Niu Xiaoqian, Chen Jiejian, Gao Jianqing
Institute of Pharmaceutics, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.
Key Laboratory of Cancer Prevention and Intervention, the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310058, China.
Asian J Pharm Sci. 2019 Sep;14(5):480-496. doi: 10.1016/j.ajps.2018.09.005. Epub 2018 Oct 22.
Neurodegenerative diseases including Alzheimer's disease, Parkinson's disease, Huntington disease and amyotrophic lateral sclerosis throw a heavy burden on families and society. Related scientific researches make tardy progress. One reason is that the known pathogeny is just the tip of the iceberg. Another reason is that various physiological barriers, especially blood-brain barrier (BBB), hamper effective therapeutic substances from reaching site of action. Drugs in clinical treatment of neurodegenerative diseases are basically administered orally. And generally speaking, the brain targeting efficiency is pretty low. Nano-delivery technology brings hope for neurodegenerative diseases. The use of nanocarriers encapsulating molecules such as peptides and genomic medicine may enhance drug transport through the BBB in neurodegenerative disease and target relevant regions in the brain for regenerative processes. In this review, we discuss BBB composition and applications of nanocarriers -liposomes, nanoparticles, nanomicelles and new emerging exosomes in neurodegenerative diseases. Furthermore, the disadvantages and the potential neurotoxicity of nanocarriers according pharmacokinetics theory are also discussed.
包括阿尔茨海默病、帕金森病、亨廷顿病和肌萎缩侧索硬化症在内的神经退行性疾病给家庭和社会带来了沉重负担。相关科学研究进展缓慢。一个原因是已知的发病机制只是冰山一角。另一个原因是各种生理屏障,尤其是血脑屏障(BBB),阻碍了有效的治疗物质到达作用部位。神经退行性疾病临床治疗中的药物基本上是口服给药。一般来说,脑靶向效率相当低。纳米递送技术为神经退行性疾病带来了希望。使用包裹肽和基因组药物等分子的纳米载体可能会增强神经退行性疾病中药物通过血脑屏障的转运,并靶向大脑中的相关区域进行再生过程。在这篇综述中,我们讨论了血脑屏障的组成以及纳米载体——脂质体、纳米颗粒、纳米胶束和新兴的外泌体在神经退行性疾病中的应用。此外,还根据药代动力学理论讨论了纳米载体的缺点和潜在的神经毒性。