Tosi Giovanni, Costantino Luca, Ruozi Barbara, Forni Flavio, Vandelli Maria Angela
University of Modena and Reggio Emilia, Department of Pharmaceutical Sciences, Italy.
Expert Opin Drug Deliv. 2008 Feb;5(2):155-74. doi: 10.1517/17425247.5.2.155.
Nanoparticulate polymeric systems (nanoparticles [Np]) have been widely studied for the delivery of drugs to a specific target site. This approach has been recently considered for the therapy of brain diseases. The major problem in accessing the CNS is linked to the presence of the blood-brain barrier.
The present review deals with the different strategies that have been developed in order to allow Np drug carriers entry into the CNS parenchyma. Among these, the use of magnetic Np, Np conjugation with ligands for blood-brain barrier receptors, with antibodies, and the use of surfactants have been considered.
All the literature available is reviewed in order to highlight the potential of this drug delivery system to be used as a drug carrier for the treatment of CNS pathologies.
Polymeric Np have been shown to be promising carriers for CNS drug delivery due to their potential both in encapsulating drugs, hence protecting them from excretion and metabolism, and in delivering active agents across the blood-brain barrier without inflicting any damage to the barrier. Different polymers have been used and different strategies have been applied; among these, the use of specific ligands to enhance the specificity of drugs delivered to the CNS has recently been considered. At present, clinical trials are being conducted appeared for the use of these drug carriers but none related to the treatment of CNS diseases.
纳米颗粒聚合物系统(纳米颗粒 [Np])已被广泛研究用于将药物递送至特定靶点。最近,这种方法已被考虑用于脑部疾病的治疗。进入中枢神经系统的主要问题与血脑屏障的存在有关。
本综述探讨了为使纳米颗粒药物载体进入中枢神经系统实质而开发的不同策略。其中,考虑了使用磁性纳米颗粒、纳米颗粒与血脑屏障受体配体、抗体的偶联以及表面活性剂的使用。
对所有可得文献进行综述,以突出这种药物递送系统作为治疗中枢神经系统疾病的药物载体的潜力。
聚合物纳米颗粒已被证明是用于中枢神经系统药物递送的有前景的载体,因为它们既有包封药物的潜力,从而保护药物不被排泄和代谢,又有将活性剂穿过血脑屏障而不对屏障造成任何损害的潜力。已经使用了不同的聚合物并应用了不同的策略;其中,最近考虑了使用特定配体来提高递送至中枢神经系统的药物的特异性。目前,正在进行这些药物载体使用的临床试验,但尚无与中枢神经系统疾病治疗相关的试验。