PMID- 33860447 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220407 IS - 2190-3948 (Electronic) IS - 2190-393X (Print) IS - 2190-393X (Linking) VI - 11 IP - 4 DP - 2021 Aug TI - Inflammation-responsive delivery systems for the treatment of chronic inflammatory diseases. PG - 1475-1497 LID - 10.1007/s13346-021-00977-8 [doi] AB - Inflammation is the biological response of immune system to protect living organisms from injurious factors. However, excessive and uncontrolled inflammation is implicated in a variety of devastating chronic diseases including atherosclerosis, inflammatory bowel disease (IBD), and rheumatoid arthritis (RA). Improved understanding of inflammatory response has unveiled a rich assortment of anti-inflammatory therapeutics for the treatment and management of relevant chronic diseases. Notwithstanding these successes, clinical outcomes are variable among patients and serious adverse effects are often observed. Moreover, there exist some limitations for clinical anti-inflammatory therapeutics such as aqueous insolubility, low bioavailability, off-target effects, and poor accessibility to subcellular compartments. To address these challenges, the rational design of inflammation-specific drug delivery systems (DDSs) holds significant promise. Moreover, as compared to normal tissues, inflamed tissue-associated pathological milieu (e.g., oxidative stress, acidic pH, and overexpressed enzymes) provides vital biochemical stimuli for triggered delivery of anti-inflammatory agents in a spatiotemporally controlled manner. In this review, we summarize recent advances in the development of anti-inflammatory DDSs with built-in pathological inflammation-specific responsiveness for the treatment of chronic inflammatory diseases. FAU - Deng, Zhengyu AU - Deng Z AUID- ORCID: 0000-0002-7186-7491 AD - CAS Key Laboratory of Soft Matter Chemistry, Hefei National Laboratory for Physical Sciences At the Microscale, Department of Polymer Science and Engineering, University of Science and Technology of China, 96 Jinzhai Road, Hefei, 230026, Anhui Province, China. FAU - Liu, Shiyong AU - Liu S AUID- ORCID: 0000-0002-9789-6282 AD - CAS Key Laboratory of Soft Matter Chemistry, Hefei National Laboratory for Physical Sciences At the Microscale, Department of Polymer Science and Engineering, University of Science and Technology of China, 96 Jinzhai Road, Hefei, 230026, Anhui Province, China. sliu@ustc.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210415 PL - United States TA - Drug Deliv Transl Res JT - Drug delivery and translational research JID - 101540061 RN - 0 (Anti-Inflammatory Agents) SB - IM MH - Anti-Inflammatory Agents/therapeutic use MH - Chronic Disease MH - *Drug Delivery Systems MH - Humans MH - Inflammation/drug therapy MH - *Inflammatory Bowel Diseases/drug therapy PMC - PMC8048351 OTO - NOTNLM OT - Anti-inflammatory agents OT - Drug delivery systems (DDSs) OT - Inflammation OT - Inflammatory microenvironment OT - Oxidative stress OT - Stimuli-responsive polymers COIS- The authors declare that they have no conflict of interest. EDAT- 2021/04/17 06:00 MHDA- 2022/04/08 06:00 PMCR- 2021/04/15 CRDT- 2021/04/16 06:48 PHST- 2021/04/03 00:00 [accepted] PHST- 2021/04/17 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] PHST- 2021/04/16 06:48 [entrez] PHST- 2021/04/15 00:00 [pmc-release] AID - 10.1007/s13346-021-00977-8 [pii] AID - 977 [pii] AID - 10.1007/s13346-021-00977-8 [doi] PST - ppublish SO - Drug Deliv Transl Res. 2021 Aug;11(4):1475-1497. doi: 10.1007/s13346-021-00977-8. Epub 2021 Apr 15.