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经鼻腔脑递药治疗中枢神经系统疾病:新进展与策略。

Nose-to-brain drug delivery for the treatment of CNS disease: New development and strategies.

机构信息

Biotherapeutic Research Center, Beijing Tsinghua Changgung Hospital, Beijing, P.R. China.

Department of Neurosurgery, Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine, Beijing, P.R. China.

出版信息

Int Rev Neurobiol. 2023;171:255-297. doi: 10.1016/bs.irn.2023.05.014. Epub 2023 Jun 21.

Abstract

Delivering drugs to the brain has always been a challenging task due to the restrictive properties of the blood-brain barrier (BBB). Intranasal delivery is therefore emerging as an efficient method of administration, making it easy to self-administration and thus provides a non-invasive and painless alternative to oral and parenteral administration for delivering therapeutics to the central nervous system (CNS). Recently, drug formulations have been developed to further enhance this nose-to-brain transport, primarily using nanoparticles (NPs). Therefore, the purposes of this review are to highlight and describe the anatomical basis of nasal-brain pathway and provide an overview of drug formulations and current drugs for intranasal administration in CNS disease.

摘要

将药物递送到大脑一直是一项具有挑战性的任务,这是由于血脑屏障(BBB)的限制特性所致。因此,鼻内给药作为一种有效的给药方法正在兴起,它使得自我给药变得容易,从而为向中枢神经系统(CNS)输送治疗药物提供了一种非侵入性和无痛的替代口服和肠胃外给药的方法。最近,已经开发出药物制剂来进一步增强这种鼻内到脑的转运,主要使用纳米颗粒(NPs)。因此,本综述的目的是强调和描述鼻脑途径的解剖学基础,并概述用于治疗 CNS 疾病的鼻内给药的药物制剂和现有药物。

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