Targeted drug delivery

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Targeted Drug Delivery

A liposome used in targeted drug delivery

Targeted drug delivery is a method of delivering medication to a patient in a manner that increases the concentration of the medication in some parts of the body relative to others. This form of delivery is intended to reduce side effects and increase the efficacy of the drug by concentrating the therapeutic effects in the desired area.

Mechanism

Targeted drug delivery systems are designed to deliver drugs to specific cells or tissues. This can be achieved through various mechanisms, including:

  • Passive targeting: Utilizes the natural distribution of the drug in the body, often relying on the enhanced permeability and retention (EPR) effect seen in tumor tissues.
  • Active targeting: Involves modifying the drug or its carrier with ligands that bind specifically to receptors on the target cells.

Types of Carriers

Several types of carriers are used in targeted drug delivery, including:

  • Liposomes: Spherical vesicles with a phospholipid bilayer, used to encapsulate drugs and improve their delivery to target sites.
  • Nanoparticles: Particles in the nanometer size range that can be engineered to carry drugs and target specific tissues.
  • Microspheres: Small spherical particles that can be used to deliver drugs over an extended period.

Applications

Targeted drug delivery is used in various medical fields, including:

  • Oncology: To deliver chemotherapeutic agents directly to tumor cells, minimizing damage to healthy tissues.
  • Cardiology: For delivering drugs to specific areas of the heart or blood vessels.
  • Neurology: To cross the blood-brain barrier and treat neurological disorders.

Advantages

The advantages of targeted drug delivery include:

  • Increased efficacy: By concentrating the drug at the site of action, the therapeutic effect is enhanced.
  • Reduced side effects: Minimizing exposure of non-target tissues to the drug reduces adverse effects.
  • Improved patient compliance: Targeted delivery can reduce the frequency of dosing and improve patient adherence to treatment regimens.

Challenges

Despite its advantages, targeted drug delivery faces several challenges:

  • Complexity of design: Developing systems that can accurately target specific cells or tissues is complex and costly.
  • Biocompatibility: Ensuring that the delivery system is non-toxic and does not provoke an immune response.
  • Regulatory hurdles: Navigating the regulatory landscape for approval of new drug delivery systems can be challenging.

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Contributors: Prab R. Tumpati, MD