Sommonte Federica, Arduino Ilaria, Racaniello Giuseppe Francesco, Lopalco Antonio, Lopedota Angela Assunta, Denora Nunzio
Department of Pharmacy - Pharmaceutical Sciences, University of Bari "Aldo Moro", 4 Orabona St., 70125, Bari, Italy.
Department of Pharmacy - Pharmaceutical Sciences, University of Bari "Aldo Moro", 4 Orabona St., 70125, Bari, Italy.
J Pharm Sci. 2022 Mar;111(3):577-592. doi: 10.1016/j.xphs.2021.08.029. Epub 2021 Aug 29.
Diseases that affect the Central Nervous System (CNS) are one of the most exciting challenges of recent years, as they are ubiquitous and affect all ages. Although these disorders show different etiologies, all treatments share the same difficulty represented by the Blood-Brain Barrier (BBB). This barrier acts as a protective system of the delicate cerebral microenvironment, isolating it and making extremely arduous delivering drugs to the brain. To overtake the obstacles provided by the BBB it is essential to explore the changes that affect it, to understand how to exploit these findings in the study and design of innovative brain targeted formulations. Interestingly, the concept of age-related targeting could prove to be a winning choice, as it allows to consider the type of treatment according to the different needs and peculiarities depending on the disease and the age of onset. In this review was considered the prospective contribution of lipid-based formulations, namely Solid Lipid Nanoparticles (SLNs) and Nanostructured Lipid Carriers (NLCs), which have been highlighted as able to overcome some limitations of other innovative approaches, thus representing a promising strategy for the non-invasive specific treatment of CNS-related diseases.
影响中枢神经系统(CNS)的疾病是近年来最具挑战性且令人关注的领域之一,因为这些疾病普遍存在且影响各个年龄段。尽管这些疾病病因各异,但所有治疗方法都面临着血脑屏障(BBB)带来的相同难题。血脑屏障作为脆弱的脑微环境的保护系统,将其隔离起来,使得药物进入大脑极为困难。为克服血脑屏障带来的障碍,探索影响它的变化,了解如何在创新脑靶向制剂的研究和设计中利用这些发现至关重要。有趣的是,与年龄相关的靶向概念可能是一个成功的选择,因为它允许根据疾病和发病年龄的不同需求及特点来考虑治疗类型。在这篇综述中,考虑了基于脂质的制剂,即固体脂质纳米粒(SLNs)和纳米结构脂质载体(NLCs)的潜在贡献,它们已被强调能够克服其他创新方法的一些局限性,从而代表了一种用于中枢神经系统相关疾病非侵入性特异性治疗的有前景的策略。