Dip. Di Chemica, Università di Torino, via P. Giuria 7, 10125 Torino, Italy.
Departamento de Bioquímica y Biología Molecular-A, Facultad de Biología, Universidad de Murcia - Regional Campus of International Excellence "Campus Mare Nostrum", E-30100 Murcia, Spain.
Int J Pharm. 2020 Jun 30;584:119440. doi: 10.1016/j.ijpharm.2020.119440. Epub 2020 May 16.
Niemann Pick disease Type C (NPC) is a recessive rare disease caused by the mutation on NPC1 and/or NPC2 genes changing the processing of the Low-density proteins (LDL) resulting in an accumulation of lipids in the cells. Until today there is not a cure, the current treatment is based on palliative affairs to reduce the symptoms and prevent its appearance. Among all the treatments proposed the use of cyclodextrins (CDs), nanocarriers which can complex cholesterol, is one of the most useful alternatives. Indeed, for several years 2-hydroxypropyl-β-CD (HPβ-CD) is approved as orphan drug for FDA and EMA to the treatment. However, different CDs based materials are created each year to improve the cholesterol uptake. This review is focused on the novelty of CD based materials for NPC treatment.
尼曼匹克病 C 型(NPC)是一种由 NPC1 和/或 NPC2 基因突变引起的隐性罕见疾病,这种突变会改变低密度脂蛋白(LDL)的加工,导致细胞内脂质积累。到目前为止,还没有治愈方法,目前的治疗方法是基于姑息治疗来减轻症状并预防其出现。在所有提出的治疗方法中,使用环糊精(CDs)作为一种可以与胆固醇结合的纳米载体,是最有用的方法之一。事实上,多年来,2-羟丙基-β-环糊精(HPβ-CD)已被 FDA 和 EMA 批准为孤儿药,用于治疗 NPC。然而,每年都会开发出不同的基于 CD 的材料来提高胆固醇的摄取量。本综述重点介绍了基于 CD 的材料在 NPC 治疗方面的新颖性。