Chu Jianjian, Zhang Weicong, Liu Yan, Gong Baofeng, Ji Wenbo, Yin Tong, Gao Chao, Liangwen Danqi, Hao Mengqi, Chen Cuimin, Zhuang Jianhua, Gao Jie, Yin You
Department of Neurology, Second Affiliated Hospital (Shanghai Changzheng Hospital) of Naval Medical University, Shanghai, China.
School of Pharmacy, University College London, London, UK.
Neural Regen Res. 2024 Jan;19(1):100-115. doi: 10.4103/1673-5374.374137.
The current therapeutic drugs for Alzheimer's disease only improve symptoms, they do not delay disease progression. Therefore, there is an urgent need for new effective drugs. The underlying pathogenic factors of Alzheimer's disease are not clear, but neuroinflammation can link various hypotheses of Alzheimer's disease; hence, targeting neuroinflammation may be a new hope for Alzheimer's disease treatment. Inhibiting inflammation can restore neuronal function, promote neuroregeneration, reduce the pathological burden of Alzheimer's disease, and improve or even reverse symptoms of Alzheimer's disease. This review focuses on the relationship between inflammation and various pathological hypotheses of Alzheimer's disease; reports the mechanisms and characteristics of small-molecule drugs (e.g., nonsteroidal anti-inflammatory drugs, neurosteroids, and plant extracts); macromolecule drugs (e.g., peptides, proteins, and gene therapeutics); and nanocarriers (e.g., lipid-based nanoparticles, polymeric nanoparticles, nanoemulsions, and inorganic nanoparticles) in the treatment of Alzheimer's disease. The review also makes recommendations for the prospective development of anti-inflammatory strategies based on nanocarriers for the treatment of Alzheimer's disease.
目前用于治疗阿尔茨海默病的药物仅能改善症状,无法延缓疾病进展。因此,迫切需要新的有效药物。阿尔茨海默病的潜在致病因素尚不清楚,但神经炎症可将阿尔茨海默病的各种假说联系起来;因此,针对神经炎症可能是阿尔茨海默病治疗的新希望。抑制炎症可恢复神经元功能、促进神经再生、减轻阿尔茨海默病的病理负担,并改善甚至逆转阿尔茨海默病的症状。本综述重点关注炎症与阿尔茨海默病各种病理假说之间的关系;报告小分子药物(如非甾体抗炎药、神经甾体和植物提取物)、大分子药物(如肽、蛋白质和基因治疗药物)以及纳米载体(如脂质纳米颗粒、聚合物纳米颗粒、纳米乳剂和无机纳米颗粒)在治疗阿尔茨海默病方面的作用机制和特点。本综述还对基于纳米载体的抗炎策略治疗阿尔茨海默病的未来发展提出了建议。