PMID- 36839715 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230301 IS - 1999-4923 (Print) IS - 1999-4923 (Electronic) IS - 1999-4923 (Linking) VI - 15 IP - 2 DP - 2023 Jan 24 TI - Nanosized Drug Delivery Systems to Fight Tuberculosis. LID - 10.3390/pharmaceutics15020393 [doi] LID - 393 AB - Tuberculosis (TB) is currently the second deadliest infectious disease. Existing antitubercular therapies are long, complex, and have severe side effects that result in low patient compliance. In this context, nanosized drug delivery systems (DDSs) have the potential to optimize the treatment's efficiency while reducing its toxicity. Hundreds of publications illustrate the growing interest in this field. In this review, the main challenges related to the use of drug nanocarriers to fight TB are overviewed. Relevant publications regarding DDSs for the treatment of TB are classified according to the encapsulated drugs, from first-line to second-line drugs. The physicochemical and biological properties of the investigated formulations are listed. DDSs could simultaneously (i) optimize the therapy's antibacterial effects; (ii) reduce the doses; (iii) reduce the posology; (iv) diminish the toxicity; and as a global result, (v) mitigate the emergence of resistant strains. Moreover, we highlight that host-directed therapy using nanoparticles (NPs) is a recent promising trend. Although the research on nanosized DDSs for TB treatment is expanding, clinical applications have yet to be developed. Most studies are only dedicated to the development of new formulations, without the in vivo proof of concept. In the near future, it is expected that NPs prepared by "green" scalable methods, with intrinsic antibacterial properties and capable of co-encapsulating synergistic drugs, may find applications to fight TB. FAU - Bourguignon, Tom AU - Bourguignon T AD - Institut des Sciences Moleculaires d'Orsay, Universite Paris-Saclay, CNRS, 91405 Orsay, France. FAU - Godinez-Leon, Jesus Alfredo AU - Godinez-Leon JA AUID- ORCID: 0000-0001-9498-4693 AD - Institut des Sciences Moleculaires d'Orsay, Universite Paris-Saclay, CNRS, 91405 Orsay, France. FAU - Gref, Ruxandra AU - Gref R AUID- ORCID: 0000-0002-7869-0908 AD - Institut des Sciences Moleculaires d'Orsay, Universite Paris-Saclay, CNRS, 91405 Orsay, France. LA - eng GR - ANR-10-LABX-0035/Agence Nationale de la Recherche/ GR - ANR-20-CE19-002/Agence Nationale de la Recherche/ GR - MITI/French National Centre for Scientific Research/ PT - Journal Article PT - Review DEP - 20230124 PL - Switzerland TA - Pharmaceutics JT - Pharmaceutics JID - 101534003 PMC - PMC9964171 OTO - NOTNLM OT - antitubercular treatment OT - biodegradable polymers OT - drug delivery systems OT - drug nanocarriers OT - host-directed therapy OT - nanoparticles OT - physicochemical characterization OT - targeted delivery OT - tuberculosis COIS- The authors declare no conflict of interest. EDAT- 2023/02/26 06:00 MHDA- 2023/02/26 06:01 PMCR- 2023/01/24 CRDT- 2023/02/25 04:16 PHST- 2022/12/30 00:00 [received] PHST- 2023/01/17 00:00 [revised] PHST- 2023/01/20 00:00 [accepted] PHST- 2023/02/25 04:16 [entrez] PHST- 2023/02/26 06:00 [pubmed] PHST- 2023/02/26 06:01 [medline] PHST- 2023/01/24 00:00 [pmc-release] AID - pharmaceutics15020393 [pii] AID - pharmaceutics-15-00393 [pii] AID - 10.3390/pharmaceutics15020393 [doi] PST - epublish SO - Pharmaceutics. 2023 Jan 24;15(2):393. doi: 10.3390/pharmaceutics15020393.