Nano and microparticle drug delivery systems for the treatment of Brucella infections

Biomed Pharmacother. 2023 Dec 31:169:115875. doi: 10.1016/j.biopha.2023.115875. Epub 2023 Nov 16.

Abstract

Nano-based drug delivery systems are increasingly used for diagnosis, prevention and treatment of several diseases, thanks to several beneficial properties, including the ability to target specific cells or organs, allowing to reduce treatment costs and side effects frequently associated with chemotherapeutic medications, thereby improving treatment compliance of patients. In the field of communicable diseases, especially those caused by intracellular bacteria, the delivery of antibiotics targeting specific cells is of critical importance to maximize their treatment efficacy. Brucella melitensis, an intracellular obligate bacterium surviving and replicating inside macrophages is hard to be eradicated, mainly because of the low ability of antibiotics to enter these phagocityc cells . Although different antibiotics regimens including gentamicin, doxycycline and rifampicin are in fact used against the Brucellosis, no efficient treatment has been attained yet, due to the intracellular life of the respective pathogen. Nano-medicines responding to environmental stimuli allow to maximize drug delivery targeting macropages, thereby boosting treatment efficacy. Several drug delivery nano-technologies, including solid lipid nanoparticles, liposomes, chitosan, niosomes, and their combinations with chitosan sodium alginate can be employed in combination of antibiotics to successfully eradicate Brucellosis infection from patients.

Keywords: Brucella; Drug delivery systems; Nanoparticles; Nanotechnology; Survival; Therapeutics.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Brucella melitensis*
  • Brucellosis* / drug therapy
  • Brucellosis* / microbiology
  • Brucellosis* / prevention & control
  • Chitosan* / pharmacology
  • Drug Delivery Systems
  • Humans

Substances

  • Chitosan
  • Anti-Bacterial Agents