Alajangi Hema Kumari, Kaur Mandeep, Sharma Akanksha, Rana Sumedh, Thakur Shipali, Chatterjee Mary, Singla Neha, Jaiswal Pradeep Kumar, Singh Gurpal, Barnwal Ravi Pratap
Department of Biophysics, Panjab University, Chandigarh, 160014, India.
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, 160014, India.
Mol Brain. 2022 Jun 1;15(1):49. doi: 10.1186/s13041-022-00937-4.
The integrity of the blood-brain barrier (BBB) is essential for normal central nervous system (CNS) functioning. Considering the significance of BBB in maintaining homeostasis and the neural environment, we aim to provide an overview of significant aspects of BBB. Worldwide, the treatment of neurological diseases caused by BBB disruption has been a major challenge. BBB also restricts entry of neuro-therapeutic drugs and hinders treatment modalities. Hence, currently nanotechnology-based approaches are being explored on large scale as alternatives to conventional methodologies. It is necessary to investigate the in-depth characteristic features of BBB to facilitate the discovery of novel drugs that can successfully cross the barrier and target the disease effectively. It is imperative to discover novel strategies to treat life-threatening CNS diseases in humans. Therefore, insights regarding building blocks of BBB, activation of immune response on breach of this barrier, and various autoimmune neurological disorders caused due to BBB dysfunction are discussed. Further, special emphasis is given on delineating BBB disruption leading to CNS disorders. Moreover, various mechanisms of transport pathways across BBB, several novel strategies, and alternative routes by which drugs can be properly delivered into CNS are also discussed.
血脑屏障(BBB)的完整性对于中枢神经系统(CNS)的正常功能至关重要。鉴于血脑屏障在维持体内平衡和神经环境方面的重要性,我们旨在概述血脑屏障的重要方面。在全球范围内,治疗由血脑屏障破坏引起的神经疾病一直是一项重大挑战。血脑屏障还限制了神经治疗药物的进入并阻碍了治疗方式。因此,目前正在大规模探索基于纳米技术的方法作为传统方法的替代方案。有必要深入研究血脑屏障的特征,以促进发现能够成功穿过该屏障并有效靶向疾病的新型药物。发现治疗人类危及生命的中枢神经系统疾病的新策略势在必行。因此,本文讨论了有关血脑屏障的组成部分、该屏障被破坏时免疫反应的激活以及由血脑屏障功能障碍引起的各种自身免疫性神经疾病的见解。此外,特别强调了导致中枢神经系统疾病的血脑屏障破坏。此外,还讨论了跨血脑屏障的转运途径的各种机制、几种新策略以及药物能够正确输送到中枢神经系统的替代途径。