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阿尔茨海默病和帕金森病的多学科视角:作为治疗策略的用于蛋白质递送和基于细胞的药物递送的水凝胶

Multidisciplinary perspectives for Alzheimer's and Parkinson's diseases: hydrogels for protein delivery and cell-based drug delivery as therapeutic strategies.

作者信息

Giordano Carmen, Albani Diego, Gloria Antonio, Tunesi Marta, Batelli Sara, Russo Teresa, Forloni Gianluigi, Ambrosio Luigi, Cigada Alberto

机构信息

Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, Via Luigi Mancinelli, 7, 20131 Milan, Italy.

出版信息

Int J Artif Organs. 2009 Dec;32(12):836-50. doi: 10.1177/039139880903201202.

Abstract

This review presents two intriguing multidisciplinary strategies that might make the difference in the treatment of neurodegenerative disorders such as Alzheimer's and Parkinson's diseases. The first proposed strategy is based on the controlled delivery of recombinant proteins known to play a key role in these neurodegenerative disorders that are released in situ by optimized polymer-based systems. The second strategy is the use of engineered cells, encapsulated and delivered in situ by suitable polymer-based systems, that act as drug reservoirs and allow the delivery of selected molecules to be used in the treatment of Alzheimer's and Parkinson's diseases. In both these scenarios, the design and development of optimized polymer-based drug delivery and cell housing systems for central nervous system applications represent a key requirement. Materials science provides suitable hydrogel-based tools to be optimized together with suitably designed recombinant proteins or drug delivering-cells that, once in situ, can provide an effective treatment for these neurodegenerative disorders. In this scenario, only interdisciplinary research that fully integrates biology, biochemistry, medicine and materials science can provide a springboard for the development of suitable therapeutic tools, not only for the treatment of Alzheimer's and Parkinson's diseases but also, prospectively, for a wide range of severe neurodegenerative disorders.

摘要

本综述介绍了两种引人入胜的多学科策略,这两种策略可能会在治疗诸如阿尔茨海默病和帕金森病等神经退行性疾病方面产生显著效果。第一种提出的策略基于重组蛋白的可控递送,这些重组蛋白在这些神经退行性疾病中发挥关键作用,并通过优化的基于聚合物的系统在原位释放。第二种策略是使用经工程改造的细胞,这些细胞由合适的基于聚合物的系统封装并在原位递送,它们充当药物储存库,并允许递送用于治疗阿尔茨海默病和帕金森病的选定分子。在这两种情况下,针对中枢神经系统应用设计和开发优化的基于聚合物的药物递送和细胞容纳系统都是关键要求。材料科学提供了合适的基于水凝胶的工具,这些工具需要与经过适当设计的重组蛋白或药物递送细胞一起进行优化,一旦在原位,它们就能为这些神经退行性疾病提供有效的治疗。在这种情况下,只有将生物学、生物化学、医学和材料科学充分整合的跨学科研究,才能为开发合适的治疗工具提供跳板,不仅用于治疗阿尔茨海默病和帕金森病,而且前瞻性地用于治疗广泛的严重神经退行性疾病。

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