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近期血脑屏障模型的进展:一种用于临床前和临床研究的可靠且高效的筛选方法。

Recent advancements on blood-brain barrier model: A reliable and efficient screening approach for preclinical and clinical investigation.

机构信息

Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research, Guwahati, India.

School of Pharmacy and Technology Management, Narsee Monjee Institute of Management Studies, Mahbubnagar, India.

出版信息

Expert Opin Drug Deliv. 2023 Jul-Dec;20(12):1839-1857. doi: 10.1080/17425247.2023.2295940. Epub 2023 Dec 29.

Abstract

INTRODUCTION

The efficiency of brain therapeutics is greatly hindered by the blood-brain barrier (BBB). BBB's protective function, selective permeability, and dynamic functionality maintain the harmony between the brain and peripheral region. Thus, the design of any novel drug carrier system requires the complete study and investigation of BBB permeability, efflux transport, and the effect of associated cellular and non-vascular unit trafficking on BBB penetrability. The in vitro BBB models offer a most promising, and reliable mode of initial investigation of BBB permeability and associated factors as strong evidence for further preclinical and clinical investigation.

AREA COVERED

This review work covers the structure and functions of BBB components and different types of in vitro BBB models along with factors affecting BBB model development and model selection criteria.

EXPERT OPINION

In vivo models assume to reciprocate the physiological environment to the maximum extent. However, the interspecies variability, NVUs trafficking, dynamic behavior of BBB, etc., lead to non-reproducible results. The in vitro models are comparatively less complex, and flexible, as per the study design, could generate substantial evidence and help identify suitable in vivo animal model selection.

摘要

简介

血脑屏障(BBB)极大地阻碍了脑部治疗的效率。BBB 的保护功能、选择通透性和动态功能维持着大脑和外周区域之间的和谐。因此,任何新型药物载体系统的设计都需要对 BBB 的通透性、外排转运以及相关细胞和非血管单元转运对 BBB 穿透性的影响进行全面的研究和调查。体外 BBB 模型为 BBB 通透性和相关因素的初步研究提供了最有前途和可靠的模式,为进一步的临床前和临床研究提供了有力的证据。

涵盖领域

本综述工作涵盖了 BBB 成分的结构和功能以及不同类型的体外 BBB 模型,以及影响 BBB 模型开发和模型选择标准的因素。

专家意见

体内模型假设最大程度地再现生理环境。然而,种间变异性、NVUs 转运、BBB 的动态行为等导致结果不可重现。与体内模型相比,体外模型相对不那么复杂,根据研究设计具有更大的灵活性,可以产生大量证据,并有助于确定合适的体内动物模型选择。

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