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纳米医学策略用于阿尔茨海默病的持续、控制和靶向治疗。

Nanomedicine Strategies for Sustained, Controlled and Targeted Treatment of Alzheimer's Disease.

机构信息

Department of Neurology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.

Department of Pharmaceutical Sciences, School of Pharmacy, Second Military Medical University, 325 Guohe Road, Shanghai 200433, China.

出版信息

Mini Rev Med Chem. 2018;18(12):1035-1046. doi: 10.2174/1389557518666171215150024.

Abstract

BACKGROUND

Alzheimer's disease (AD) is one of the most devastating diseases worldwide. The current drugs for AD can only ameliorate the symptoms rather than reverse or prevent the progress of AD. On the other hand, blood-brain barrier (BBB), as a natural barrier, significantly impedes drug delivery from the blood circulation into the brain. Nanomedicine can be a safe, effective and promising approach to treat AD.

OBJECTIVE

This review summarizes the recent nanomedicine research in this area, including the use of liposomes and nanoparticles (NPs), to provide new approach for targeted treatment of AD.

METHOD

Collecting and referring to the related literature in recent 10 years, via searching MeSH Terms "Alzheimer's disease; nanomedicine; nanoparticle; amyloid β peptide; tau protein; autophagy".

RESULTS

Nanomedicines show superiority over conventional anti-AD drugs as a potential weapon against AD by the five proposed mechanisms: many unfavorable pharmaceutical properties of conventional anti-AD drugs maybe greatly overcome by nanomedicine; nanomedicines trigger efficient production of high-titer anti-Aβ antibodies following controlled release of antigens by them; some apolipoprotein- based nanomedicines could preferably bind to Aβ and increase the elimination of Aβ nanomedicine-induced autophagy could be facilitated to increase the elimination of Aβ nanomedicineinduced inhibition of tau aggregation.

CONCLUSION

Therefore, nanomedicine-mediated drug therapy is promising in the treatment of AD.

摘要

背景

阿尔茨海默病(AD)是全球最具破坏性的疾病之一。目前用于 AD 的药物只能改善症状,而不能逆转或预防 AD 的进展。另一方面,血脑屏障(BBB)作为一种天然屏障,极大地阻碍了药物从血液循环进入大脑。纳米医学可以成为治疗 AD 的一种安全、有效、有前途的方法。

目的

本综述总结了该领域最近的纳米医学研究,包括使用脂质体和纳米颗粒(NPs),为 AD 的靶向治疗提供新方法。

方法

通过搜索 MeSH 术语“阿尔茨海默病;纳米医学;纳米颗粒;淀粉样β肽;tau 蛋白;自噬”,收集并参考最近 10 年的相关文献。

结果

纳米医学通过以下五种提出的机制显示出优于传统抗 AD 药物的优势,成为对抗 AD 的潜在武器:许多传统抗 AD 药物的不良药学性质可能通过纳米医学得到极大克服;纳米医学通过它们的控制释放触发抗原产生高效的高滴度抗 Aβ 抗体;一些载脂蛋白为基础的纳米医学可以更好地结合 Aβ,增加 Aβ 的清除;纳米医学诱导的自噬可以促进 Aβ 的清除;纳米医学诱导的 tau 聚集抑制。

结论

因此,纳米医学介导的药物治疗在 AD 的治疗中具有广阔的前景。

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