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揭开血脑屏障的奥秘:脑/脊髓药物治疗问题

Unveiling the Mysteries of the Blood-brain Barrier: The Problem of the Brain/spinal Pharmacotherapy.

作者信息

Walia Aditya, Kaur Amandeep, Singh Randhir, Rani Nidhi, Swami Rajan

机构信息

Chitkara College of Pharmacy, Chitkara University, Punjab, India.

Central University of Punjab, Bathinda, Punjab, India.

出版信息

Cent Nerv Syst Agents Med Chem. 2025;25(2):91-108. doi: 10.2174/0118715249297247240813104929.

DOI:10.2174/0118715249297247240813104929
PMID:39206486
Abstract

The most critical issue impeding the development of innovative cerebrospinal medications is the blood-brain barrier (BBB). The BBB limits the ability of most medications to penetrate the brain to the CNS. The BBB structure and functions are summarized, with the physical barrier generated by endothelial tight junctions and the transport barrier formed by transporters within the membrane and vesicular processes. The functions of connected cells, particularly the end feet of astrocytic glial cells, microglia, and pericytes, are described. The drugs that cross the blood brain barrier are explained below along with their mechanisms. Some of the associated conditions and problems are given.

摘要

阻碍创新型脑脊髓药物发展的最关键问题是血脑屏障(BBB)。血脑屏障限制了大多数药物穿透大脑进入中枢神经系统的能力。本文总结了血脑屏障的结构和功能,包括由内皮紧密连接产生的物理屏障以及由膜内转运体和囊泡运输过程形成的转运屏障。文中还描述了相关连接细胞的功能,特别是星形胶质细胞、小胶质细胞和周细胞的终足。下文将解释能够穿过血脑屏障的药物及其作用机制。同时也列举了一些相关病症和问题。

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1
Unveiling the Mysteries of the Blood-brain Barrier: The Problem of the Brain/spinal Pharmacotherapy.揭开血脑屏障的奥秘:脑/脊髓药物治疗问题
Cent Nerv Syst Agents Med Chem. 2025;25(2):91-108. doi: 10.2174/0118715249297247240813104929.
2
Structure and function of the blood-brain barrier.血脑屏障的结构和功能。
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本文引用的文献

1
Applications of Phyto-Nanotechnology for the Treatment of Neurodegenerative Disorders.植物纳米技术在神经退行性疾病治疗中的应用。
Materials (Basel). 2022 Jan 21;15(3):804. doi: 10.3390/ma15030804.
2
Dysfunctional Vascular Endothelium as a Driver of Atherosclerosis: Emerging Insights Into Pathogenesis and Treatment.功能失调的血管内皮作为动脉粥样硬化的驱动因素:对发病机制和治疗的新见解
Front Pharmacol. 2021 Dec 22;12:787541. doi: 10.3389/fphar.2021.787541. eCollection 2021.
3
Pharmacological modulation of cytokines correlating neuroinflammatory cascades in epileptogenesis.
细胞因子的药理学调节与癫痫发生中的神经炎症级联反应相关。
Mol Biol Rep. 2022 Feb;49(2):1437-1452. doi: 10.1007/s11033-021-06896-8. Epub 2021 Nov 9.
4
Biology and Models of the Blood-Brain Barrier.血脑屏障的生物学和模型。
Annu Rev Biomed Eng. 2021 Jul 13;23:359-384. doi: 10.1146/annurev-bioeng-082120-042814.
5
A Reconfigurable In Vitro Model for Studying the Blood-Brain Barrier.用于研究血脑屏障的可重构体外模型。
Ann Biomed Eng. 2020 Feb;48(2):780-793. doi: 10.1007/s10439-019-02405-y. Epub 2019 Nov 18.
6
Nanotherapeutics Engineered to Cross the Blood-Brain Barrier for Advanced Drug Delivery to the Central Nervous System.经工程改造以穿越血脑屏障用于向中枢神经系统进行高级药物递送的纳米疗法。
J Ind Eng Chem. 2019 May 25;73:8-18. doi: 10.1016/j.jiec.2019.01.021. Epub 2019 Jan 28.
7
Claudin-5: gatekeeper of neurological function.Claudin-5:神经功能的守门员。
Fluids Barriers CNS. 2019 Jan 29;16(1):3. doi: 10.1186/s12987-019-0123-z.
8
Blood-brain barrier breakdown is an early biomarker of human cognitive dysfunction.血脑屏障破坏是人类认知功能障碍的早期生物标志物。
Nat Med. 2019 Feb;25(2):270-276. doi: 10.1038/s41591-018-0297-y. Epub 2019 Jan 14.
9
NRF2 and NF-қB interplay in cerebrovascular and neurodegenerative disorders: Molecular mechanisms and possible therapeutic approaches.NRF2 和 NF-қB 在脑血管和神经退行性疾病中的相互作用:分子机制和可能的治疗方法。
Redox Biol. 2019 Feb;21:101059. doi: 10.1016/j.redox.2018.11.017. Epub 2018 Nov 28.
10
Blood-Brain Barrier: From Physiology to Disease and Back.血脑屏障:从生理学、疾病到治疗。
Physiol Rev. 2019 Jan 1;99(1):21-78. doi: 10.1152/physrev.00050.2017.