Mazahir Farhan, Yadav Awesh K
Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research, Raebareli, India.
CNS Neurol Disord Drug Targets. 2023;22(4):477-499. doi: 10.2174/1871527321666220420133059.
Alzheimer's disease (AD) is characterized by the presence of aggregated amyloid fibers, neurodegeneration, and loss of memory. Although "Food and Drug Administration" (FDA) approved drugs are available to treat AD, drugs that target AD have limited access to the brain and cause peripheral side effects. These peripheral side effects are the results of exposure of peripheral organs to the drugs. The blood-brain barrier (BBB) is a very sophisticated biological barrier that allows the selective permeation of various molecules or substances. This selective permeation by the BBB is beneficial and protects the brain from unwanted and harmful substances. However, this kind of selective permeation hinders the access of therapeutic molecules to the brain. Thus, a peculiar drug delivery system (nanocarriers) is required.
Due to selective permeation of the "blood-brain barrier," nanoparticulate carriers may provide special services to deliver the drug molecules across the BBB. This review article is an attempt to present the role of different nanocarriers in the diagnosis and treatment of Alzheimer's disease.
Peer-reviewed and appropriate published articles were collected for the relevant information.
Nanoparticles not only traverse the blood-brain barrier but may also play roles in the detection of amyloid β, diagnosis, and drug delivery.
Based on published literature, it could be concluded that nano-particulate carriers may traverse the blood-brain barrier via the transcellular pathway, receptor-mediated endocytosis, transcytosis, and may enhance the bioavailability of drugs to the brain. Hence, peripheral side effects could be avoided.
阿尔茨海默病(AD)的特征是存在聚集的淀粉样纤维、神经退行性变和记忆丧失。尽管美国食品药品监督管理局(FDA)已批准用于治疗AD的药物,但针对AD的药物进入大脑的途径有限,并会引起外周副作用。这些外周副作用是外周器官接触药物的结果。血脑屏障(BBB)是一种非常复杂的生物屏障,它允许各种分子或物质选择性渗透。血脑屏障的这种选择性渗透是有益的,可保护大脑免受有害物质的侵害。然而,这种选择性渗透阻碍了治疗分子进入大脑。因此,需要一种特殊的药物递送系统(纳米载体)。
由于血脑屏障的选择性渗透,纳米颗粒载体可能为药物分子穿越血脑屏障提供特殊服务。这篇综述文章旨在介绍不同纳米载体在阿尔茨海默病诊断和治疗中的作用。
收集经同行评审且发表的相关文章以获取相关信息。
纳米颗粒不仅可以穿越血脑屏障,还可能在淀粉样β蛋白的检测、诊断和药物递送中发挥作用。
基于已发表的文献,可以得出结论,纳米颗粒载体可能通过跨细胞途径、受体介导的内吞作用、转胞吞作用穿越血脑屏障,并可能提高药物对大脑的生物利用度。因此,可以避免外周副作用。