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纳米技术在阿尔茨海默病诊断与治疗中的应用

Nanotechnology in the diagnostic and therapy for Alzheimer's disease.

作者信息

Panghal Archna, Flora S J S

机构信息

National Institute of Pharmaceutical Education and Research, SAS Nagar, Mohali, Panjab 160012, India.

National Institute of Pharmaceutical Education and Research, SAS Nagar, Mohali, Panjab 160012, India; Institute of Pharmaceutical Sciences, Era Medical University, Safarajganj, Lucknow 226003, U.P., India.

出版信息

Biochim Biophys Acta Gen Subj. 2024 Mar;1868(3):130559. doi: 10.1016/j.bbagen.2024.130559. Epub 2024 Jan 6.

Abstract

Alzheimer's disease (AD) is a neurodegenerative disorder primarily characterized by β-amyloid plaque, intraneuronal tangles, significant neuronal loss and cognitive deficit. Treatment in the early stages of the disease is crucial for preventing or perhaps reversing the neurodegeneration in the AD cases. However, none of the current diagnostic procedures are capable of early diagnosis of AD. Further, the available treatments merely provide symptomatic alleviation in AD and do not address the underlying illness. Therefore, there is no permanent cure for AD currently. Better therapeutic outcomes need the optimum drug concentration in the central nervous system (CNS) by traversing blood-brain-barrier (BBB). Nanotechnology offers enormous promise to transform the treatment and diagnostics of neurodegenerative diseases. Nanotechnology based diagnostic tools, drug delivery systems and theragnostic are capable of highly sensitive molecular detection, effective drug targeting and their combination. Significant work has been done in this area over the last decade and prospective results have been obtained in AD therapy. This review explores the various applications of nanotechnology in addressing the varied facets of AD, ranging from early detection to therapeutic interventions. This review also looks at how nanotechnology can help with the development of disease-modifying medicines, such as the delivery of anti-amyloid, anti-tau, cholinesterase inhibitors, antioxidants and hormonal drugs. In conclusion, this paper discusses the role of nanotechnology in the early detection of AD, effective drug targeting to the CNS and theragnostic applications in the management of AD.

摘要

阿尔茨海默病(AD)是一种神经退行性疾病,主要特征为β-淀粉样蛋白斑块、神经元内缠结、大量神经元丧失和认知缺陷。在疾病早期进行治疗对于预防甚至逆转AD病例中的神经退行性变至关重要。然而,目前没有任何诊断程序能够早期诊断AD。此外,现有的治疗方法仅能缓解AD的症状,无法解决潜在疾病。因此,目前AD尚无永久性治愈方法。更好的治疗效果需要药物通过血脑屏障(BBB)在中枢神经系统(CNS)中达到最佳浓度。纳米技术为改变神经退行性疾病的治疗和诊断带来了巨大希望。基于纳米技术的诊断工具、药物递送系统和诊疗一体化技术能够实现高灵敏度分子检测、有效的药物靶向以及二者的结合。在过去十年中,该领域已开展了大量工作,并在AD治疗方面取得了前瞻性成果。本综述探讨了纳米技术在解决AD各个方面的各种应用,从早期检测到治疗干预。本综述还研究了纳米技术如何有助于开发疾病修饰药物,例如抗淀粉样蛋白、抗tau蛋白、胆碱酯酶抑制剂、抗氧化剂和激素药物的递送。总之,本文讨论了纳米技术在AD早期检测、有效靶向CNS药物以及AD管理中的诊疗一体化应用中的作用。

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