Kumar Hitesh, Mishra Gaurav, Sharma Ashok K, Gothwal Avinash, Kesharwani Prashant, Gupta Umesh
Department of Pharmacy, School of Chemical Sciences and Pharmacy, Central University of Rajasthan, Bandarsindri, Ajmer, Rajasthan. India.
School of Pharmacy, Department of Pharmaceutical Technology, The International Medical University (IMU), Jalan Jalil Perkasa 19, Kuala Lumpur, 57000. Malaysia.
Pharm Nanotechnol. 2017;5(3):203-214. doi: 10.2174/2211738505666170515113936.
The convoluted pathophysiology of brain disorders along with penetration issue of drugs to brain represents major hurdle that requires some novel therapies. The blood-brain barrier (BBB) denotes a rigid barrier for delivery of therapeutics in vivo; to overcome this barrier, intranasal delivery is an excellent strategy to deliver the drug directly to brain via olfactory and trigeminal nerve pathways that originate as olfactory neuro-epithelium in the nasal cavity and terminate in brain.
Kind of therapeutics like low molecular weight drugs can be delivered to the CNS via this route. In this review, we have outlined the anatomy and physiological aspect of nasal mucosa, certain hurdles, various strategies including importance of muco-adhesive polymers to increase the drug delivery and possible clinical prospects that partly contribute in intranasal drug delivery.
Exhaustive literature survey related to intranasal drug delivery system revealed the new strategy that circumvents the BBB, based on non-invasive concept for treating various CNS disorders. Numerous advantages like prompt effects, self-medication through wide-ranging devices, and the frequent as well protracted dosing are associated with this novel route.
Recently few reports have proven that nasal to brain drug delivery system bypasses the BBB. This novel route is associated with targeting efficiency and less exposure of therapeutic substances to non-target site. Nevertheless, this route desires much more research into the safe transferring of therapeutics to the brain. Role of muco-adhesive polymer and surface modification with specific ligands are area of interest of researcher to explore more about this.
脑部疾病复杂的病理生理学以及药物进入脑部的渗透问题是需要一些新疗法的主要障碍。血脑屏障(BBB)是体内治疗药物递送的严格屏障;为克服这一屏障,鼻内给药是一种通过嗅觉和三叉神经途径将药物直接递送至脑部的绝佳策略,这些神经起源于鼻腔中的嗅神经上皮并终止于脑部。
低分子量药物等类型的治疗药物可通过该途径递送至中枢神经系统。在本综述中,我们概述了鼻黏膜的解剖学和生理学方面、某些障碍、包括黏膜粘附聚合物对增加药物递送的重要性在内的各种策略以及鼻内药物递送的部分潜在临床前景。
与鼻内给药系统相关的详尽文献调查揭示了一种基于非侵入性概念治疗各种中枢神经系统疾病、规避血脑屏障的新策略。这种新途径具有起效迅速、可通过多种装置自我给药以及可频繁且长期给药等诸多优点。
最近有一些报道证明鼻脑给药系统绕过了血脑屏障。这种新途径具有靶向效率高和治疗物质对非靶位点暴露少的特点。然而,这条途径在治疗药物安全转运至脑部方面仍需要更多研究。黏膜粘附聚合物的作用以及用特定配体进行表面修饰是研究人员感兴趣的领域,以便进一步探索这方面的内容。