Satapathy Mantosh Kumar, Yen Ting-Lin, Jan Jing-Shiun, Tang Ruei-Dun, Wang Jia-Yi, Taliyan Rajeev, Yang Chih-Hao
Department of Pharmacology, School of Medicine, College of Medicine, Taipei Medical University, No. 250, Wu Hsing St., Taipei 110, Taiwan.
Department of Medical Research, Cathay General Hospital, Taipei 22174, Taiwan.
Pharmaceutics. 2021 Jul 31;13(8):1183. doi: 10.3390/pharmaceutics13081183.
The blood-brain barrier (BBB) plays a vital role in the protection and maintenance of homeostasis in the brain. In this way, it is an interesting target as an interface for various types of drug delivery, specifically in the context of the treatment of several neuropathological conditions where the therapeutic agents cannot cross the BBB. Drug toxicity and on-target specificity are among some of the limitations associated with current neurotherapeutics. In recent years, advances in nanodrug delivery have enabled the carrier system containing the active therapeutic drug to target the signaling pathways and pathophysiology that are closely linked to central nervous system (CNS) disorders such as Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), multiple sclerosis (MS), brain tumor, epilepsy, ischemic stroke, and neurodegeneration. At present, among the nano formulations, solid lipid nanoparticles (SLNs) have emerged as a putative drug carrier system that can deliver the active therapeutics (drug-loaded SLNs) across the BBB at the target site of the brain, offering a novel approach with controlled drug delivery, longer circulation time, target specificity, and higher efficacy, and more importantly, reducing toxicity in a biomimetic way. This paper highlights the synthesis and application of SLNs as a novel nontoxic formulation strategy to carry CNS drugs across the BBB to improve the use of therapeutics agents in treating major neurological disorders in future clinics.
血脑屏障(BBB)在保护和维持大脑内环境稳定方面发挥着至关重要的作用。因此,作为各类药物递送的界面,它是一个有趣的靶点,特别是在治疗几种神经病理学疾病的背景下,这些疾病的治疗药物无法穿过血脑屏障。药物毒性和靶向特异性是当前神经治疗学所面临的一些局限性。近年来,纳米药物递送技术的进步使得含有活性治疗药物的载体系统能够靶向与中枢神经系统(CNS)疾病紧密相关的信号通路和病理生理学过程,这些疾病包括阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿舞蹈病(HD)、多发性硬化症(MS)、脑肿瘤、癫痫、缺血性中风和神经退行性变。目前,在纳米制剂中,固体脂质纳米粒(SLNs)已成为一种公认的药物载体系统,它能够在脑内靶点部位将活性治疗药物(载药SLNs)递送至血脑屏障,提供了一种具有药物控释、循环时间延长、靶向特异性和更高疗效的新方法,更重要的是,以仿生方式降低毒性。本文重点介绍了SLNs作为一种新型无毒制剂策略的合成及应用,以携带中枢神经系统药物穿过血脑屏障,从而在未来临床中改善治疗药物在治疗主要神经系统疾病中的应用。