Sartaj Ali, Qamar Zufika, Md Shadab, Alhakamy Nabil A, Baboota Sanjula, Ali Javed
Department of Pharmaceutics, School of Pharmaceutical Education and Research, New Delhi, India.
Department of Pharmaceutics, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia.
Front Bioeng Biotechnol. 2022 Feb 3;10:788128. doi: 10.3389/fbioe.2022.788128. eCollection 2022.
The delivery of therapeutic molecules to the brain remains an unsolved problem to the researchers due to the existence of the blood-brain barrier (BBB), which halts the entry of unwanted substances to the brain. Central nervous system (CNS) disorders, mainly Parkinson's disease, Alzheimer's disease, schizophrenia, brain tumors, and stroke, are highly prevalent globally and are a growing concern for researchers due to restricting the delivery of pharmaceutical drugs to the brain. So effective treatment modalities are essential to combat the growing epidemic of CNS diseases. Recently, the growing attention in the field of nanotechnology has gained the faith of researchers for the delivery of therapeutics to the brain by targeting them to the specific target site. Polymeric nanoparticles (PNPs) emerge out to be an instrumental approach in drug targeting to the brain by overcoming the physiological barrier, biomedical barrier, and BBB. Preclinical discovery has shown the tremendous potential and versatility of PNPs in encapsulating several drugs and their targeting to the deepest regions of the brain, thus improving therapeutic intervention of CNS disorders. The current review will summarize advances in the development of PNPs for targeting therapeutics to the brain and the functional and molecular effects obtained in the preclinical model of most common CNS diseases. The advancement of PNPs in clinical practice and their prospect in brain targeting will also be discussed briefly.
由于血脑屏障(BBB)的存在,治疗性分子向大脑的递送仍然是研究人员尚未解决的问题,血脑屏障会阻止有害物质进入大脑。中枢神经系统(CNS)疾病,主要是帕金森病、阿尔茨海默病、精神分裂症、脑肿瘤和中风,在全球范围内高度流行,并且由于限制药物向大脑的递送而日益受到研究人员的关注。因此,有效的治疗方式对于对抗日益流行的中枢神经系统疾病至关重要。最近,纳米技术领域越来越受到关注,这使研究人员相信可以通过将治疗药物靶向特定靶点来递送至大脑。聚合物纳米颗粒(PNPs)通过克服生理屏障、生物医学屏障和血脑屏障,成为药物靶向大脑的一种有效方法。临床前研究发现表明,PNPs在封装多种药物并将其靶向大脑最深处区域方面具有巨大潜力和多功能性,从而改善中枢神经系统疾病的治疗干预。本综述将总结用于将治疗药物靶向大脑的PNPs的开发进展,以及在最常见中枢神经系统疾病的临床前模型中获得的功能和分子效应。还将简要讨论PNPs在临床实践中的进展及其在脑靶向方面的前景。