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脂质和聚合物纳米颗粒:用于治疗抑郁症和焦虑症的鼻-脑给药成功策略。

Lipid and Polymeric Nanoparticles: Successful Strategies for Nose-to-Brain Drug Delivery in the Treatment of Depression and Anxiety Disorders.

作者信息

Alberto Margarida, Paiva-Santos Ana Cláudia, Veiga Francisco, Pires Patrícia C

机构信息

Faculty of Pharmacy, University of Coimbra (FFUC), Azinhaga de Santa Comba, 3000-548 Coimbra, Portugal.

Rede de Química e Tecnologia/Laboratório Associado para a Química Verde (REQUIMTE/LAQV), Group of Pharmaceutical Technology, Faculty of Pharmacy, University of Coimbra, 3000-548 Coimbra, Portugal.

出版信息

Pharmaceutics. 2022 Dec 8;14(12):2742. doi: 10.3390/pharmaceutics14122742.

Abstract

Intranasal administration has gained an increasing interest for brain drug delivery since it allows direct transport through neuronal pathways, which can be quite advantageous for central nervous system disorders, such as depression and anxiety. Nanoparticles have been studied as possible alternatives to conventional formulations, with the objective of improving drug bioavailability. The present work aimed to analyze the potential of intranasal nanoparticle administration for the treatment of depression and anxiety, using the analysis of several studies already performed. From the carried-out analysis, it was concluded that the use of nanoparticles allows the drug's protection from enzymatic degradation, and the modulation of its components allows controlled drug release and enhanced drug permeation. Furthermore, the results of in vivo studies further verified these systems' potential, with the drug reaching the brain faster and leading to increased bioavailability and, consequently, therapeutic effect. Hence, in general, the intranasal administration of nanoparticles leads to a faster onset of action, with increased and prolonged brain drug concentrations and, consequently, therapeutic effects, presenting high potential as an alternative to the currently available therapies for the treatment of depression and anxiety.

摘要

鼻内给药在脑内药物递送方面越来越受到关注,因为它允许药物通过神经通路直接转运,这对于中枢神经系统疾病(如抑郁症和焦虑症)可能非常有利。纳米颗粒已被研究作为传统制剂的可能替代品,目的是提高药物的生物利用度。本研究旨在通过对已开展的多项研究进行分析,探讨鼻内给予纳米颗粒治疗抑郁症和焦虑症的潜力。通过所进行的分析得出结论,使用纳米颗粒可使药物免受酶降解的影响,并且对其成分的调节可实现药物的控释和增强药物渗透。此外,体内研究结果进一步证实了这些系统的潜力,药物能更快到达脑部,导致生物利用度提高,进而产生治疗效果。因此,总体而言,鼻内给予纳米颗粒可使作用起效更快,脑内药物浓度增加且持续时间延长,从而产生治疗效果,作为治疗抑郁症和焦虑症的现有疗法的替代方案具有很大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e9/9783528/21a9f7838623/pharmaceutics-14-02742-g001.jpg

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