Ahmad Javed, Akhter Sohail, Rizwanullah Md, Khan Mohammad Ahmed, Pigeon Lucie, Addo Richard T, Greig Nigel H, Midoux Patrick, Pichon Chantal, Kamal Mohammad Amjad
Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research (NIPER), Raebareli, UP- 229010. India.
LE STUDIUM® Loire Valley Institute for Advanced Studies, Centre-Val de Loire Region, Orleans, France.
Curr Alzheimer Res. 2017;14(11):1164-1181. doi: 10.2174/1567205014666170508121031.
Alzheimer's disease (AD), a cognitive dysfunction/dementia state amongst the elders is characterized by irreversible neurodegeneration due to varied pathophysiology. Up till now, anti-AD drugs having different pharmacology have been developed and used in clinic. Yet, these medications are not curative and only lowering the AD associated symptoms. Improvement in treatment outcome required drug targeting across the blood-brain barrier (BBB) to the central nervous system (CNS) in optimal therapeutic concentration. Nanotechnology based diagnostic tools, drug carriers and theranostics offer highly sensitive molecular detection, effective drug targeting and their combination. Over the past decade, significant works have been done in this area and we have seen very remarkable outocome in AD therapy. Various nanoparticles from organic and inorganic nanomaterial category have successfully been investigated against AD.
This paper discussed the role of nanoparticles in early detection of AD, effective drug targeting to brain and theranostic (diagnosis and therapy) approaches in AD's management.
阿尔茨海默病(AD)是老年人中的一种认知功能障碍/痴呆状态,其特征是由于多种病理生理学原因导致不可逆的神经退行性变。到目前为止,已经开发出具有不同药理学特性的抗AD药物并应用于临床。然而,这些药物并不能治愈疾病,只能减轻与AD相关的症状。要改善治疗效果,需要药物以最佳治疗浓度穿过血脑屏障(BBB)到达中枢神经系统(CNS)。基于纳米技术的诊断工具、药物载体和治疗诊断学提供了高度灵敏的分子检测、有效的药物靶向以及它们的结合。在过去十年中,该领域已经开展了大量工作,并且我们在AD治疗中看到了非常显著的成果。来自有机和无机纳米材料类别的各种纳米颗粒已成功用于对抗AD的研究。
本文讨论了纳米颗粒在AD早期检测中的作用、对大脑的有效药物靶向以及AD管理中的治疗诊断(诊断和治疗)方法。