Department of Pharmacy, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, 45320, Pakistan.
Nanomedicine Research Group, Department of Pharmacy, Faculty of Biological Sciences, Quaid- i-Azam University, Islamabad, 45320, Pakistan.
J Nanobiotechnology. 2023 Dec 13;21(1):477. doi: 10.1186/s12951-023-02250-1.
Neurons and their connecting axons gradually degenerate in neurodegenerative diseases (NDs), leading to dysfunctionality of the neuronal cells and eventually their death. Drug delivery for the treatment of effected nervous system is notoriously complicated because of the presence of natural barriers, i.e., the blood-brain barrier and the blood cerebrospinal fluid barrier. Palliative care is currently the standard care for many diseases. Therefore, treatment programs that target the disease's origin rather than its symptoms are recommended. Nanotechnology-based drug delivery platforms offer an innovative way to circumvent these obstacles and deliver medications directly to the central nervous system, thereby enabling treatment of several common neurological problems, i.e., Alzheimer's, Parkinson's, Huntington's, and amyotrophic lateral sclerosis. Interestingly, the combination of nanomedicine and gene therapy enables targeting of selective mutant genes responsible for the progression of NDs, which may provide a much-needed boost in the struggle against these diseases. Herein, we discussed various central nervous system delivery obstacles, followed by a detailed insight into the recently developed techniques to restore neurological function via the differentiation of neural stem cells. Moreover, a comprehensive background on the role of nanomedicine in controlling neurogenesis via differentiation of neural stem cells is explained. Additionally, numerous phytoconstituents with their neuroprotective properties and molecular targets in the identification and management of NDs are also deliberated. Furthermore, a detailed insight of the ongoing clinical trials and currently marketed products for the treatment of NDs is provided in this manuscript.
在神经退行性疾病(NDs)中,神经元及其连接的轴突逐渐退化,导致神经元细胞功能障碍,最终导致其死亡。由于存在天然屏障,即血脑屏障和血脑脊液屏障,用于治疗受影响神经系统的药物输送非常复杂。姑息治疗是目前许多疾病的标准治疗方法。因此,建议采用针对疾病根源而不是症状的治疗方案。基于纳米技术的药物输送平台为克服这些障碍并将药物直接递送到中枢神经系统提供了一种创新方法,从而能够治疗几种常见的神经问题,如阿尔茨海默病、帕金森病、亨廷顿病和肌萎缩侧索硬化症。有趣的是,纳米医学和基因治疗的结合使得能够针对导致 NDs 进展的选择性突变基因进行靶向治疗,这可能为对抗这些疾病提供急需的推动力。本文讨论了各种中枢神经系统输送障碍,随后详细介绍了最近开发的技术,通过神经干细胞的分化来恢复神经功能。此外,还解释了纳米医学在通过神经干细胞分化控制神经发生中的作用的综合背景。此外,还讨论了具有神经保护特性的多种植物成分及其在识别和管理 NDs 中的分子靶标。此外,本文还详细介绍了目前正在进行的临床试验和用于治疗 NDs 的市售产品。