State Key Laboratory of Oral Diseases and National Center for Stomatology and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
Adv Healthc Mater. 2024 Nov;13(29):e2304373. doi: 10.1002/adhm.202304373. Epub 2024 Jul 12.
Alzheimer's disease (AD) is a chronic, insidious, and progressive neurodegenerative disease that remains a clinical challenge for society. The fully approved drug lecanemab exhibits the prospect of therapy against the pathological processes, while debatable adverse events conflict with the drug concentration required for the anticipated therapeutic effects. Reactive oxygen species (ROS) are involved in the pathological progression of AD, as has been demonstrated in much research regarding oxidative stress (OS). The contradiction between anticipated dosage and adverse event may be resolved through targeted transport by biomaterials and get therapeutic effects through pathological progression via regulation of ROS. Besides, biomaterials fix delivery issues by promoting the penetration of drugs across the blood-brain barrier (BBB), protecting the drug from peripheral degradation, and elevating bioavailability. The goal is to comprehensively understand the mechanisms of ROS in the progression of AD disease and the potential of ROS-related biomaterials in the treatment of AD. This review focuses on OS and its connection with AD and novel biomaterials in recent years against AD via OS to inspire novel biomaterial development. Revisiting these biomaterials and mechanisms associated with OS in AD via thorough investigations presents a considerable potential and bright future for improving effective interventions for AD.
阿尔茨海默病(AD)是一种慢性、隐匿性、进行性神经退行性疾病,仍然是社会面临的临床挑战。完全批准的药物 lecanemab 显示出针对病理过程的治疗前景,而有争议的不良事件与预期治疗效果所需的药物浓度存在冲突。活性氧(ROS)参与 AD 的病理进展,这在许多关于氧化应激(OS)的研究中已经得到证实。通过生物材料的靶向转运,可以解决预期剂量和不良事件之间的矛盾,并通过调节 ROS 来通过病理进展获得治疗效果。此外,生物材料通过促进药物穿过血脑屏障(BBB)的渗透、保护药物免受外周降解以及提高生物利用度来解决药物输送问题。目标是全面了解 ROS 在 AD 疾病进展中的机制以及 ROS 相关生物材料在 AD 治疗中的潜力。本综述重点介绍了近年来 OS 及其与 AD 的关系,以及针对 AD 的新型生物材料通过 OS 来激发新型生物材料的发展。通过彻底研究 AD 中与 OS 相关的这些生物材料和机制,为改善 AD 的有效干预措施提供了巨大的潜力和光明的未来。