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利用药物输送系统解决神经发育障碍中的髓鞘缺陷。

Tackling myelin deficits in neurodevelopmental disorders using drug delivery systems.

机构信息

Sagol School of Neuroscience, Tel-Aviv University, Israel.

Laboratory of Nanotechnology for Precision Medicine, Fondazione Istituto Italiano di Tecnologia, Via Morego 30, 16163 Genova, Italy.

出版信息

Adv Drug Deliv Rev. 2024 Apr;207:115218. doi: 10.1016/j.addr.2024.115218. Epub 2024 Feb 24.

Abstract

Interest in myelin and its roles in almost all brain functions has been greatly increasing in recent years, leading to countless new studies on myelination, as a dominant process in the development of cognitive functions. Here, we explore the unique role myelin plays in the central nervous system and specifically discuss the results of altered myelination in neurodevelopmental disorders. We present parallel developmental trajectories involving myelination that correlate with the onset of cognitive impairment in neurodevelopmental disorders and discuss the key challenges in the treatment of these chronic disorders. Recent developments in drug repurposing and nano/micro particle-based therapies are reviewed as a possible pathway to circumvent some of the main hurdles associated with early intervention, including patient's adherence and compliance, side effects, relapse, and faster route to possible treatment of these disorders. The strategy of drug encapsulation overcomes drug solubility and metabolism, with the possibility of drug targeting to a specific compartment, reducing side effects upon systemic administration.

摘要

近年来,人们对髓鞘及其在几乎所有大脑功能中的作用产生了浓厚的兴趣,导致了无数关于髓鞘形成的新研究,髓鞘形成是认知功能发展的主要过程。在这里,我们探讨了髓鞘在中枢神经系统中的独特作用,并特别讨论了神经发育障碍中髓鞘改变的结果。我们提出了与神经发育障碍中认知障碍发作相关的髓鞘形成的平行发育轨迹,并讨论了治疗这些慢性疾病的关键挑战。我们回顾了药物再利用和基于纳米/微颗粒的治疗方法的最新进展,作为一种可能的途径来规避与早期干预相关的一些主要障碍,包括患者的依从性和顺应性、副作用、复发以及更快地治疗这些疾病的可能途径。药物包封策略克服了药物的溶解度和代谢问题,有可能将药物靶向到特定的隔室,减少全身给药时的副作用。

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