Neuroinflammation Gene Therapy Laboratory, Institut Pasteur de Montevideo, Montevideo, Uruguay; Departamento de Histología y Embriología, Facultad de Medicina, Universidad de la República (UDELAR), Montevideo, Uruguay.
Institut de Biotecnologia i de Biomedicina, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, Spain; Department de Genètica i de Microbiologia, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, Spain; CIBER en Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Bellaterra, 08193 Barcelona, Spain.
Biotechnol Adv. 2015 Mar-Apr;33(2):277-87. doi: 10.1016/j.biotechadv.2015.02.004. Epub 2015 Feb 16.
The increasing incidence of diseases affecting the central nervous system (CNS) demands the urgent development of efficient drugs. While many of these medicines are already available, the Blood Brain Barrier and to a lesser extent, the Blood Spinal Cord Barrier pose physical and biological limitations to their diffusion to reach target tissues. Therefore, efforts are needed not only to address drug development but specially to design suitable vehicles for delivery into the CNS through systemic administration. In the context of the functional and structural versatility of proteins, recent advances in their biological fabrication and a better comprehension of the physiology of the CNS offer a plethora of opportunities for the construction and tailoring of plain nanoconjugates and of more complex nanosized vehicles able to cross these barriers. We revise here how the engineering of functional proteins offers drug delivery tools for specific CNS diseases and more transversally, how proteins can be engineered into smart nanoparticles or 'artificial viruses' to afford therapeutic requirements through alternative administration routes.
中枢神经系统(CNS)疾病发病率的不断上升,要求我们迫切开发有效的药物。尽管已经有许多这样的药物,但血脑屏障和在较小程度上的血脊髓屏障对它们扩散到靶组织造成了物理和生物学限制。因此,不仅需要努力解决药物开发问题,还需要专门设计适合通过全身给药递送到中枢神经系统的载体。在蛋白质功能和结构的多功能性的背景下,其生物制造的最新进展以及对中枢神经系统生理学的更好理解,为构建和定制普通纳米缀合物以及能够穿过这些屏障的更复杂纳米尺寸载体提供了大量机会。我们在这里回顾了功能蛋白的工程如何为特定的中枢神经系统疾病提供药物递送工具,更广泛地说,蛋白质如何被工程化为智能纳米颗粒或“人工病毒”,通过替代给药途径提供治疗需求。