Department of Pharmacology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, China.
Hubei Key Laboratory of Drug Target Research and Pharmacodynamic Evaluation, Huazhong University of Science and Technology, 430030, Wuhan, China.
Adv Sci (Weinh). 2023 May;10(14):e2207436. doi: 10.1002/advs.202207436. Epub 2023 Mar 16.
Temporal-spatial precision has attracted increasing attention for the clinical intervention of neurological disorders (NDs) to mitigate adverse effects of traditional treatments and achieve point-of-care medicine. Inspiring steps forward in this field have been witnessed in recent years, giving the credit to multi-discipline efforts from neurobiology, bioengineering, chemical materials, artificial intelligence, and so on, exhibiting valuable clinical translation potential. In this review, the latest progress in advanced temporally-spatially precise clinical intervention is highlighted, including localized parenchyma drug delivery, precise neuromodulation, as well as biological signal detection to trigger closed-loop control. Their clinical potential in both central and peripheral nervous systems is illustrated meticulously related to typical diseases. The challenges relative to biosafety and scaled production as well as their future perspectives are also discussed in detail. Notably, these intelligent temporally-spatially precision intervention systems could lead the frontier in the near future, demonstrating significant clinical value to support billions of patients plagued with NDs.
时空精度在神经疾病(NDs)的临床干预中受到越来越多的关注,以减轻传统治疗的不良反应,实现即时医疗。近年来,该领域取得了鼓舞人心的进展,这要归功于神经生物学、生物工程、化学材料、人工智能等多学科的努力,展示了有价值的临床转化潜力。在这篇综述中,突出强调了先进的时空精确临床干预的最新进展,包括局部实质内药物输送、精确的神经调节以及生物信号检测以触发闭环控制。详细阐述了它们在中枢和周围神经系统中的典型疾病中的临床应用潜力。还详细讨论了与生物安全性和规模化生产相关的挑战及其未来展望。值得注意的是,这些智能时空精确干预系统可能引领未来的前沿,为数以亿计的神经疾病患者提供显著的临床价值。