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Review
Volume 12, Issue 1, 2023, 3
https://doi.org/10.33263/LIANBS121.003
Targeted Macrophages Delivery of Antitubercular Agent
Through Solid Lipid Nanoparticles
Swatantra Kushwaha
1,*
, Neelottama Kushwaha
1
, Samiya Mirza
1
1
Department of Pharmacy, Pranveer Singh Institute of Technology, Kanpur-209305, India;
swatantrakushwaha15@gmail.com (S.K.); neelottama@gmail.com (N.K.); samiyamirza099@gmail.com (S.M.);
* Correspondence: swatantrakushwaha15@gmail.com (S.K.);
Scopus Author ID 37014547800
Received: 17.09.2021; Accepted: 11.11.2021; Published: 8.01.2022
Abstract: The objective of this paper is to summarize the current aspects related to nanoparticle targeted
delivery via; lipid nanoparticulate drug carrier systeM. tuberculosis ranks II
nd
most fatal disease after
AIDS, and thus WHO declared it as “A Global Health Emergency”. Mycobacterium species source of
tuberculosis infection; infects the lungs primarily and some other part of the body after infection is
thoroughly spread. Antitubercular agents are classified according to their therapeutic action and safety.
In this, an overview is provided on WHO-recommended treatment regimens. The study summarizes
antitubercular delivery to the targeted site, i.e., macrophages via; nanoparticulate drug delivery system.
Thus, the study was conducted to provide concise knowledge about nanoparticulate, solid lipid
nanoparticles: introduction, advantages, components, types, preparation methods, models, parameters,
characteristics, mechanism of drug release, and applications in the antitubercular delivery field. It also
provides an overview of the information about macrophages, their biological role, their mechanism of
action, and a few studies conducted. Macrophages act as a host body for some intracellular pathogens
such as Mycobacterium species; thus, they act as an active targeted site for target-specific action. The
antitubercular delivery to macrophages can reduce dosage frequency, increase solubility/permeability,
bioavailability, enhance therapeutic effects, decrease toxicity, and increase patient compliance.
Keywords: tuberculosis; antitubercular; macrophages; solid lipid nanoparticles; simulated fluid.
© 2022 by the authors. This article is an open-access article distributed under the terms and conditions of the Creative
Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
1. Introduction
According to World Health Organization (WHO), approximately 1/3rd of the total
world’s population has been infected by M. tuberculosis (Mtb), infecting more than 9 million
new cases and 2 million deaths occurs due to Mtb annually, and the remaining population is
asymptomatic [1]. Tuberculosis, also called TB, is known as 2nd most fatal infectious disease
after AIDS, caused by Mycobacterium tuberculosis (Mtb). In 1993, WHO declared
tuberculosis “a global health emergency”. Mycobacterium firstly infects the lungs and also
infects other organs and body parts like the nervous system (meningitis), lymphatic system,
kidney central, circulatory system (miliary tuberculosis), genitourinary system, joints, and
bone, etc. [2]. Extended treatment regimens, higher dosage/dosing frequency, lesser patient
compliance, and strong administration schedules are a few factors that lead to the emergence
of MDR and XDR tuberculosis. Recently, except BCG vaccine, there is no other potential
immune protective vaccine, i.e., ineffective against adult pulmonary TB, the most active and
widespread form of TB.