Department of Anatomy, Faculty of Medicine, Universiti Teknologi MARA, 47000 Selangor, Malaysia.
Department of Anatomy, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia.
Curr Neuropharmacol. 2022;20(8):1498-1518. doi: 10.2174/1570159X20666211217163540.
Alzheimer's disease (AD) affects the elderly and is characterized by progressive neurodegeneration caused by different pathologies. The most significant challenges in treating AD include the inability of medications to reach the brain because of its poor solubility, low bioavailability, and the presence of the blood-brain barrier (BBB). Additionally, current evidence suggests the disruption of BBB plays an important role in the pathogenesis of AD. One of the critical challenges in treating AD is the ineffective treatments and their severe adverse effects. Nanotechnology offers an alternative approach to facilitate the treatment of AD by overcoming the challenges in drug transport across the BBB. Various nanoparticles (NP) loaded with natural products were reported to aid in drug delivery for the treatment of AD. The nano-sized entities of NP are great platforms for incorporating active materials from natural products into formulations that can be delivered effectively to the intended action site without compromising the material's bioactivity. The review highlights the applications of medicinal plants, their derived components, and various nanomedicinebased approaches for the treatment of AD. The combination of medicinal plants and nanotechnology may lead to new theragnostic solutions for the treatment of AD in the future.
阿尔茨海默病(AD)影响老年人,其特征是由不同病理引起的进行性神经退行性变。治疗 AD 的最大挑战包括药物因溶解度差、生物利用度低和血脑屏障(BBB)的存在而无法到达大脑。此外,现有证据表明,BBB 的破坏在 AD 的发病机制中起重要作用。治疗 AD 的一个关键挑战是治疗效果不佳和严重的不良反应。纳米技术提供了一种替代方法,可以通过克服药物穿过 BBB 运输的挑战来促进 AD 的治疗。据报道,负载天然产物的各种纳米颗粒(NP)有助于药物传递,以治疗 AD。NP 的纳米尺寸实体是将天然产物中的活性物质纳入配方的绝佳平台,可以有效地将其递送到预期的作用部位,而不会损害材料的生物活性。该综述强调了药用植物及其衍生成分的应用,以及各种基于纳米医学的方法在 AD 治疗中的应用。药用植物和纳米技术的结合可能会为未来 AD 的治疗带来新的治疗和诊断解决方案。