Tashima Toshihiko
Tashima Laboratories of Arts and Sciences, 1239-5 Toriyama-cho, Kohoku-ku, Yokohama 222-0035, Japan.
Pharmaceutics. 2024 Feb 18;16(2):289. doi: 10.3390/pharmaceutics16020289.
At present, stem cell-based therapies using induced pluripotent stem cells (iPSCs) or mesenchymal stem cells (MSCs) are being used to explore the potential for regenerative medicine in the treatment of various diseases, owing to their ability for multilineage differentiation. Interestingly, MSCs are employed not only in regenerative medicine, but also as carriers for drug delivery, homing to target sites in injured or damaged tissues including the brain by crossing the blood-brain barrier (BBB). In drug research and development, membrane impermeability is a serious problem. The development of central nervous system drugs for the treatment of neurodegenerative diseases, such as Alzheimer's disease and Parkinson's disease, remains difficult due to impermeability in capillary endothelial cells at the BBB, in addition to their complicated pathogenesis and pathology. Thus, intravenously or intraarterially administered MSC-mediated drug delivery in a non-invasive way is a solution to this transendothelial problem at the BBB. Substances delivered by MSCs are divided into artificially included materials in advance, such as low molecular weight compounds including doxorubicin, and expected protein expression products of genetic modification, such as interleukins. After internalizing into the brain through the fenestration between the capillary endothelial cells, MSCs release their cargos to the injured brain cells. In this review, I introduce the potential and advantages of drug delivery into the brain across the BBB using MSCs as a carrier that moves into the brain as if they acted of their own will.
目前,基于诱导多能干细胞(iPSC)或间充质干细胞(MSC)的干细胞疗法正被用于探索再生医学在治疗各种疾病方面的潜力,这得益于它们的多谱系分化能力。有趣的是,间充质干细胞不仅被用于再生医学,还被用作药物递送的载体,通过穿越血脑屏障(BBB)归巢到包括大脑在内的受伤或受损组织的靶位点。在药物研发中,膜不透性是一个严重的问题。由于血脑屏障处毛细血管内皮细胞的不透性,以及神经退行性疾病(如阿尔茨海默病和帕金森病)复杂的发病机制和病理状况,开发用于治疗这些疾病的中枢神经系统药物仍然很困难。因此,以非侵入性方式通过静脉或动脉注射间充质干细胞介导的药物递送是解决血脑屏障处这种跨内皮问题的一种方法。间充质干细胞递送的物质分为预先人工包入的材料,如包括阿霉素在内的低分子量化合物,以及基因修饰的预期蛋白质表达产物,如白细胞介素。间充质干细胞通过毛细血管内皮细胞之间的窗孔进入大脑后,将其携带的物质释放到受损的脑细胞中。在这篇综述中,我将介绍以间充质干细胞为载体跨越血脑屏障向大脑递送药物的潜力和优势,间充质干细胞进入大脑的方式就好像它们是自主行动的一样。
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