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纳米药物在神经性疼痛管理中的应用范围和应用。

Scope and Applications of Nanomedicines for the Management of Neuropathic Pain.

机构信息

Department of Anesthesiology, Cathy General Hospital, Taipei 280, Taiwan.

Institute of Pharmacology and Toxicology, Tzu Chi University, Hualien 970, Taiwan.

出版信息

Mol Pharm. 2020 Apr 6;17(4):1015-1027. doi: 10.1021/acs.molpharmaceut.9b01027. Epub 2020 Mar 12.

Abstract

Neuropathic pain, resulting from the dysfunction of the peripheral and central nervous system, occurs in a variety of pathological conditions including trauma, diabetes, cancer, HIV, surgery, multiple sclerosis, ischemic attack, alcoholism, spinal cord damage, and many others. Despite the availability of various treatment strategies, the percentage of patients achieving adequate pain relief remains low. The clinical failure of most effective drugs is often not due to a lack of drug efficacy but due to the dose-limiting central nervous system (CNS) toxicity of the drugs that preclude dose escalation. There is a need for cross-disciplinary collaborations to meet these challenges. In this regard, the integration of nanotechnology with neuroscience is one of the most important fields. In recent years, promising preclinical research has been reported in this field. This review highlights the current challenges associated with conventional neuropathic pain treatments, the scope for nanomaterials in delivering drugs across the blood-brain barrier, and the state and prospects of nanomaterials for the management of neuropathic pain.

摘要

神经病理性疼痛是由外周和中枢神经系统功能障碍引起的,发生于多种病理情况,包括创伤、糖尿病、癌症、HIV、手术、多发性硬化、缺血性发作、酒精中毒、脊髓损伤等。尽管有多种治疗策略,但能达到充分缓解疼痛的患者比例仍然较低。大多数有效药物的临床失败往往不是由于药物疗效不足,而是由于药物的中枢神经系统(CNS)毒性限制了剂量,从而无法增加剂量。需要跨学科合作来应对这些挑战。在这方面,纳米技术与神经科学的结合是最重要的领域之一。近年来,该领域已经有了有前景的临床前研究。本文重点介绍了传统神经病理性疼痛治疗方法所面临的挑战、纳米材料在穿透血脑屏障输送药物方面的潜力,以及纳米材料治疗神经病理性疼痛的现状和前景。

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