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设计用于帕金森病的经鼻脑递药的纳米制剂:进展与障碍。

Designing nanoformulation for the nose-to-brain delivery in Parkinson's disease: Advancements and barrier.

机构信息

Department of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.

Centre for Research in Nanotechnology and Science, Indian Institute of Technology Bombay, Mumbai, India.

出版信息

Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2022 Jan;14(1):e1768. doi: 10.1002/wnan.1768. Epub 2021 Nov 25.

DOI:10.1002/wnan.1768
PMID:34825510
Abstract

Parkinson's disease (PD), a neurodegenerative disorder characterized by the degeneration of dopaminergic neurons, which results in the loss of motor activity. In the management of PD, the primary aim is to increase the dopamine content in the brain either by delivering the precursors of dopamine or by inhibiting the molecules responsible for dopamine degradation. Due to the low bioavailability, a higher dosage of drugs needs to be administered repeatedly for achieving the desired therapeutic effect. This repeated high dose not only increases the severe side effects but also produces tolerance in the body. Often, direct administration of drugs fails to ameliorate the symptoms as the unmodified drugs cannot cross the blood-brain barrier (BBB). Nanotherapeutic is at the forefront of the alternative treatment against the central nervous system (CNS) disorders due to the ability to circumvents the BBB. Here, all the available treatments for PD have been discussed with their limitation. The current trends of nanotherapeutics for PD have been explored. Suitability and formulation prospects for nasal delivery have been analyzed in detail to explore new research scope. The most effective approach is the nose-to-brain delivery for targeting drugs directly to the brain. This delivery bypasses the BBB and concentrates more drugs at the target site. Thus, developments of nose-to-brain delivery of nanoformulations explicit the new scope to manage PD better. This article is categorized under: Therapeutic Approaches and Drug Discovery > Emerging Technologies Nanotechnology Approaches to Biology > Nanoscale Systems in Biology.

摘要

帕金森病(PD)是一种神经退行性疾病,其特征是多巴胺能神经元退化,导致运动活动丧失。在 PD 的治疗中,主要目的是通过提供多巴胺的前体或抑制负责多巴胺降解的分子来增加大脑中的多巴胺含量。由于生物利用度低,需要重复给予更高剂量的药物以达到所需的治疗效果。这种重复的高剂量不仅会增加严重的副作用,还会导致身体产生耐受性。通常,由于未修饰的药物无法穿过血脑屏障(BBB),直接给药无法改善症状。由于能够绕过 BBB,纳米疗法处于治疗中枢神经系统(CNS)疾病的替代治疗的前沿。这里讨论了所有可用于 PD 的治疗方法及其局限性。探讨了 PD 纳米治疗的当前趋势。详细分析了鼻腔给药的适用性和制剂前景,以探索新的研究范围。最有效的方法是将药物直接靶向大脑的经鼻递药。这种传递绕过了 BBB,并在靶部位集中了更多的药物。因此,纳米制剂的经鼻递药的发展为更好地管理 PD 明确了新的研究范围。本文属于以下类别: 治疗方法和药物发现 > 新兴技术 纳米技术在生物学中的应用 > 生物学中的纳米尺度系统。

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