静脉内给药纳米颗粒在中风和与年龄相关的神经退行性疾病中的治疗益处。
The Therapeutic Benefits of Intravenously Administrated Nanoparticles in Stroke and Age-related Neurodegenerative Diseases.
机构信息
Neurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.
Food and Drug Safety Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Curr Pharm Des. 2022;28(24):1985-2000. doi: 10.2174/1381612828666220608093639.
The mean global lifetime risk of neurological disorders such as stroke, Alzheimer's disease (AD), and Parkinson's disease (PD) has shown a large effect on economy and society. Researchers are still struggling to find effective drugs to treat neurological disorders and drug delivery through the blood-brain barrier (BBB) is a major challenge to be overcome. The BBB is a specialized multicellular barrier between peripheral blood circulation and neural tissue. Unique and selective features of the BBB allow it to tightly control brain homeostasis as well as the movement of ions and molecules. Failure in maintaining any of these substances causes BBB breakdown and subsequently enhances neuroinflammation and neurodegeneration. BBB disruption is evident in many neurological conditions. Nevertheless, the majority of currently available therapies have tremendous problems with drug delivery into the impaired brain. Nanoparticle (NP)-mediated drug delivery has been considered a profound substitute to solve this problem. NPs are colloidal systems with a size range of 1-1000 nm which can encapsulate therapeutic payloads, improve drug passage across the BBB, and target specific brain areas in neurodegenerative/ischemic diseases. A wide variety of NPs has been displayed for the efficient brain delivery of therapeutics via intravenous administration, especially when their surfaces are coated with targeting moieties. Here, we discuss recent advances in the development of NP-based therapeutics for the treatment of stroke, PD, and AD, as well as the factors affecting their efficacy after systemic administration.
神经障碍(如中风、阿尔茨海默病和帕金森病)的全球终生发病风险均值对经济和社会产生了重大影响。研究人员仍在努力寻找有效治疗神经障碍的药物,而通过血脑屏障(BBB)进行药物输送是一个亟待克服的挑战。BBB 是外周血液循环与神经组织之间的一种特殊的多细胞屏障。BBB 具有独特且选择性的特征,使其能够严格控制大脑内环境平衡以及离子和分子的运动。任何这些物质的维持失败都会导致 BBB 破裂,进而增强神经炎症和神经退行性变。许多神经疾病都存在 BBB 破坏的现象。然而,目前大多数可用的治疗方法在将药物递送到受损大脑方面存在很大问题。纳米颗粒(NP)介导的药物输送被认为是解决这一问题的有效替代方法。NP 是胶体系统,粒径范围为 1-1000nm,可以包裹治疗有效载荷,改善药物穿过 BBB 的能力,并在神经退行性/缺血性疾病中靶向特定的大脑区域。已经有多种 NP 被展示出可通过静脉内给药来有效递送到大脑中的治疗药物,尤其是当它们的表面涂覆有靶向配体时。在这里,我们讨论了用于治疗中风、帕金森病和阿尔茨海默病的基于 NP 的治疗方法的最新进展,以及影响其在全身给药后疗效的因素。