Nowacek Ari, Kosloski Lisa M, Gendelman Howard E
Department of Pharmacology & Experimental Neuroscience, Center for Neurovirology & Neurodegenerative Disorders, University of Nebraska Medical Center, Omaha, NE 68198-5880, USA.
Nanomedicine (Lond). 2009 Jul;4(5):541-55. doi: 10.2217/nnm.09.37.
Degenerative and inflammatory diseases of the CNS include, but are not limited to, Alzheimer's and Parkinson's disease, amyotrophic lateral sclerosis, stroke, multiple sclerosis and HIV-1-associated neurocognitive disorders. These are common, debilitating and, unfortunately, hold few therapeutic options. In recent years, the application of nanotechnologies as commonly used or developing medicines has served to improve pharmacokinetics and drug delivery specifically to CNS-diseased areas. In addition, nanomedical advances are leading to therapies that target CNS pathobiology and as such, can interrupt disordered protein aggregation, deliver functional neuroprotective proteins and alter the oxidant state of affected neural tissues. This article focuses on the pathobiology of common neurodegenerative disorders with a view towards how nanomedicine may be used to improve the clinical course of neurodegenerative disorders.
中枢神经系统的退行性和炎性疾病包括但不限于阿尔茨海默病、帕金森病、肌萎缩侧索硬化症、中风、多发性硬化症以及与人类免疫缺陷病毒1型相关的神经认知障碍。这些疾病很常见,会使人衰弱,不幸的是,治疗选择很少。近年来,纳米技术作为常用或正在研发的药物,有助于改善药代动力学,并将药物特异性递送至中枢神经系统病变区域。此外,纳米医学的进展正在催生针对中枢神经系统病理生物学的疗法,因此可以中断紊乱的蛋白质聚集、递送功能性神经保护蛋白,并改变受影响神经组织的氧化状态。本文重点关注常见神经退行性疾病的病理生物学,旨在探讨纳米医学如何用于改善神经退行性疾病的临床病程。