Affiliation:
1. Pharmaceutical Nanotechnology Lab, Chemical Biology Unit, Institute of Nano Science and Technology (INST), Sector-82, Mohali,
Punjab, 160062, India
2. Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research-Raebareli,
Lucknow (UP), 226002, India
Abstract
Abstract:
Rheumatoid arthritis (RA) is the most common form of the chronic inflammatory autoimmune disease
characterized by chronic synovitis, synovial proliferation, and cellular infiltration. Further, it leads to bone
erosion, destruction of articular cartilage, intense joint pain, swelling, and a high rate of disability, causing an
immense load on human health. If the disease is identified early on, and the patient has continuous and timely
treatment, many patients can achieve remission. Although research in RA has made considerable progress, conventional
therapies are still the most popular treatment options for most people with RA. But, conventional therapies
are hampered by various drawbacks, including higher doses, low solubility and permeability, poor bioavailability,
a high level of first-pass metabolism, adaptive treatment tolerance (ATT), and long-term drug use. These
drawbacks can result in severe side effects and drug toxicity in patients. Advances in polymer science and
the application of nanotechnology in drug delivery systems have provided new possibilities in the treatment of
RA by developing new-generation smart drug delivery systems (SDDSs). The shortcomings of non-specific
drug distribution and uncontrollable drug release by traditional delivery systems have motivated the creation of
next-generation SDDSs. These new smart drug delivery treatment methods have significantly changed the
course of RA. Such systems can improve drug delivery by virtue of their multi-functionality and targeting capabilities.
The ultimate objective of next-generation SDDSs is to deliver medication at the optimal time with precise
dosage and efficiency and specificity to the targeted site (such as cells, tissues, and organs), which can aid
patients to adhere better to their therapy. This review highlights and discusses the various next-generation
SDDSs along with the conventional treatment options available for RA management.
Funder
Science and Engineering Research Board
Publisher
Bentham Science Publishers Ltd.
Subject
Drug Discovery,Pharmacology