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采用纳米颗粒介导的药物传递策略/系统治疗阿尔茨海默病。

Treating Alzheimer's disease using nanoparticle-mediated drug delivery strategies/systems.

机构信息

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA; Frenship High School, Lubbock, TX 79382, USA.

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.

出版信息

Ageing Res Rev. 2024 Jun;97:102291. doi: 10.1016/j.arr.2024.102291. Epub 2024 Apr 12.

Abstract

The administration of promising medications for the treatment of neurodegenerative disorders (NDDs), such as Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), and amyotrophic lateral sclerosis (ALS) is significantly hampered by the blood-brain barrier (BBB). Nanotechnology has recently come to light as a viable strategy for overcoming this obstacle and improving drug delivery to the brain. With a focus on current developments and prospects, this review article examines the use of nanoparticles to overcome the BBB constraints to improve drug therapy for AD The potential for several nanoparticle-based approaches, such as those utilizing lipid-based, polymeric, and inorganic nanoparticles, to enhance drug transport across the BBB are highlighted. To shed insight on their involvement in aiding effective drug transport to the brain, methods of nanoparticle-mediated drug delivery, such as surface modifications, functionalization, and particular targeting ligands, are also investigated. The article also discusses the most recent findings on innovative medication formulations encapsulated within nanoparticles and the therapeutic effects they have shown in both preclinical and clinical testing. This sector has difficulties and restrictions, such as the need for increased safety, scalability, and translation to clinical applications. However, the major emphasis of this review aims to provide insight and contribute to the knowledge of how nanotechnology can potentially revolutionize the worldwide treatment of NDDs, particularly AD, to enhance clinical outcomes.

摘要

治疗神经退行性疾病(NDD)的有前途的药物(如阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)和肌萎缩侧索硬化症(ALS))的管理受到血脑屏障(BBB)的严重阻碍。纳米技术最近成为克服这一障碍和改善药物向大脑输送的可行策略。本文重点关注当前的发展和前景,研究了使用纳米颗粒克服 BBB 限制以改善 AD 药物治疗的方法。强调了几种基于纳米颗粒的方法的潜力,例如利用基于脂质、聚合物和无机纳米颗粒的方法,以增强药物穿过 BBB 的运输。为了深入了解它们在帮助有效药物向大脑输送中的作用,还研究了纳米颗粒介导的药物输送方法,例如表面修饰、功能化和特定靶向配体。本文还讨论了封装在纳米颗粒内的创新药物制剂的最新发现,以及它们在临床前和临床试验中显示出的治疗效果。这一领域存在困难和限制,例如需要提高安全性、可扩展性和向临床应用的转化。然而,本文的主要重点是提供见解,并为了解纳米技术如何有可能彻底改变全球 NDD 治疗,特别是 AD 的治疗,以改善临床结果做出贡献。

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