Nazem Amir, Mansoori G Ali
College of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
J Alzheimers Dis. 2008 Mar;13(2):199-223. doi: 10.3233/jad-2008-13210.
A century of research has passed since the discovery and definition of Alzheimer's disease (AD), the primary common dementing disorder worldwide. However, AD lacks definite diagnostic approaches and effective cure at the present. Moreover, the currently available diagnostic tools are not sufficient for an early screening of AD in order to start preventive approaches. Recently the emerging field of nanotechnology has promised new techniques to solve some of the AD challenges. Nanotechnology refers to the techniques of designing and manufacturing nanosize (1-100 nm) structures through controlled positional and/or self-assembly of atoms and molecules. In this report, we present the promises that nanotechnology brings in research on the AD diagnosis and therapy. They include its potential for the better understanding of the AD root cause molecular mechanisms, AD's early diagnoses, and effective treatment. The advances in AD research offered by the atomic force microscopy, single molecule fluorescence microscopy and NanoSIMS microscopy are examined here. In addition, the recently proposed applications of nanotechnology for the early diagnosis of AD including bio-barcode assay, localized surface plasmon resonance nanosensor, quantum dot and nanomechanical cantilever arrays are analyzed. Applications of nanotechnology in AD therapy including neuroprotections against oxidative stress and anti-amyloid therapeutics, neuroregeneration and drug delivery beyond the blood brain barrier (BBB) are discussed and analyzed. All of these applications could improve the treatment approach of AD and other neurodegenerative diseases. The complete cure of AD may become feasible by a combination of nanotechnology and some other novel approaches, like stem cell technology.
自阿尔茨海默病(AD)被发现并定义以来,已经过去了一个世纪,AD是全球主要的常见痴呆症。然而,目前AD缺乏明确的诊断方法和有效的治疗方法。此外,现有的诊断工具不足以对AD进行早期筛查,以便启动预防措施。最近,新兴的纳米技术领域有望提供新技术来解决AD的一些挑战。纳米技术是指通过原子和分子的可控定位和/或自组装来设计和制造纳米尺寸(1-100纳米)结构的技术。在本报告中,我们阐述了纳米技术在AD诊断和治疗研究中带来的前景。这些前景包括其有助于更好地理解AD根本原因的分子机制、AD的早期诊断以及有效治疗。本文研究了原子力显微镜、单分子荧光显微镜和纳米二次离子质谱显微镜在AD研究方面取得的进展。此外,还分析了最近提出的纳米技术在AD早期诊断中的应用,包括生物条形码检测、局部表面等离子体共振纳米传感器、量子点和纳米机械悬臂阵列。讨论并分析了纳米技术在AD治疗中的应用,包括针对氧化应激的神经保护和抗淀粉样蛋白治疗、神经再生以及突破血脑屏障(BBB)的药物递送。所有这些应用都可以改善AD和其他神经退行性疾病的治疗方法。通过纳米技术与其他一些新方法(如干细胞技术)的结合,AD的完全治愈可能会成为现实。
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