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纳米技术驱动的帕金森病管理方法:现状与未来展望

Nanotechnology Driven Approaches for the Management of Parkinson's Disease: Current Status and Future Perspectives.

作者信息

Sharma Shrestha, Rabbani Syed A, Agarwal Tanya, Baboota Sanjula, Pottoo Faheem H, Kadian Renu

机构信息

Department of Pharmaceutics, School of Medical and Allied Sciences, K.R. Mangalam University, Gurgaon-122003, India.

Department of Clinical Pharmacy and Pharmacology, RAK College of Pharmaceutical Sciences, RAK Medical and Health Sciences University, Ras al Khaimah, United Arab Emirates.

出版信息

Curr Drug Metab. 2021;22(4):287-298. doi: 10.2174/1389200221666201124123405.

Abstract

Parkinson's disease (PD) is believed to be one of the commonly found adult-onset movement disorder occurring due to neurodegeneration and striatal dopamine deficiency. Although clinical diagnosis depends on the occurrence of bradykinesia and other cardinal motor features, PD is linked with many non-motor symptoms that are responsible for overall disability. Among several factors, genetic and environment-related factors are thought to be the major ones accountable for PD. Comprehensive research has shown that a number of drugs are effective in providing symptomatic relief to the patients suffering from PD. But some drug molecules suffer from significant drawbacks such as poor bioavailability and instability, therefore, they sometimes fail to deliver the expected results. Hence, to resolve these issues, new promising novel drug delivery systems have been developed. Liposomes, solid lipid nanoparticles, nanoemulsion, self-emulsifying drug delivery system (SEDDS), niosomes are some of the novel drug delivery system (NDDS) carriers that have been explored for enhancing the CNS concentration of levodopa, apomorphine, resveratrol, and other numerous drugs. This paper elucidates various drugs that have been studied for their potential contribution to the treatment and management of PD and also reviews and acknowledges the efforts of several scientists who successfully established various NDDS approaches for these drugs for the management of PD.

摘要

帕金森病(PD)被认为是常见的成人起病的运动障碍之一,由神经退行性变和纹状体多巴胺缺乏引起。虽然临床诊断依赖于运动迟缓及其他主要运动特征的出现,但PD与导致整体残疾的许多非运动症状有关。在多个因素中,遗传和环境相关因素被认为是导致PD的主要因素。综合研究表明,许多药物对PD患者有有效的症状缓解作用。但一些药物分子存在显著缺点,如生物利用度差和稳定性差,因此有时无法产生预期效果。因此,为了解决这些问题,已开发出有前景的新型药物递送系统。脂质体、固体脂质纳米粒、纳米乳、自乳化药物递送系统(SEDDS)、非离子表面活性剂泡囊是一些已被探索用于提高左旋多巴、阿扑吗啡、白藜芦醇和其他多种药物中枢神经系统浓度的新型药物递送系统(NDDS)载体。本文阐述了已研究的对PD治疗和管理有潜在贡献的各种药物,并回顾和肯定了几位科学家为这些药物成功建立各种NDDS方法以管理PD所做的努力。

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