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阿尔茨海默病靶向纳米给药系统。

Alzheimer's Disease Targeted Nano-Based Drug Delivery Systems.

机构信息

Department of Biomedical Engineering, Faculty of Engineering, Near East University, P.O. Box: 99138, North Cyprus via Mersin 10, Turkey.

Tissue Engineering and Biomaterials Research Centre, Centre of Excellence, Near East University, P.O. Box: 99138, North Cyprus via Mersin 10 Turkey.

出版信息

Curr Drug Targets. 2020;21(7):628-646. doi: 10.2174/1389450120666191118123151.

Abstract

Alzheimer's disease (AD) is the most common neurodegenerative disease, and is part of a massive and growing health care burden that is destroying the cognitive function of more than 50 million individuals worldwide. Today, therapeutic options are limited to approaches with mild symptomatic benefits. The failure in developing effective drugs is attributed to, but not limited to the highly heterogeneous nature of AD with multiple underlying hypotheses and multifactorial pathology. In addition, targeted drug delivery to the central nervous system (CNS), for the diagnosis and therapy of neurological diseases like AD, is restricted by the challenges posed by blood-brain interfaces surrounding the CNS, limiting the bioavailability of therapeutics. Research done over the last decade has focused on developing new strategies to overcome these limitations and successfully deliver drugs to the CNS. Nanoparticles, that are capable of encapsulating drugs with sustained drug release profiles and adjustable physiochemical properties, can cross the protective barriers surrounding the CNS. Thus, nanotechnology offers new hope for AD treatment as a strong alternative to conventional drug delivery mechanisms. In this review, the potential application of nanoparticle based approaches in Alzheimer's disease and their implications in therapy is discussed.

摘要

阿尔茨海默病(AD)是最常见的神经退行性疾病,是全球超过 5000 万人认知功能受损的巨大且不断增长的医疗负担的一部分。如今,治疗选择仅限于具有轻度症状益处的方法。未能开发出有效的药物的原因不仅限于 AD 的高度异质性,其具有多种潜在假说和多因素病理学。此外,针对 AD 等神经疾病的靶向药物递送至中枢神经系统(CNS)受到 CNS 周围血脑界面带来的挑战限制,限制了治疗药物的生物利用度。过去十年的研究重点是开发新策略来克服这些限制并成功将药物递送至 CNS。纳米颗粒能够封装具有持续药物释放特性和可调节物理化学特性的药物,可以穿过围绕 CNS 的保护屏障。因此,纳米技术为 AD 治疗提供了新的希望,作为传统药物递送机制的有力替代品。在本文中,讨论了基于纳米颗粒的方法在阿尔茨海默病中的潜在应用及其在治疗中的意义。

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