Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research-Raebareli, Bijnor-Sisendi Road, Sarojini Nagar, Near CRPF Base Camp, Lucknow, UP, 226002, India.
AAPS PharmSciTech. 2023 Sep 2;24(7):179. doi: 10.1208/s12249-023-02625-5.
Numerous neurodegenerative conditions, such as Alzheimer's, Huntington's, Parkinson's, amyotrophic lateral sclerosis, and glioblastoma multiform are now becoming significant concerns of global health. Formulation-related issues, physiological and anatomical barriers, post-administration obstacles, physical challenges, regulatory limitations, environmental hurdles, and health and safety issues have all hindered successful delivery and effective outcomes despite a variety of treatment options. In the current review, we covered the intranasal route, an alternative strategic route targeting brain for improved delivery across the BBB. The trans-nasal pathway is non-invasive, directing therapeutics directly towards brain, circumventing the barrier and reducing peripheral exposure. The delivery of nanosized vesicles loaded with drugs was also covered in the review. Nanovesicle systems are organised in concentric bilayered lipid membranes separated with aqueous layers. These carriers surmount the disadvantages posed by intranasal delivery of rapid mucociliary clearance and enzymatic degradation, and enhance retention of drug to reach the site of target. In conclusion, the review covers in-depth conclusions on numerous aspects of formulation of drug-loaded vesicular system delivery across BBB, current marketed nasal devices, significant jeopardies, potential therapeutic aids, and current advancements followed by future perspectives.
许多神经退行性疾病,如阿尔茨海默病、亨廷顿病、帕金森病、肌萎缩侧索硬化症和多形性胶质母细胞瘤,现在正成为全球健康的重要关注点。尽管有多种治疗选择,但与制剂相关的问题、生理和解剖屏障、给药后障碍、物理挑战、监管限制、环境障碍以及健康和安全问题都阻碍了成功的传递和有效的结果。在本次综述中,我们涵盖了经鼻腔给药途径,这是一种靶向大脑的替代策略,可改善血脑屏障的传递。经鼻腔途径是非侵入性的,将治疗药物直接导向大脑,绕过屏障并减少外周暴露。我们还在综述中介绍了载药纳米囊泡的传递。纳米囊泡系统由同心双层脂质膜组成,中间有水性层隔开。这些载体克服了经鼻腔给药时快速黏液清除和酶降解带来的劣势,并增强了药物的保留,使其到达靶部位。总之,本综述深入总结了载药囊泡系统经血脑屏障传递的制剂、当前上市的鼻腔装置、重大危害、潜在治疗辅助手段以及后续的最新进展和未来展望等方面的内容。