纳米材料在结核病治疗中的研究进展

doi:10.19982/j.issn.1000-6621.20240548

摘要/Abstract

摘要：

目前,结核病治疗仍面临着严重的挑战。传统药物治疗带来了多种问题,如治疗时间长、患者依从性差、生物利用度低等。特别是耐药菌的产生,严重影响了治疗效果。但纳米材料的出现却可以克服当前结核病治疗中的问题,改变治疗方式,从而提高治疗效果。基于此,作者对纳米材料在结核病治疗中的最新研究进展进行了综述,对纳米材料在治疗过程中发挥的功能进行了分类和讨论;简述了直接治疗纳米材料,重点介绍了药物递送纳米材料,并对最新的光疗纳米材料进行了探讨。最后,对纳米材料所面临的挑战以及未来的发展进行了总结和展望。

关键词: 结核, 纳米粒子, 抗菌剂, 药物载体, 光疗

Abstract:

At present, tuberculosis (TB) treatment still faces serious challenges. Traditional drug therapy has brought various issues, such as long treatment time, poor patient compliance, and low bioavailability. Especially, the emergence of drug-resistance seriously affects the effectiveness of treatment. However, the emergence of nanomaterials can overcome current problems in the treatment of TB, change treatment approaches, and thus improve treatment effect. Based on this, this article reviews the latest research progress of nanomaterials in the treatment of TB, classifies and discusses the functions of nanomaterials in the treatment process, briefly describes the nanomaterials used for direct treatment, focuses on nanomaterials used for drug delivery, and discusses the latest phototherapy nanomaterials. Finally, a summary and outlook are provided on the challenges faced by nanomaterials and their future development.

Key words: Tuberculosis, Nanoparticles, Anti-bacterial agents, Drug carriers, Phototherapy

中图分类号:

R52
TB383

杨廷玉, 萨日娜, 王芙蓉, 陈琛, 郑兰兵. 纳米材料在结核病治疗中的研究进展[J]. 中国防痨杂志, 2025, 47(5): 660-665. doi: 10.19982/j.issn.1000-6621.20240548

Yang Tingyu, Sarina , Wang Furong, Chen Chen, Zheng Lanbing. Research progress of nanomaterials in the treatment of tuberculosis[J]. Chinese Journal of Antituberculosis, 2025, 47(5): 660-665. doi: 10.19982/j.issn.1000-6621.20240548

参考文献 51

[1]	World Health Organization.Global tuberculosis report 2024. Geneva: World Health Organization, 2024.
[2]	胡鑫洋, 高静韬. 世界卫生组织《2024年全球结核病报告》解读. 结核与肺部疾病杂志, 2024, 5(6): 500-504. doi:10.19983/j.issn.2096-8493.2024164.
[3]	舒薇, 刘宇红. 笃志创新躬行致远: 世界卫生组织《2023年全球结核病报告》结核病科学研究章节解读. 中国防痨杂志, 2024, 46(6): 613-617. doi:10.19982/j.issn.1000-6621.20240159.
[4]	Nair A, Greeny A, Nandan A, et al. Advanced drug delivery and therapeutic strategies for tuberculosis treatment. J Nanobiotechnology, 2023, 21(1): 414. doi:10.1186/s12951-023-02156-y.
[5]	田娜, 褚洪迁, 孙照刚. 纳米药物递送系统在结核病治疗中的研究进展. 中国防痨杂志, 2022, 44(7): 732-737. doi:10.19982/j.issn.1000-6621.20220036.
[6]	Bourguignon T, Godinez-Leon JA, Gref R. Nanosized Drug Delivery Systems to Fight Tuberculosis. Pharmaceutics, 2023, 15(2): 393. doi:10.3390/pharmaceutics15020393.
[7]	林倩妃, 范书豪, 皮江. 纳米材料在皮肤结核病诊疗中的潜在应用. 广东医科大学学报, 2024, 42(3): 227-240. doi:10.3969/j.issn.1005-4057.2024.03.001.
[8]	戴桂琴, 何卓俊, 刘德亮, 等. 纳米材料在结核病诊疗中的应用. 生物化学与生物物理进展, 2023, 50(8): 1841-1854. doi:10.16476/j.pibb.2022.0392.
[9]	Tăbăran AF, Matea CT, Mocan T, et al. Silver Nanoparticles for the Therapy of Tuberculosis. Int J Nanomedicine, 2020, 15: 2231-2258. doi:10.2147/IJN.S241183.
[10]	Behzad F, Sefidgar E, Samadi A. An Overview of Zinc Oxide Nanoparticles Produced by Plant Extracts for Anti-tuberculosis Treatments. Curr Med Chem, 2022, 29(1): 86-98. doi:10.2174/0929867328666210614122109.
[11]	Heidary M, Zaker Bostanabad S, Amini SM, et al. The Anti-Mycobacterial Activity Of Ag, ZnO, And Ag-ZnO Nanoparticles Against MDR-And XDR-Mycobacterium tuberculosis. Infect Drug Resist, 2019, 12: 3425-3435. doi:10.2147/IDR.S221408. pmid: 31807033
[12]	Vidyasagar, Patel RR, Singh SK, et al. Facile green synthesis of silver nanoparticles derived from the medicinal plant Clerodendrum serratum and its biological activity against Mycobacterium species. Heliyon, 2024, 10(10): e31116. doi:10.1016/j.heliyon.2024.e31116.
[13]	Chen CC, Chen YY, Yeh CC, et al. Alginate-Capped Silver Nanoparticles as a Potent Anti-mycobacterial Agent Against Mycobacterium tuberculosis. Front Pharmacol, 2021, 12: 746496. doi:10.3389/fphar.2021.746496.
[14]	Ge X, Liang Z, Li K, et al. Selenium nanoparticles enhance mucosal immunity against Mycobacterium bovis infection. Int Immunopharmacol, 2024, 137: 112384. doi:10.1016/j.intimp.2024.112384.
[15]	Lin W, Fan S, Liao K, et al. Engineering zinc oxide hybrid selenium nanoparticles for synergetic anti-tuberculosis treatment by combining Mycobacterium tuberculosis killings and host cell immunological inhibition. Front Cell Infect Microbiol, 2023, 12: 1074533. doi:10.3389/fcimb.2022.1074533.
[16]	Santarelli G, Perini G, Salustri A, et al. Unraveling the potential of graphene quantum dots against Mycobacterium tuberculosis infection. Front Microbiol, 2024, 15: 1395815. doi:10.3389/fmicb.2024.1395815.
[17]	Mignani S, Tripathi VD, Soam D, et al. Safe Polycationic Dendrimers as Potent Oral In Vivo Inhibitors of Mycobacterium tuberculosis: A New Therapy to Take Down Tuberculosis. Biomacromolecules, 2021, 22(6): 2659-2675. doi:10.1021/acs.biomac.1c00355. pmid: 33970615
[18]	Imran M, Singh S, Ahmad MN, et al. Polycationic phosphorous dendrimer potentiates multiple antibiotics against drug-resis-tant mycobacterial pathogens. Biomed Pharmacother, 2024, 173: 116289. doi:10.1016/j.biopha.2024.116289.
[19]	Carnero Canales CS, Marquez Cazorla JI, Marquez Cazorla RM, et al. Breaking barriers: The potential of nanosystems in antituberculosis therapy. Bioact Mater, 2024, 39: 106-134. doi:10.1016/j.bioactmat.2024.05.013. pmid: 38783925
[20]	Beitzinger B, Gerbl F, Vomhof T, et al. Delivery by Dendritic Mesoporous Silica Nanoparticles Enhances the Antimicrobial Activity of a Napsin-Derived Peptide Against Intracellular Mycobacterium tuberculosis. Adv Healthc Mater, 2021, 10(14): 2100453. doi:10.1002/adhm.202100453.
[21]	Zhu P, Cai L, Liu Q, et al. One-pot synthesis of α-Linolenic acid nanoemulsion-templated drug-loaded silica mesocomposites as efficient bactericide against drug-resistant Mycobacterium tuberculosis. Eur J Pharm Sci, 2022, 176: 106261. doi:10.1016/j.ejps.2022.106261.
[22]	Campos Pacheco JE, Yalovenko T, Riaz A, et al. Inhalable porous particles as dual micro-nano carriers demonstrating efficient lung drug delivery for treatment of tuberculosis. J Control Release, 2024, 369:231-250. doi:10.1016/j.jconrel.2024.03.013.
[23]	Shah S, Cristopher D, Sharma S, et al. Inhalable linezolid loaded PLGA nanoparticles for treatment of tuberculosis: Design, development and in vitro evaluation. J Drug Deliv Sci Tec, 2020, 60: 102013. doi:10.1016/j.jddst.2020.102013.
[24]	de Castro RR, do Carmo FA, Martins C, et al. Clofazimine functionalized polymeric nanoparticles for brain delivery in the tuberculosis treatment. Int J Pharm, 2021, 602: 120655. doi:10.1016/j.ijpharm.2021.120655.
[25]	Yang L, Chaves L, Kutscher HL, et al. An immunoregulator nanomedicine approach for the treatment of tuberculosis. Front Bioeng Biotechnol, 2023, 11: 1095926. doi:10.3389/fbioe.2023.1095926.
[26]	Lunn AM, Unnikrishnan M, Perrier S. Dual pH-Responsive Macrophage-Targeted Isoniazid Glycoparticles for Intracellular Tuberculosis Therapy. Biomacromolecules, 2021, 22(9): 3756-3768. doi:10.1021/acs.biomac.1c00554. pmid: 34339606
[27]	Pawde DM, Viswanadh MK, Mehata AK, et al. Mannose receptor targeted bioadhesive chitosan nanoparticles of clofazimine for effective therapy of tuberculosis. Saudi Pharm J, 2020, 28(12): 1616-1625. doi:10.1016/j.jsps.2020.10.008. pmid: 33424254
[28]	Hatae AC, Roque-Borda CA, Pavan FR. Strategies for lipid-based nanocomposites with potential activity against Mycobacterium tuberculosis: Microbial resistance challenge and drug delivery trends. OpenNano, 2023, 13: 100171. doi:10.1016/j.onano.2023.100171.
[29]	Moradi M, Vahedi F, Abbassioun A, et al. Liposomal delivery system/adjuvant for tuberculosis vaccine. Immun Inflamm Dis, 2023, 11(6): e867. doi:10.1002/iid3.867.
[30]	Gonçalves J, Marques C, Nunes C, et al. Therapeutic Liquid Eutectic Solvents in Lipid Nanoparticles as Drug Vehicles-A Proof of Concept. Int J Mol Sci, 2023, 24(21): 15648. doi:10.3390/ijms242115648.
[31]	Paul PK, Nakpheng T, Paliwal H, et al. Inhalable solid lipid nanoparticles of levofloxacin for potential tuberculosis treatment. Int J Pharm, 2024, 660: 124309. doi:10.1016/j.ijpharm.2024.124309.
[32]	Bera H, Zhao C, Tian X, et al. Mannose-Decorated Solid-Lipid Nanoparticles for Alveolar Macrophage Targeted Delivery of Rifampicin. Pharmaceutics, 2024, 16(3): 429. doi:10.3390/pharmaceutics16030429.
[33]	Pu X, Wang Y, Wang X, et al. Lipids Extracted from Mycobacterial Membrane and Enveloped PLGA Nanoparticles for Encapsulating Antibacterial Drugs Elicit Synergistic Antimicrobial Response against Mycobacteria. Mol Pharm, 2024, 21(5): 2238-2249. doi:10.1021/acs.molpharmaceut.3c01001.
[34]	Caggiano NJ, Armstrong MS, Georgiou JS, et al. Formulation and Scale-up of Delamanid Nanoparticles via Emulsification for Oral Tuberculosis Treatment. Mol Pharm, 2023, 20(9): 4546-4558. doi:10.1021/acs.molpharmaceut.3c00240.
[35]	Menon PM, Chandrasekaran N, C GPD, et al. Multi-drug loaded eugenol-based nanoemulsions for enhanced anti-mycobacterial activity. RSC Med Chem, 2023, 14(3): 433-443. doi:10.1039/d2md00320a.
[36]	Suman SK, Chandrasekaran N, Priya Doss CG. Micro-nanoemulsion and nanoparticle-assisted drug delivery against drug-resistant tuberculosis: recent developments. Clin Microbiol Rev, 2023, 36(4): e0008823. doi:10.1128/cmr.00088-23.
[37]	Li H, Ding Y, Huang J, et al. Angiopep-2 Modified Exosomes Load Rifampicin with Potential for Treating Central Nervous System Tuberculosis. Int J Nanomedicine, 2023, 18: 489-503. doi:10.2147/IJN.S395246.
[38]	Wang J, Chen D, Ho EA. Challenges in the development and establishment of exosome-based drug delivery systems. J Control Release, 2021, 329: 894-906. doi:10.1016/j.jconrel.2020.10.020
[39]	Ahmed W, Mushtaq A, Ali S, et al. Engineering Approaches for Exosome Cargo Loading and Targeted Delivery: Biological versus Chemical Perspectives. ACS Biomater Sci Eng, 2024, 10(10): 5960-5976. doi:10.1021/acsbiomaterials.4c00856.
[40]	Sun YF, Pi J, Xu JF. Emerging Role of Exosomes in Tuberculosis: From Immunity Regulations to Vaccine and Immunotherapy. Front Immunol, 2021, 12: 628973. doi:10.3389/fimmu.2021.628973.
[41]	Sun X, Li W, Zhao L, et al. Current landscape of exosomes in tuberculosis development, diagnosis, and treatment applications. Front Immunol, 2024, 15: 1401867. doi:10.3389/fimmu.2024.1401867.
[42]	Lu M, Li S, Liu Y, et al. Advances in phototherapy for infectious diseases. Nano Today, 2024, 57: 102327. doi:10.1016/j.nantod.2024.102327.
[43]	Yu B, Liu Q, Sun J, et al. Phototherapy-based multifunctional nanoplatform for synergistic therapy against drug resistance bacteria: Progress, advances and challenges. Chem Eng J, 2024, 487: 150705. doi:10.1016/j.cej.2024.150705.
[44]	Manivasagan P, Thambi T, Joe A, et al. Progress in nanomaterial-based synergistic photothermal-enhanced chemodynamic therapy in combating bacterial infections. Prog Mater Sci, 2024, 144: 101292. doi:10.1016/j.pmatsci.2024.101292.
[45]	He X, Lv Y, Lin Y, et al. Platinum Nanoparticles Regulated V2C MXene Nanoplatforms with NIR-Ⅱ Enhanced Nanozyme Effect for Photothermal and Chemodynamic Anti-Infective Therapy. Adv Mater, 2024, 36(25): 2400366. doi:10.1002/adma.202400366.
[46]	He C, Feng P, Hao M, et al. Nanomaterials in Antibacterial Photodynamic Therapy and Antibacterial Sonodynamic Therapy. Adv Funct Mater, 2024, 34(38): 2402588. doi:10.1002/adfm.202402588.
[47]	Elian C, Méallet R, Versace DL. Photoactive Dye-Loaded Polymer Materials: A New Cutting Edge for Antibacterial Photodynamic Therapy. Adv Funct Mater, 2024, 34(44): 2407228. doi:10.1002/adfm.202407228.
[48]	Mehnath S, Chitra K, Jeyaraj M. An all-in-one nanomaterial derived from rGO-MoS2 for photo/chemotherapy of tuberculosis. New J Chem, 2022, 46: 6433-6445. doi:10.1039/d1nj03549e.
[49]	Tian N, Duan H, Cao T, et al. Macrophage-targeted nanoparticles mediate synergistic photodynamic therapy and immunotherapy of tuberculosis. RSC Adv, 2023, 13(3): 1727-1737. doi:10.1039/d2ra06334d. pmid: 36712647
[50]	Li B, Wang W, Zhao L, et al. Photothermal therapy of tuberculosis using targeting pre-activated macrophage membrane-coated nanoparticles. Nat Nanotechnol, 2024, 19(6): 834-845. doi:10.1038/s41565-024-01618-0.
[51]	Cai Q, Tian Y, Shubhra QTH. Pre-activated macrophage membrane-encased aggregation-induced emission featuring nanoparticles: a novel possibility for tuberculosis treatment. Signal Transduct Target Ther, 2024, 9(1): 164. doi:10.1038/s41392-024-01855-8.