Duan Linyan, Li Xingfan, Ji Rong, Hao Zhizhong, Kong Mingyue, Wen Xuejun, Guan Fangxia, Ma Shanshan
School of Life Sciences, Zhengzhou University, Zhengzhou 450001, China.
NHC Key Laboratory of Birth Defects Prevention, Henan Key Laboratory of Population Defects Prevention, Zhengzhou 450002, China.
Polymers (Basel). 2023 May 5;15(9):2196. doi: 10.3390/polym15092196.
Neurodegenerative diseases are common, incurable neurological disorders with high prevalence, and lead to memory, movement, language, and intelligence impairments, threatening the lives and health of patients worldwide. The blood-brain barrier (BBB), a physiological barrier between the central nervous system and peripheral blood circulation, plays an important role in maintaining the homeostasis of the intracerebral environment by strictly regulating the transport of substances between the blood and brain. Therefore, it is difficult for therapeutic drugs to penetrate the BBB and reach the brain, and this affects their efficacy. Nanoparticles (NPs) can be used as drug transport carriers and are also known as nanoparticle-based drug delivery systems (NDDSs). These systems not only increase the stability of drugs but also facilitate the crossing of drugs through the BBB and improve their efficacy. In this article, we provided an overview of the types and administration routes of NPs, highlighted the preclinical and clinical studies of NDDSs in neurodegenerative diseases, and summarized the combined therapeutic strategies in the management of neurodegenerative diseases. Finally, the prospects and challenges of NDDSs in recent basic and clinical research were also discussed. Above all, NDDSs provide an inspiring therapeutic strategy for the treatment of neurodegenerative diseases.
神经退行性疾病是常见的、无法治愈的神经系统疾病,患病率很高,会导致记忆、运动、语言和智力障碍,威胁着全球患者的生命和健康。血脑屏障(BBB)是中枢神经系统与外周血液循环之间的生理屏障,通过严格调节血液与大脑之间的物质运输,在维持脑内环境的稳态中发挥重要作用。因此,治疗药物很难穿透血脑屏障到达大脑,这影响了它们的疗效。纳米颗粒(NPs)可用作药物运输载体,也被称为基于纳米颗粒的药物递送系统(NDDSs)。这些系统不仅提高了药物的稳定性,还促进了药物穿过血脑屏障,并提高了它们的疗效。在本文中,我们概述了纳米颗粒的类型和给药途径,强调了基于纳米颗粒的药物递送系统在神经退行性疾病中的临床前和临床研究,并总结了神经退行性疾病管理中的联合治疗策略。最后,还讨论了基于纳米颗粒的药物递送系统在近期基础和临床研究中的前景和挑战。最重要的是,基于纳米颗粒的药物递送系统为神经退行性疾病的治疗提供了一种鼓舞人心的治疗策略。