Drug Delivery, Disposition and Dynamics Monash Institute of Pharmaceutical Sciences Monash University 381 Royal Parade Parkville VIC 3052 Australia.
IITB Monash Research Academy Bombay Mumbai 400076 India.
Adv Sci (Weinh). 2021 Mar 7;8(10):2003937. doi: 10.1002/advs.202003937. eCollection 2021 May.
Neurological disorders such as Alzheimer's disease, stroke, and brain cancers are difficult to treat with current drugs as their delivery efficacy to the brain is severely hampered by the presence of the blood-brain barrier (BBB). Drug delivery systems have been extensively explored in recent decades aiming to circumvent this barrier. In particular, polymeric nanoparticles have shown enormous potentials owing to their unique properties, such as high tunability, ease of synthesis, and control over drug release profile. However, careful analysis of their performance in effective drug transport across the BBB should be performed using clinically relevant testing models. In this review, polymeric nanoparticle systems for drug delivery to the central nervous system are discussed with an emphasis on the effects of particle size, shape, and surface modifications on BBB penetration. Moreover, the authors critically analyze the current in vitro and in vivo models used to evaluate BBB penetration efficacy, including the latest developments in the BBB-on-a-chip models. Finally, the challenges and future perspectives for the development of polymeric nanoparticles to combat neurological disorders are discussed.
神经紊乱疾病,如老年痴呆症、中风和脑部癌症,目前的药物治疗效果有限,因为血脑屏障(BBB)严重阻碍了药物进入大脑。近几十年来,人们广泛探索了药物输送系统,旨在绕过这一障碍。特别是,由于其独特的性质,如高度可调性、易于合成以及对药物释放特性的控制,聚合物纳米粒子显示出了巨大的潜力。然而,应该使用临床相关的测试模型来仔细分析它们在有效药物穿过 BBB 方面的性能。在本综述中,讨论了用于中枢神经系统药物输送的聚合物纳米粒子系统,重点讨论了粒径、形状和表面修饰对 BBB 穿透的影响。此外,作者还批判性地分析了目前用于评估 BBB 穿透效果的体外和体内模型,包括最新的 BBB-on-a-chip 模型的发展。最后,讨论了开发聚合物纳米粒子以对抗神经紊乱疾病所面临的挑战和未来展望。