Teleanu Raluca Ioana, Preda Manuela Daniela, Niculescu Adelina-Gabriela, Vladâcenco Oana, Radu Crina Ioana, Grumezescu Alexandru Mihai, Teleanu Daniel Mihai
Department of Pediatric Neurology, "Dr. Victor Gomoiu" Children's Hospital, 022102 Bucharest, Romania.
"Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Pharmaceutics. 2022 May 4;14(5):987. doi: 10.3390/pharmaceutics14050987.
The blood-brain barrier (BBB) has shown to be a significant obstacle to brain medication delivery. The BBB in a healthy brain is a diffusion barrier that prevents most substances from passing from the blood to the brain; only tiny molecules can pass across the BBB. The BBB is disturbed in specific pathological illnesses such as stroke, diabetes, seizures, multiple sclerosis, Parkinson's disease, and Alzheimer's disease. The goal of this study is to offer a general overview of current brain medication delivery techniques and associated topics from the last five years. It is anticipated that this review will stimulate readers to look into new ways to deliver medications to the brain. Following an introduction of the construction and function of the BBB in both healthy and pathological conditions, this review revisits certain contested questions, such as whether nanoparticles may cross the BBB on their own and if medications are selectively delivered to the brain by deliberately targeted nanoparticles. Current non-nanoparticle options are also discussed, including drug delivery via the permeable BBB under pathological circumstances and the use of non-invasive approaches to improve brain medication absorption.
血脑屏障(BBB)已被证明是脑药物递送的一个重大障碍。健康大脑中的血脑屏障是一种扩散屏障,可阻止大多数物质从血液进入大脑;只有小分子能够穿过血脑屏障。在中风、糖尿病、癫痫、多发性硬化症、帕金森病和阿尔茨海默病等特定病理疾病中,血脑屏障会受到干扰。本研究的目的是对过去五年中当前的脑药物递送技术及相关主题进行全面概述。预计这篇综述将激发读者探索向大脑递送药物的新方法。在介绍了健康和病理状态下血脑屏障的结构与功能之后,本综述重新审视了一些有争议的问题,例如纳米颗粒是否能自行穿过血脑屏障,以及药物是否通过特意靶向的纳米颗粒被选择性地递送至大脑。还讨论了当前的非纳米颗粒选项,包括在病理情况下通过可渗透的血脑屏障进行药物递送以及使用非侵入性方法来改善脑药物吸收。