Rhim Taiyoun, Lee Minhyung
a Department of Bioengineering, College of Engineering , Hanyang University , Seoul , Republic of Korea.
Expert Opin Drug Deliv. 2016;13(5):709-23. doi: 10.1517/17425247.2016.1144588. Epub 2016 Feb 6.
Ischemic stroke is caused by reduced blood supply and leads to loss of brain function. The reduced oxygen and nutrient supply stimulates various physiological responses, including induction of growth factors. Growth factors prevent neuronal cell death, promote neovascularization, and induce cell growth. However, the concentration of growth factors is not sufficient to recover brain function after the ischemic damage, suggesting that delivery of growth factors into the ischemic brain may be a useful treatment for ischemic stroke.
In this review, various approaches for the delivery of growth factors to ischemic brain tissue are discussed, including local and targeting delivery systems.
To develop growth factor therapy for ischemic stroke, important considerations should be taken into account. First, growth factors may have possible side effects. Thus, concentration of growth factors should be restricted to the ischemic tissues by local administration or targeted delivery. Second, the duration of growth factor therapy should be optimized. Growth factor proteins may be degraded too fast to have a high enough therapeutic effect. Therefore, delivery systems for controlled release or gene delivery may be useful. Third, the delivery systems to the brain should be optimized according to the delivery route.
缺血性中风是由血液供应减少引起的,会导致脑功能丧失。氧气和营养供应的减少会刺激各种生理反应,包括生长因子的诱导。生长因子可防止神经元细胞死亡,促进新血管形成,并诱导细胞生长。然而,生长因子的浓度不足以在缺血性损伤后恢复脑功能,这表明将生长因子输送到缺血性脑内可能是治疗缺血性中风的一种有效方法。
在本综述中,讨论了将生长因子输送到缺血性脑组织的各种方法,包括局部和靶向递送系统。
为了开发用于缺血性中风的生长因子疗法,应考虑重要因素。首先,生长因子可能有潜在的副作用。因此,应通过局部给药或靶向递送将生长因子的浓度限制在缺血组织中。其次,应优化生长因子治疗的持续时间。生长因子蛋白可能降解过快,无法产生足够高的治疗效果。因此,控释或基因递送的递送系统可能会有用。第三,应根据递送途径优化向脑内的递送系统。