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基于纳米生物技术的血脑屏障穿越策略。

Nanobiotechnology-based strategies for crossing the blood-brain barrier.

机构信息

PharmaBiotech, Blaesiring 7, CH-4057 Basel, Switzerland.

出版信息

Nanomedicine (Lond). 2012 Aug;7(8):1225-33. doi: 10.2217/nnm.12.86.

Abstract

The blood-brain barrier (BBB) is meant to protect the brain from noxious agents; however, it also significantly hinders the delivery of therapeutics to the brain. Several strategies have been employed to deliver drugs across this barrier and some of these may do structural damage to the BBB by forcibly opening it to allow the uncontrolled passage of drugs. The ideal method for transporting drugs across the BBB should be controlled and should not damage the barrier. Among the various approaches that are available, nanobiotechnology-based delivery methods provide the best prospects for achieving this ideal. This review describes various nanoparticle (NP)-based methods used for drug delivery to the brain and the known underlying mechanisms. Some strategies require multifunctional NPs combining controlled passage across the BBB with targeted delivery of the therapeutic cargo to the intended site of action in the brain. An important application of nanobiotechnology is to facilitate the delivery of drugs and biological therapeutics for brain tumors across the BBB. Although there are currently some limitations and concerns for the potential neurotoxicity of NPs, the future prospects for NP-based therapeutic delivery to the brain are excellent.

摘要

血脑屏障(BBB)旨在保护大脑免受有害物质的侵害;然而,它也严重阻碍了治疗药物向大脑的输送。已经采用了几种策略来将药物递送到这个屏障内,其中一些方法可能通过强行打开 BBB 来造成结构损伤,从而允许药物不受控制地通过。将药物输送穿过 BBB 的理想方法应该是可控的,并且不应该损伤屏障。在现有的各种方法中,基于纳米生物技术的输送方法为实现这一理想提供了最好的前景。本文综述了用于向大脑输送药物的各种基于纳米颗粒(NP)的方法及其已知的潜在机制。一些策略需要多功能 NP,将可控地穿过 BBB 与将治疗性货物靶向递送到大脑中预期的作用部位结合起来。纳米生物技术的一个重要应用是促进药物和生物治疗药物穿过 BBB 递送到脑肿瘤。尽管目前 NP 潜在神经毒性的一些限制和担忧仍然存在,但基于 NP 的脑部治疗药物输送的未来前景非常广阔。

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