Department of Experimental Medicine, University of Milano-Bicocca, Monza, Italy.
Nanomedicine. 2012 Sep;8 Suppl 1:S51-8. doi: 10.1016/j.nano.2012.05.007. Epub 2012 May 26.
The efficacy, cellular uptake and specific transport of drugs and/or imaging agents to target organs, tissues and cells are common issues in the diagnosis and treatment of different disorders. In the case of neurodegenerative diseases, they represent complex problems, since brain targeting remains a still unsolved challenge in pharmacology, due to the presence of the blood-brain barrier, a tightly packed layer of endothelial cells that prevents unwanted substances to enter the brain. Engineered nanomaterials, objects with dimensions of 1-100 nm, are providing interesting biomedical tools potentially able to solve these problems, thanks to their physico-chemical features and to the possibility of multi-functionalization, allowing to confer them different features at the same time, including the ability to cross the blood-brain barrier. This review focuses on the state-of-the-art of nanomaterials suitable for therapy and diagnostic imaging of the most common neurodegenerative disorders, as well as for neuroprotection and neuronal tissue regeneration. Finally, their potential neurotoxicity is discussed, and future nanotechnological approaches are described.
药物和/或成像剂对靶器官、组织和细胞的疗效、细胞摄取和特异性转运是不同疾病诊断和治疗中的常见问题。在神经退行性疾病的情况下,它们代表着复杂的问题,因为由于血脑屏障的存在,脑靶向仍然是药理学中一个尚未解决的挑战,血脑屏障是一层紧密排列的内皮细胞,可防止不需要的物质进入大脑。工程纳米材料,尺寸为 1-100nm 的物体,由于其物理化学特性和多功能化的可能性,为解决这些问题提供了有趣的生物医学工具,使它们能够同时具有不同的特性,包括穿过血脑屏障的能力。这篇综述重点介绍了适用于最常见神经退行性疾病的治疗和诊断成像以及神经保护和神经元组织再生的纳米材料的最新进展。最后,讨论了它们的潜在神经毒性,并描述了未来的纳米技术方法。