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基于纳米医学的中枢神经系统疾病免疫疗法。

Nanomedicine-based immunotherapy for central nervous system disorders.

机构信息

Henan-Macquarie University Joint Centre for Biomedical Innovation, School of Life Sciences Henan University, Kaifeng, 475004, China.

School of Medicine, Western Sydney University, Campbelltown, NSW, 2560, Australia.

出版信息

Acta Pharmacol Sin. 2020 Jul;41(7):936-953. doi: 10.1038/s41401-020-0429-z. Epub 2020 May 28.

Abstract

Central nervous system (CNS) disorders represent a broad spectrum of brain ailments with short- and long-term disabilities, and nanomedicine-based approaches provide a new therapeutic approach to treating CNS disorders. A variety of potential drugs have been discovered to treat several neuronal disorders; however, their therapeutic success can be limited by the presence of the blood-brain barrier (BBB). Furthermore, unique immune functions within the CNS provide novel target mechanisms for the amelioration of CNS diseases. Recently, various therapeutic approaches have been applied to fight brain-related disorders, with moderate outcomes. Among the various therapeutic strategies, nanomedicine-based immunotherapeutic systems represent a new era that can deliver useful cargo with promising pharmacokinetics. These approaches exploit the molecular and cellular targeting of CNS disorders for enhanced safety, efficacy, and specificity. In this review, we focus on the efficacy of nanomedicines that utilize immunotherapy to combat CNS disorders. Furthermore, we detailed summarize nanomedicine-based pathways for CNS ailments that aim to deliver drugs across the BBB by mimicking innate immune actions. Overview of how nanomedicines can utilize multiple immunotherapy pathways to combat CNS disorders.

摘要

中枢神经系统(CNS)疾病是一大类具有短期和长期残疾的脑部疾病,基于纳米医学的方法为治疗 CNS 疾病提供了新的治疗方法。已经发现了多种潜在药物来治疗几种神经元疾病;然而,它们的治疗成功可能会受到血脑屏障(BBB)的存在的限制。此外,CNS 内独特的免疫功能为改善 CNS 疾病提供了新的靶机制。最近,已经应用了各种治疗方法来对抗与大脑相关的疾病,但结果并不理想。在各种治疗策略中,基于纳米医学的免疫治疗系统代表了一个新时代,可以提供具有良好药代动力学的有用货物。这些方法利用 CNS 疾病的分子和细胞靶向来提高安全性、疗效和特异性。在这篇综述中,我们重点介绍了利用免疫疗法治疗 CNS 疾病的纳米药物的疗效。此外,我们详细总结了基于纳米医学的 CNS 疾病治疗途径,旨在通过模拟先天免疫作用来将药物递送到 BBB 内。概述了纳米药物如何利用多种免疫疗法途径来对抗 CNS 疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e4/7656625/dd50d3a92e4a/41401_2020_429_Figa_HTML.jpg

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