Menéndez Sebastián García, Manucha Walter
Instituto de Medicina y Biología Experimental de Cuyo (IMBECU), Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Mendoza, Argentina.
Área de Farmacología. Departamento de Patología, Facultad de Ciencias Médicas, Universidad Nacional de Cuyo, Mendoza, Argentina.
Transl Neurosci. 2023 Dec 16;14(1):20220328. doi: 10.1515/tnsci-2022-0328. eCollection 2023 Jan 1.
Neuroinflammation, a complex process involving the activation of microglia, astrocytes, and other immune cells in the brain, plays a role in neurodegeneration and psychiatric disorders. Current therapeutic strategies for neuroinflammation are limited, necessitating the development of improved approaches. Nanopharmacology offers unprecedented opportunities to access and treat neuroinflammatory disorders at the brain level. Nanoscaffolds can target specific cells or tissues and protect drugs from degradation or elimination, making them ideal candidates for treating neurodegenerative and psychiatric diseases. Recent advancements in nanoparticle development have enabled the targeting of microglia, astrocytes, and other immune cells in the brain, reducing neuroinflammation and protecting neurons from injury. Nanoparticles targeting specific neurons have also been developed. Clinical trials are in progress to evaluate the safety and efficacy of nano drugs for treating neuroinflammatory, neurodegenerative, and psychiatric diseases. The successful development of these nanodrugs holds immense promise for treating these devastating and increasingly prevalent conditions. On the other hand, several limitations and unanswered questions remain. First, the long-term effects of nanoparticles on the brain need to be thoroughly investigated to ensure their safety. Second, optimizing the targeting and delivery of nanoparticles to specific brain regions remains a challenge. Understanding the complex interplay between nanoparticles and the brain's immune system is crucial for developing effective nanotherapies. Despite these limitations, nanopharmacology presents a transformative approach to treating neuroinflammatory disorders. Future research should address the aforementioned limitations and further elucidate the mechanisms of nanoparticle-mediated therapy. The successful development of safe and effective nanodrugs can revolutionize the treatment of neuroinflammatory disorders, alleviating the suffering of millions.
神经炎症是一个复杂的过程,涉及大脑中微胶质细胞、星形胶质细胞和其他免疫细胞的激活,在神经退行性变和精神疾病中起作用。目前针对神经炎症的治疗策略有限,因此需要开发改进的方法。纳米药理学为在大脑水平上研究和治疗神经炎症性疾病提供了前所未有的机会。纳米支架可以靶向特定的细胞或组织,并保护药物不被降解或清除,使其成为治疗神经退行性疾病和精神疾病的理想选择。纳米颗粒开发的最新进展使得能够靶向大脑中的微胶质细胞、星形胶质细胞和其他免疫细胞,减少神经炎症并保护神经元免受损伤。也已经开发出靶向特定神经元的纳米颗粒。目前正在进行临床试验,以评估纳米药物治疗神经炎症性、神经退行性和精神疾病的安全性和有效性。这些纳米药物的成功开发为治疗这些毁灭性且日益普遍的疾病带来了巨大希望。另一方面,仍然存在一些局限性和未解决的问题。首先,需要彻底研究纳米颗粒对大脑的长期影响,以确保其安全性。其次,优化纳米颗粒向特定脑区的靶向和递送仍然是一项挑战。了解纳米颗粒与大脑免疫系统之间复杂的相互作用对于开发有效的纳米疗法至关重要。尽管存在这些局限性,纳米药理学为治疗神经炎症性疾病提供了一种变革性方法。未来的研究应该解决上述局限性,并进一步阐明纳米颗粒介导的治疗机制。安全有效的纳米药物的成功开发可以彻底改变神经炎症性疾病的治疗方式,减轻数百万人的痛苦。
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