Singla Madhav, Gupta Saurabh, Porwal Omji, Nasser Binjawhar Dalal, Sayed Amany A, Mittal Pooja, El-Demerdash Fatma M, Algahtani Mohammad, Singh Sachin Kumar, Dua Kamal, Gupta Gaurav, Bawa Puneet, Altyar Ahmed E, Abdel-Daim Mohamed M
Chitkara College of Pharmacy, Chitkara University, Rajpura, Punjab, India.
Chameli Devi Institute of Pharmacy, Department of Pharmacology, Indore, Madhya Pradesh.
Front Pharmacol. 2023 Jul 10;14:1218625. doi: 10.3389/fphar.2023.1218625. eCollection 2023.
To propose a theoretical formulation of engeletin-nanostructured lipid nanocarriers for improved delivery and increased bioavailability in treating Huntington's disease (HD). We conducted a literature review of the pathophysiology of HD and the limitations of currently available medications. We also reviewed the potential therapeutic benefits of engeletin, a flavanol glycoside, in treating HD through the Keap1/nrf2 pathway. We then proposed a theoretical formulation of engeletin-nanostructured lipid nanocarriers for improved delivery across the blood-brain barrier (BBB) and increased bioavailability. HD is an autosomal dominant neurological illness caused by a repetition of the cytosine-adenine-guanine trinucleotide, producing a mutant protein called Huntingtin, which degenerates the brain's motor and cognitive functions. Excitotoxicity, mitochondrial dysfunction, oxidative stress, elevated concentration of ROS and RNS, neuroinflammation, and protein aggregation significantly impact HD development. Current therapeutic medications can postpone HD symptoms but have long-term adverse effects when used regularly. Herbal medications such as engeletin have drawn attention due to their minimal side effects. Engeletin has been shown to reduce mitochondrial dysfunction and suppress inflammation through the Keap1/NRF2 pathway. However, its limited solubility and permeability hinder it from reaching the target site. A theoretical formulation of engeletin-nanostructured lipid nanocarriers may allow for free transit over the BBB due to offering a similar composition to the natural lipids present in the body a lipid solubility and increase bioavailability, potentially leading to a cure or prevention of HD. The theoretical formulation of engeletin-nanostructured lipid nanocarriers has the potential to improve delivery and increase the bioavailability of engeletin in the treatment of HD, which may lead to a cure or prevention of this fatal illness.
提出恩格letin纳米结构脂质纳米载体的理论配方,以改善亨廷顿舞蹈病(HD)治疗中的递送并提高生物利用度。我们对HD的病理生理学和现有药物的局限性进行了文献综述。我们还回顾了黄烷醇苷恩格letin通过Keap1/nrf2途径治疗HD的潜在治疗益处。然后,我们提出了恩格letin纳米结构脂质纳米载体的理论配方,以改善其穿过血脑屏障(BBB)的递送并提高生物利用度。HD是一种常染色体显性神经疾病,由胞嘧啶-腺嘌呤-鸟嘌呤三核苷酸重复引起,产生一种名为亨廷顿蛋白的突变蛋白,该蛋白会使大脑的运动和认知功能退化。兴奋毒性、线粒体功能障碍、氧化应激、活性氧(ROS)和活性氮(RNS)浓度升高、神经炎症和蛋白质聚集对HD的发展有显著影响。目前的治疗药物可以推迟HD症状,但长期定期使用会有不良反应。像恩格letin这样的草药因其副作用最小而受到关注。已证明恩格letin可通过Keap1/NRF2途径减少线粒体功能障碍并抑制炎症。然而,其有限的溶解度和渗透性阻碍它到达靶位点。恩格letin纳米结构脂质纳米载体的理论配方可能因其提供与体内天然脂质相似的组成、脂质溶解度并提高生物利用度,从而允许其自由穿过血脑屏障,有可能治愈或预防HD。恩格letin纳米结构脂质纳米载体的理论配方有潜力改善恩格letin在HD治疗中的递送并提高其生物利用度,这可能导致治愈或预防这种致命疾病。