Evidence map›Paper›PMID 42789236›Full record

SynthesisPulmonary therapy2026

Advanced Pulmonary Drug Delivery Systems: A Narrative Review.

Dil Afrose, Melika Valizadeh, Shailesh B Kolekar, Mano J Mathew, Alexandr Ceasovschih, Alexandru Corlateanu, Pradeesh Sivapalan

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pulmonary therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dil AfroseRespiratory Medicine Section, Department of Medicine, Copenhagen University Hospital- Herlev and Gentofte, Kildegårdsvej 28, 2900, Hellerup, Denmark.
Melika ValizadehPulmonary Rehabilitation Research Center (PRRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Shailesh B KolekarDepartment of Medicine, Helsingborg Hospital, Lund University, Region Skane, Sweden.
Mano J MathewEFREI Paris EFREI Research Lab, Panthéon-Assas University, 30-32 Avenue de La République, 94800, Villejuif, France.
Alexandr CeasovschihGrigore T. Popa University of Medicine and Pharmacy, 700115, Iasi, Romania.
Alexandru CorlateanuDepartment of Respiratory Medicine, State University of Medicine and Pharmacy "Nicolae Testemitanu", 2004, Chisinau, Moldova.
Pradeesh SivapalanRespiratory Medicine Section, Department of Medicine, Copenhagen University Hospital- Herlev and Gentofte, Kildegårdsvej 28, 2900, Hellerup, Denmark. pradeesh.sivapalan.02@regionh.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary drug delivery systems have gained increasing attention as an effective strategy for the treatment of both respiratory and systemic diseases by enabling targeted, noninvasive, and efficient drug administration through the lungs, with advantages including rapid onset of action, lower drug doses, and reduced systemic adverse effects. Despite these advances, challenges related to formulation stability, aerosol performance, lung clearance mechanisms, and regulatory approval remain. This review explores advanced pulmonary drug delivery systems, with emphasis on the anatomical, physiological, pharmaceutical, and device-related factors that influence aerosol deposition and therapeutic performance. The review examines key mechanisms of particle deposition such as inertial impaction, gravitational sedimentation, Brownian diffusion, interception, and electrostatic interactions, and advanced pulmonary drug carrier systems, including liposomes, nanoparticles, large porous particles, dendrimers, polymeric micelles, biodegradable polymers, and lactose-based dry powder platforms, which enhance drug stability, controlled release, lung retention, and site-specific targeting. The review further summarizes advances in particle engineering technologies and common and advanced inhalation devices, including pressurized metered-dose inhalers, dry powder inhalers, nebulizers, soft mist inhalers, and smart inhaler platforms. Clinical applications of pulmonary drug delivery extend beyond asthma and chronic obstructive pulmonary disease (COPD) to include cystic fibrosis, pulmonary infections, and pulmonary arterial hypertension, while emerging applications in tuberculosis, diabetes, vaccination, gene therapy, and cancer continue to be investigated. Future directions include personalized pulmonary medicine, inhaled biologics and mRNA therapeutics, environmentally sustainable inhaler technologies, artificial intelligence-assisted formulation and device optimization, and evolving regulatory frameworks. Advancements in pulmonary drug delivery technologies may focus on improving drug targeting, optimizing therapeutic performance, and broadening their application in modern clinical practice.

Indexed as

Inhalation devicesNanoparticlesNebulizerParticle engineeringParticle technologyPressurized metered-dose inhalersPulmonary drug delivery

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.