL.

Keywords: Leishmania donovani; Leishmania infantum; emulsions; liposomes; micelles; nanoparticles; polymeric particles; polymersomes; visceral leishmaniasis.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Drug Delivery Systems
  • Humans
  • Leishmania donovani*
  • Leishmania infantum*
  • Leishmaniasis, Visceral* / drug therapy