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经鼻腔递纳米粒子靶向神经炎症治疗神经疾病:全面综述。

Targeting neuroinflammation by intranasal delivery of nanoparticles in neurological diseases: a comprehensive review.

机构信息

School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Department of Clinical Laboratory Sciences, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2022 Feb;395(2):133-148. doi: 10.1007/s00210-021-02196-x. Epub 2022 Jan 4.

Abstract

Neuroinflammation (NIF) plays an essential role in the pathology of neurological disorders like Parkinson's disease, Alzheimer's disease, multiple sclerosis, and epilepsy. Despite progress in the drug discovery and development of new drugs, drug delivery to the central nervous system (CNS) still represents the challenge due to the presence of the blood-brain barrier (BBB). Targeting NIF may require an adequate amount of drug to cross the BBB. Recently, the intranasal (IN) drug administration has attracted increasing attention as a reliable method to cross the BBB and treat neurological disorders. On the other hand, using optimized nanoparticles may improve the IN delivery limitations, increase the mucoadhesive properties, and prevent drug degradation. NPs can carry and deliver drugs to the CNS by bypassing the BBB. In this review, we described briefly the NIF as a pathologic feature of CNS diseases. The potential treatment possibilities with IN transfer of NP-loaded drugs will enhance the establishment of more efficient nanoformulations and delivery systems.

摘要

神经炎症(NIF)在帕金森病、阿尔茨海默病、多发性硬化症和癫痫等神经疾病的病理中起着至关重要的作用。尽管在药物发现和新药开发方面取得了进展,但由于血脑屏障(BBB)的存在,药物向中枢神经系统(CNS)的输送仍然是一个挑战。靶向 NIF 可能需要足够数量的药物穿过 BBB。最近,经鼻腔(IN)给药作为一种可靠的穿过 BBB 并治疗神经疾病的方法引起了越来越多的关注。另一方面,使用优化的纳米粒可以改善 IN 传递的局限性,增加粘膜黏附特性,并防止药物降解。纳米粒可以通过绕过 BBB 携带和向 CNS 输送药物。在这篇综述中,我们简要描述了 NIF 作为 CNS 疾病的病理特征。通过 IN 传递负载药物的 NP 的潜在治疗可能性将增强更有效纳米制剂和输送系统的建立。

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