Constantinou Christiana, Meliou Katerina, Skouras Athanasios, Siafaka Panoraia, Christodoulou Panayiota
Department of Life Sciences, School of Sciences, Pharmacy Program, European University Cyprus, 2404 Nicosia, Cyprus.
Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, 71004 Heraklion, Crete, Greece.
Biomedicines. 2024 Jul 8;12(7):1519. doi: 10.3390/biomedicines12071519.
Alzheimer's disease, the most common neurodegenerative disease, affects more than 60 million people worldwide, a number that is estimated to double by 2050. Alzheimer's disease is characterized by progressive memory loss, the impairment of behavior, and mood changes, as well as the disturbed daily routine of the patient. Although there are some active molecules that can be beneficial by halting the progression of the disease, the blood-brain barrier and other physiological barriers hinder their delivery and, consequently, the appropriate management of the disease. Therefore, drug delivery systems that effectively target and overcome the blood-brain barrier to reach the targeted brain area would improve treatment effectiveness. Liposomes are lipophilic carriers that consist of a phospholipid bilayer structure, simulating the physiological lipidic layer of the blood-brain barrier and enabling better delivery of the drug to the brain. Given that pure liposomes may have less targeting affinity than functionalized liposomes, modification with groups such as lactoferrin, poly(ethylene glycol), and transferrin may improve specificity. In this mini-review, we summarize the literature on the use of liposomes for the treatment of Alzheimer's disease, focusing on the functionalization moieties of liposomes. In addition, challenges in brain delivery are also discussed.
阿尔茨海默病是最常见的神经退行性疾病,全球有超过6000万人受其影响,预计到2050年这一数字将翻倍。阿尔茨海默病的特征是进行性记忆丧失、行为障碍、情绪变化以及患者日常生活紊乱。尽管有一些活性分子可以通过阻止疾病进展而发挥有益作用,但血脑屏障和其他生理屏障阻碍了它们的递送,从而影响了对该疾病的适当治疗。因此,能够有效靶向并克服血脑屏障以到达目标脑区的药物递送系统将提高治疗效果。脂质体是由磷脂双层结构组成的亲脂性载体,模拟血脑屏障的生理脂质层,能够更好地将药物递送至大脑。鉴于纯脂质体的靶向亲和力可能低于功能化脂质体,用乳铁蛋白、聚乙二醇和转铁蛋白等基团进行修饰可能会提高特异性。在本综述中,我们总结了关于脂质体用于治疗阿尔茨海默病的文献,重点关注脂质体的功能化部分。此外,还讨论了脑递送方面的挑战。