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中枢神经系统局部药物递送的生物材料。

Biomaterials for local drug delivery in central nervous system.

机构信息

Institute of Pharmaceutics, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.

Institute of Pharmaceutics, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China; Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University, Hangzhou 310058, China.

出版信息

Int J Pharm. 2019 Apr 5;560:92-100. doi: 10.1016/j.ijpharm.2019.01.071. Epub 2019 Feb 10.

Abstract

The central nervous system (CNS) is a vital part of human body which coordinate the actions by transmitting signals. Because of the existence of the blood-brain barrier and the blood-spinal cord barrier, diseases in CNS can hardly be directly intervened by non-invasive methods. While systemic delivery usually requires extravagant drug dosage and leads into toxicity in unexpected tissues, local drug delivery in CNS tissues provides a solution for the problems of physiological barriers and systematic side effects. Biomaterials are applied in local drug delivery system (LDDS) for CNS disease therapy with aims of tuning the drug release property and improving bioavailability, solubility, stability and safety of pharmaceutics. The indispensable importance and distinct physiological structure of cerebrospinal area bring about challenges to biomaterials in LDDS. Thus, properties of drug delivery systems are necessitated with prudently concern. In this review, the development of LDDS utilizing biomaterials will be presented, including sustained release, local parameter-responsible release, and regional cell-selective active targeting release. Studies on biomaterials employed as pharmaceuticals will give rise to a more efficacious method and the better understanding of LDDS design in CNS.

摘要

中枢神经系统(CNS)是人体的重要组成部分,通过传递信号协调动作。由于血脑屏障和血脊髓屏障的存在,CNS 疾病很难通过非侵入性方法直接干预。全身给药通常需要大量的药物剂量,并导致意外组织的毒性,而 CNS 组织的局部药物递送为生理屏障和系统副作用问题提供了一种解决方案。生物材料被应用于中枢神经系统疾病治疗的局部药物递送系统(LDDS)中,目的是调整药物释放特性并提高药物的生物利用度、溶解度、稳定性和安全性。脑脊髓区域不可或缺的重要性和独特的生理结构给 LDDS 中的生物材料带来了挑战。因此,需要谨慎关注药物递送系统的性能。本文综述了利用生物材料的 LDDS 的发展,包括持续释放、局部参数响应释放和区域细胞选择性主动靶向释放。作为药物的生物材料的研究将产生更有效的方法,并更好地理解 CNS 中的 LDDS 设计。

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