a Department of Pharmaceutics, JSS College of Pharmacy, Ootacamund , Jagadguru Sri Shivarathreeswara University , Mysuru , India.
b Centre for Advance Research (CFAR) , King George's Medical University (KGMU) , Lucknow , India.
J Drug Target. 2018 Mar;26(3):195-207. doi: 10.1080/1061186X.2017.1374389. Epub 2017 Sep 18.
HIV/AIDS is a global pandemic and the deleterious effects of human immunodeficiency virus in the brain cannot be overlooked. Though the current anti-retro viral therapy is able to reduce the virus load in the peripheral tissues of the body, the inability of the anti-retro viral drugs to cross the blood brain barrier, as such, limits its therapeutic effect in the brain. The development of newer, successful nanoparticulate drug delivery systems to enhance the feasibility of the anti-retro viral drugs to the brain, offers a novel strategy to treat the AIDS-related neuronal degradation. This review summarised the neuropathogenesis of neuroAIDS, the challenges and achievements made in the delivery of therapeutics across the BBB and the use of nanocarriers as a safe and effective way for delivering anti-retro viral drugs to the brain.
艾滋病毒/艾滋病是一种全球性的大流行病,不能忽视人类免疫缺陷病毒对大脑的有害影响。尽管目前的抗逆转录病毒疗法能够降低身体外周组织中的病毒载量,但抗逆转录病毒药物无法穿过血脑屏障,因此限制了其在大脑中的治疗效果。开发新的、成功的纳米颗粒药物递送系统,以提高抗逆转录病毒药物进入大脑的可行性,为治疗与艾滋病相关的神经元退化提供了一种新策略。本文综述了神经艾滋病的发病机制、在 BBB 中传递治疗药物的挑战和成就,以及纳米载体作为一种将抗逆转录病毒药物安全有效地递送到大脑的方法。