Zhou Mengmeng, Fu Xuanhao, Ma Boyuan, Chen Ziyu, Cheng Yuelin, Liu Linyan, Kan Shunli, Zhao Xinyan, Feng Sa, Jiang Zehua, Zhu Rusen
Tianjin Union Medical Center, Tianjin, China.
Front Neurol. 2023 Nov 1;14:1274642. doi: 10.3389/fneur.2023.1274642. eCollection 2023.
Due to the complex pathological mechanisms of Alzheimer's disease (AD), its treatment remains a challenge. One of the major difficulties in treating AD is the difficulty for drugs to cross the blood-brain barrier (BBB). Low-intensity ultrasound (LIUS) is a novel type of ultrasound with neuromodulation function. It has been widely reported that LIUS combined with intravenous injection of microbubbles (MB) can effectively, safely, and reversibly open the BBB to achieve non-invasive targeted drug delivery. However, many studies have reported that LIUS combined with MB-mediated BBB opening (LIUS + MB-BBBO) can improve pathological deposition and cognitive impairment in AD patients and mice without delivering additional drugs. This article reviews the relevant research studies on LIUS + MB-BBBO in the treatment of AD, analyzes its potential mechanisms, and summarizes relevant ultrasound parameters.
由于阿尔茨海默病(AD)复杂的病理机制,其治疗仍然是一项挑战。治疗AD的主要困难之一是药物难以穿过血脑屏障(BBB)。低强度超声(LIUS)是一种具有神经调节功能的新型超声。已有广泛报道称,LIUS联合静脉注射微泡(MB)可有效、安全且可逆地打开血脑屏障,以实现非侵入性靶向给药。然而,许多研究报告称,LIUS联合MB介导的血脑屏障开放(LIUS + MB - BBBO)可改善AD患者和小鼠的病理沉积和认知障碍,而无需额外给药。本文综述了关于LIUS + MB - BBBO治疗AD的相关研究,分析其潜在机制,并总结相关超声参数。