Department of Immunology and Nanomedicine, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida 33199, United States.
Institute of Neuroimmune Pharmacology, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida 33199, United States.
ACS Appl Bio Mater. 2023 Jul 17;6(7):2614-2621. doi: 10.1021/acsabm.3c00254. Epub 2023 Jun 27.
Neurological disorders remain a significant health and economic burden worldwide. Addressing the challenges imposed by existing drugs, associated side- effects, and immune responses in neurodegenerative diseases is essential for developing better therapies. The immune activation in a diseased state has complex treatment protocols and results in hurdles for clinical translation. There is an immense need for the development of multifunctional nanotherapeutics with various properties to address the different limitations and immune interactions exhibited by the existing therapeutics. Nanotechnology has proven its potential to improve therapeutic delivery and enhance efficacy. Promising advancements have been made in developing nanotherapies that can be combined with CRISPR/Cas9 or siRNA for a targeted approach with unique potential for clinical translation. Engineering natural exosomes derived from mesenchymal stem cells (MSCs), dendritic cells (DCs), or macrophages to both deliver therapeutics and modulate the immune responses to tumors or in neurodegenerative disease (ND) can allow for targeted personalized therapeutic approaches. In the present review, we summarize and overview the recent advances in nanotherapeutics in addressing the existing treatment limitations and neuroimmune interactions for developing ND therapies and provide insights into the upcoming advancements in nanotechnology-based nanocarriers.
神经系统疾病仍然是全球范围内重大的健康和经济负担。解决现有药物、相关副作用以及神经退行性疾病中免疫反应带来的挑战,对于开发更好的治疗方法至关重要。疾病状态下的免疫激活具有复杂的治疗方案,给临床转化带来了障碍。因此,迫切需要开发具有多种功能的纳米治疗药物,以解决现有治疗方法所表现出的不同局限性和免疫相互作用。纳米技术已被证明具有改善治疗药物传递和提高疗效的潜力。在开发纳米治疗药物方面已经取得了有希望的进展,这些药物可以与 CRISPR/Cas9 或 siRNA 结合,实现靶向治疗,具有独特的临床转化潜力。工程化源自间充质干细胞 (MSCs)、树突状细胞 (DCs) 或巨噬细胞的天然外泌体,既能递送治疗药物,又能调节肿瘤或神经退行性疾病 (ND) 中的免疫反应,可实现针对特定个体的治疗方法。在本综述中,我们总结和概述了纳米治疗药物在解决现有治疗局限性和神经免疫相互作用方面的最新进展,以开发 ND 治疗方法,并为基于纳米技术的纳米载体的未来进展提供了见解。