Department of Pharmaceutical Biotechnology, School of Pharmacy, Mashhad University of Medical Science, 7GJP+VPQ Mashhad, Iran.
Natural Products and Medicinal Plants Research Center, North Khorasan University of Medical Sciences, F82C+G8V Bojnurd, Iran.
Mol Pharm. 2022 Jul 4;19(7):1952-1976. doi: 10.1021/acs.molpharmaceut.1c00892. Epub 2022 May 2.
Multiple sclerosis (MS) is a neurodegenerative condition of the central nervous system (CNS) that presents with varying levels of disability in patients, displaying the significance of timely and effective management of this complication. Though several treatments have been developed to protect nerves, comprehensive improvement of MS is still considered an essential bottleneck. Therefore, the development of innovative treatment methods for MS is one of the core research areas. In this regard, nanoscale platforms can offer practical and ideal approaches to the diagnosis and treatment of various diseases, especially immunological disorders such as MS, to improve the effectiveness of conventional therapies. It should be noted that there is significant progress in the development of neuroprotective strategies through the implementation of various nanoparticles, monoclonal antibodies, peptides, and aptamers. In this study, we summarize different particle systems as well as targeted therapies, such as antibodies, peptides, nucleic acids, and engineered cells for the treatment of MS, and discuss their potential in the treatment of MS in the preclinical and clinical stages. Future advances in targeted delivery of medical supplies may offer new strategies for complete recovery as well as practical treatment of progressive forms of MS.
多发性硬化症(MS)是一种中枢神经系统(CNS)的神经退行性疾病,患者的残疾程度各不相同,因此需要及时有效地进行管理。尽管已经开发出几种保护神经的治疗方法,但全面改善 MS 仍然被认为是一个重要的瓶颈。因此,开发用于 MS 的创新治疗方法是核心研究领域之一。在这方面,纳米级平台可为各种疾病的诊断和治疗提供实用和理想的方法,特别是对 MS 等免疫性疾病,以提高传统疗法的有效性。值得注意的是,通过实施各种纳米粒子、单克隆抗体、肽和适体,在开发神经保护策略方面取得了重大进展。在这项研究中,我们总结了不同的颗粒系统以及针对抗体、肽、核酸和工程细胞的靶向治疗方法,用于治疗 MS,并讨论了它们在临床前和临床阶段治疗 MS 的潜力。未来,针对医疗用品的靶向输送的进展可能为完全康复以及针对进行性 MS 形式的实际治疗提供新的策略。