Department of Pharmaceutics, NGSM Institute of Pharmaceutical Sciences, NITTE (Deemed-to-be University), Mangalore, 575018, India.
Curr Neuropharmacol. 2024;22(6):1110-1128. doi: 10.2174/1570159X20666221012142247.
Neurodegenerative disease (ND) is the fourth leading cause of death worldwide, with limited symptomatic therapies. Mitochondrial dysfunction is a major risk factor in the progression of ND, and it-increases the generation of reactive oxygen species (ROS). Overexposure to these ROS induces apoptotic changes leading to neuronal cell death. Many studies have shown the prominent effect of phytobioactive compounds in managing mitochondrial dysfunctions associated with ND, mainly due to their antioxidant properties. The drug delivery to the brain is limited due to the presence of the blood-brain barrier (BBB), but effective drug concentration needs to reach the brain for the therapeutic action. Therefore, developing safe and effective strategies to enhance drug entry in the brain is required to establish ND's treatment. The microneedle-based drug delivery system is one of the effective non-invasive techniques for drug delivery through the transdermal route. Microneedles are micronsized drug delivery needles that are self-administrable. It can penetrate through the stratum corneum skin layer without hitting pain receptors, allowing the phytobioactive compounds to be released directly into systemic circulation in a controlled manner. With all of the principles mentioned above, this review discusses microneedles as a versatile drug delivery carrier for the phytoactive compounds as a therapeutic potentiating agent for targeting mitochondrial dysfunction for the management of ND.
神经退行性疾病(ND)是全球第四大致死原因,目前仅有有限的对症治疗方法。线粒体功能障碍是 ND 进展的一个主要危险因素,它会增加活性氧(ROS)的产生。ROS 过度暴露会导致细胞凋亡变化,从而导致神经元细胞死亡。许多研究表明,植物生物活性化合物在管理与 ND 相关的线粒体功能障碍方面具有显著作用,主要归因于其抗氧化特性。由于血脑屏障(BBB)的存在,药物向大脑的输送受到限制,但为了发挥治疗作用,需要有效药物浓度到达大脑。因此,需要开发安全有效的策略来增强药物进入大脑的能力,以建立 ND 的治疗方法。基于微针的药物输送系统是通过经皮途径进行药物输送的有效非侵入性技术之一。微针是微米大小的药物输送针,可以自我管理。它可以穿透角质层皮肤层而不会触及痛觉感受器,使植物生物活性化合物以受控的方式直接释放到全身循环中。基于上述所有原理,本综述讨论了微针作为一种多功能药物输送载体,用于将植物活性化合物作为治疗佐剂,靶向线粒体功能障碍,以管理 ND。