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重新思考脑靶向药物递送的 CRITID 程序:循环、血脑屏障识别、细胞内转运、病变细胞靶向、内化和药物释放。

Rethinking CRITID Procedure of Brain Targeting Drug Delivery: Circulation, Blood Brain Barrier Recognition, Intracellular Transport, Diseased Cell Targeting, Internalization, and Drug Release.

机构信息

Key laboratory of Drug Targeting and Drug Delivery Systems of the Education Ministry Sichuan Engineering Laboratory for Plant-sourced Drug and Sichuan Research Center for Drug Precision Industrial Technology West China School of Pharmacy Sichuan University Chengdu 610041 China.

Department of Pharmaceutics College of Pharmacy University of Florida Gainesville Florida 32610 USA.

出版信息

Adv Sci (Weinh). 2021 Feb 24;8(9):2004025. doi: 10.1002/advs.202004025. eCollection 2021 May.

DOI:10.1002/advs.202004025
PMID:33977060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8097396/
Abstract

The past decades have witnessed great progress in nanoparticle (NP)-based brain-targeting drug delivery systems, while their therapeutic potentials are yet to be fully exploited given that the majority of them are lost during the delivery process. Rational design of brain-targeting drug delivery systems requires a deep understanding of the entire delivery process along with the issues that they may encounter. Herein, this review first analyzes the typical delivery process of a systemically administrated NPs-based brain-targeting drug delivery system and proposes a six-step CRITID delivery cascade: circulation in systemic blood, recognizing receptor on blood-brain barrier (BBB), intracellular transport, diseased cell targeting after entering into parenchyma, internalization by diseased cells, and finally intracellular drug release. By dissecting the entire delivery process into six steps, this review seeks to provide a deep understanding of the issues that may restrict the delivery efficiency of brain-targeting drug delivery systems as well as the specific requirements that may guarantee minimal loss at each step. Currently developed strategies used for troubleshooting these issues are reviewed and some state-of-the-art design features meeting these requirements are highlighted. The CRITID delivery cascade can serve as a guideline for designing more efficient and specific brain-targeting drug delivery systems.

摘要

过去几十年见证了基于纳米颗粒 (NP) 的脑靶向药物传递系统的巨大进展,但由于大多数 NP 在传递过程中丢失,它们的治疗潜力尚未得到充分利用。脑靶向药物传递系统的合理设计需要深入了解整个传递过程以及它们可能遇到的问题。在此,本文首先分析了系统给药的 NPs 基脑靶向药物传递系统的典型传递过程,并提出了一个六步 CRITID 传递级联:系统血液中的循环、血脑屏障 (BBB) 上的识别受体、细胞内转运、进入实质后的病变细胞靶向、病变细胞的内化,以及最终的细胞内药物释放。通过将整个传递过程分解成六个步骤,本文旨在深入了解可能限制脑靶向药物传递系统传递效率的问题以及可能保证每个步骤最小损失的具体要求。目前用于解决这些问题的开发策略进行了回顾,并突出了满足这些要求的一些最先进的设计特点。CRITID 传递级联可作为设计更高效和更具特异性的脑靶向药物传递系统的指南。

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