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聚焦纳米技术在亨廷顿病中的关键作用:对最新进展的洞察。

Focusing the pivotal role of nanotechnology in Huntington's disease: an insight into the recent advancements.

机构信息

Department of Pharmaceutics, MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be University), Mullana-Ambala, Haryana, 133207, India.

Chitkara College of Pharmacy, Chitkara University, Rajpura, Punjab, India.

出版信息

Environ Sci Pollut Res Int. 2022 Oct;29(49):73809-73827. doi: 10.1007/s11356-022-22830-2. Epub 2022 Sep 14.

Abstract

Neurodegeneration is the loss of neuronal capacity and structure over time which causes neurodegenerative disorders like Alzheimer, amyotrophic lateral sclerosis, Parkinson, and Huntington's disease (HD). This review is primarily concerned with HD, which was fully described by George Huntington in 1872. In developed countries, HD has become another common single-gene neurological disorder. Because of its autosomal dominant inheritance, the sickness affects both individuals and their families. Huntington disease has been recognized as a disorder that affects the complete body and brain in which the mutant huntingtin polyglutamine (polyQ) sequence is extensively increased and gets correlated to CAG trinucleotide which codes for glutamine (Q). These proteins have characteristics that produce apoptosis and dysfunction. HD is a lethal condition which needs an immediate diagnosis and treatment, and therefore, nanoparticle has come into sight out as opportunistic strategies for treatment of HD. Nanostructures have great potential to cross the blood brain barrier and also prevent breakdown of active molecule and reduces the drug toxicity. This review explains the distinguishing symptoms, genetics, and stages during the development of Huntington's disease, and also provides an overview of HD with an emphasis on its epidemiology, pathogenesis, and management. This review focuses on the latest studies on nanotechnology-related technologies, i.e., magnetic nanoparticle, solid lipid nanoparticle, and polymeric nanoparticle for Huntington's disease treatment. The pioneering patents and in-progress clinical trials related to Huntington's disease has also been summarized in this review.

摘要

神经退行性变是指神经元的能力和结构随着时间的推移而丧失,导致阿尔茨海默病、肌萎缩侧索硬化症、帕金森病和亨廷顿病(HD)等神经退行性疾病。本综述主要关注 HD,它是由乔治·亨廷顿于 1872 年首次全面描述的。在发达国家,HD 已成为另一种常见的单基因神经疾病。由于其常染色体显性遗传,这种疾病会影响个体及其家庭。亨廷顿病已被认为是一种影响全身和大脑的疾病,其中突变的亨廷顿蛋白多聚谷氨酰胺(polyQ)序列广泛增加,并与编码谷氨酰胺(Q)的 CAG 三核苷酸相关。这些蛋白质具有产生细胞凋亡和功能障碍的特征。HD 是一种致命疾病,需要立即诊断和治疗,因此,纳米颗粒已成为治疗 HD 的一种有前途的策略。纳米结构具有穿过血脑屏障的巨大潜力,还可以防止活性分子的降解并降低药物毒性。本综述解释了亨廷顿病的区别性症状、遗传学和发展阶段,并概述了 HD,重点介绍了其流行病学、发病机制和管理。本综述侧重于与纳米技术相关的技术的最新研究,即用于治疗亨廷顿病的磁性纳米颗粒、固体脂质纳米颗粒和聚合物纳米颗粒。本综述还总结了与亨廷顿病相关的开创性专利和正在进行的临床试验。

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