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新型药物递送系统治疗阿尔茨海默病的脑靶向效果。

Brain targeting efficacy of novel drug delivery system in the treatment of Alzheimer's disease.

机构信息

Department of Neurology, the First Affiliated Hospital of Shenzhen University, Shenzhen, China.

出版信息

Eur Rev Med Pharmacol Sci. 2024 Jul;28(13):3892-3904. doi: 10.26355/eurrev_202407_36521.

Abstract

OBJECTIVE

Alzheimer's disease (AD), a common degenerative disease of the central nervous system in the elderly, has become the third largest health killer after cardiovascular and cerebrovascular diseases and tumors. Based on the fact that Alzheimer's disease is a disease with multiple etiologies and complex pathology, a single target is bound to have a limited curative effect, and the synergy of multiple links and multiple targets is expected to achieve a better curative effect. The aim of this study is to investigate the brain targeting of a drug modified by chitosan, based on the new nanodrug delivery system for treating Alzheimer's disease developed by the research group.

MATERIALS AND METHODS

Chitosan with good biocompatibility, biosorption, and degradation products that can protect and promote the regeneration of nerve cells was selected to combine with galantamine, a natural representative cholinesterase inhibitor, to develop a new nano drug delivery system for nasal delivery of anti-Alzheimer's disease with a multi-target synergistic effect. Synchronous analysis was conducted on the blood and brain tissue drug concentrations after intravenous and nasal administration of the original drug solution and system solution. The brain targeting index (DTI) is used to evaluate the brain targeting effect of the nano-drug delivery system after intranasal administration.

RESULTS

The blood concentration of galantamine original drug solution and galantamine system solution after intravenous injection and nasal show that in the two administration methods of intravenous injection and nasal administration, under the same administration method, the time point of the system reaching the highest blood drug concentration is much higher than that of the original drug. The content of galantamine in plasma samples and tissue samples indicate that after intravenous administration and intranasal administration of the galantamine system, at the same time point, the drug concentration in brain tissue was far greater than that of the original drug of galantamine, and the duration was also longer. The concentration of drugs in brain tissue decreased gradually in the order of olfactory bulb, olfactory tract, brain, and cerebellum. In the brain tissues of the olfactory bulb, olfactory tract, cerebrum, and cerebellum, the drug concentration of the galantamine system after intravenous injection is lower than that after nasal administration.

CONCLUSIONS

This study concludes that compared with the original drug solution, the nano drug delivery system has significant brain targeting for nasal administration, and intravenous injection also has brain targeting. In the olfactory bulb, olfactory tract, brain, and cerebellum, the brain targeting index at the olfactory bulb is the highest, and the targeting is the best.

摘要

目的

阿尔茨海默病(AD)是一种常见的老年人中枢神经系统退行性疾病,已成为继心脑血管病和肿瘤之后的第三大健康杀手。鉴于阿尔茨海默病是一种病因复杂、病理机制多样的疾病,单一靶点的治疗效果必然有限,多环节、多靶点的协同作用有望达到更好的疗效。本研究旨在基于课题组开发的新型纳米药物递药系统,探讨壳聚糖修饰药物的脑靶向性。

材料与方法

选择具有良好生物相容性、生物吸附性和降解产物,能保护和促进神经细胞再生的壳聚糖,与天然代表性乙酰胆碱酯酶抑制剂加兰他敏结合,开发一种具有多靶点协同作用的新型鼻用抗阿尔茨海默病纳米药物递药系统。对原药溶液和系统溶液静脉注射和鼻腔给药后的血脑组织药物浓度进行同步分析。采用脑靶向指数(DTI)评价鼻腔给药后纳米药物递药系统的脑靶向效果。

结果

静脉注射和鼻腔给药后加兰他敏原药溶液和加兰他敏系统溶液的血药浓度表明,在静脉注射和鼻腔给药两种给药方式下,在相同的给药方式下,系统达到最高血药浓度的时间点明显高于原药。血浆样本和组织样本中加兰他敏的含量表明,静脉注射和鼻腔给药后,在同一时间点,脑组织中药物浓度明显大于加兰他敏原药,且持续时间也较长。药物在脑组织中的浓度按嗅球、嗅束、脑和小脑的顺序逐渐降低。在嗅球、嗅束、大脑和小脑的脑组织中,静脉注射后加兰他敏系统的药物浓度低于鼻腔给药后。

结论

本研究表明,与原药溶液相比,纳米药物递药系统鼻腔给药具有明显的脑靶向性,静脉注射也具有脑靶向性。在嗅球、嗅束、大脑和小脑等部位,静脉注射后脑靶向指数最高,靶向性最好。

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