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脑内药物递送:克服血脑屏障以治疗 Tau 病。

Brain Drug Delivery: Overcoming the Blood-brain Barrier to Treat Tauopathies.

机构信息

Institute of Neuroimmunology, Slovak Academy of Sciences, Centre of Excellence for Alzheimer's Disease and Related Disorders, Dubravska cesta 9, 845 10 Bratislava, Slovakia.

出版信息

Curr Pharm Des. 2020;26(13):1448-1465. doi: 10.2174/1381612826666200316130128.

Abstract

Tauopathies are neurodegenerative disorders characterized by the deposition of abnormal tau protein in the brain. The application of potentially effective therapeutics for their successful treatment is hampered by the presence of a naturally occurring brain protection layer called the blood-brain barrier (BBB). BBB represents one of the biggest challenges in the development of therapeutics for central nervous system (CNS) disorders, where sufficient BBB penetration is inevitable. BBB is a heavily restricting barrier regulating the movement of molecules, ions, and cells between the blood and the CNS to secure proper neuronal function and protect the CNS from dangerous substances and processes. Yet, these natural functions possessed by BBB represent a great hurdle for brain drug delivery. This review is concentrated on summarizing the available methods and approaches for effective therapeutics' delivery through the BBB to treat neurodegenerative disorders with a focus on tauopathies. It describes the traditional approaches but also new nanotechnology strategies emerging with advanced medical techniques. Their limitations and benefits are discussed.

摘要

tau 病是神经退行性疾病,其特征是大脑中异常 tau 蛋白的沉积。由于存在一种称为血脑屏障 (BBB) 的天然脑保护层,因此成功治疗 tau 病的潜在有效治疗方法的应用受到阻碍。BBB 是中枢神经系统 (CNS) 疾病治疗中开发治疗方法的最大挑战之一,因为必须充分穿透 BBB。BBB 是一种严格限制的屏障,可调节血液和中枢神经系统之间分子、离子和细胞的运动,以确保适当的神经元功能并保护中枢神经系统免受有害物质和过程的侵害。然而,BBB 所具有的这些天然功能是大脑药物输送的一大障碍。这篇综述集中总结了通过 BBB 有效传递治疗药物以治疗神经退行性疾病(重点是 tau 病)的可用方法和途径。它描述了传统方法,但也讨论了新兴的纳米技术策略以及先进医疗技术的出现。讨论了它们的局限性和优势。

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