School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
PhD program in Neuroscience, School of Medicine and Surgery, University of Milano-Bicocca, Italy.
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2024 Sep-Oct;16(5):e1991. doi: 10.1002/wnan.1991.
Numerous studies are focused on nanoparticle penetration into the brain functionalizing them with ligands useful to cross the blood-brain barrier. However, cell targeting is also crucial, given that cerebral pathologies frequently affect specific brain cells or areas. Functionalize nanoparticles with the most appropriate targeting elements, tailor their physical parameters, and consider the brain's complex anatomy are essential aspects for precise therapy and diagnosis. In this review, we addressed the state of the art on targeted nanoparticles for drug delivery in diseased brain regions, outlining progress, limitations, and ongoing challenges. We also provide a summary and overview of general design principles that can be applied to nanotherapies, considering the areas and cell types affected by the most common brain disorders. We then emphasize lingering uncertainties that hinder the translational possibilities of nanotherapies for clinical use. Finally, we offer suggestions for continuing preclinical investigations to enhance the overall effectiveness of precision nanomedicine in addressing neurological conditions. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Neurological Disease Therapeutic Approaches and Drug Discovery > Emerging Technologies.
许多研究都集中在使纳米粒子穿透大脑功能化,并用对穿过血脑屏障有用的配体对其进行功能化。然而,细胞靶向也是至关重要的,因为脑病理学通常会影响特定的脑细胞或区域。用最合适的靶向元件对纳米粒子进行功能化,调整它们的物理参数,并考虑大脑复杂的解剖结构,这些都是精确治疗和诊断的重要方面。在这篇综述中,我们探讨了针对疾病大脑区域的药物递送的靶向纳米颗粒的最新进展,概述了进展、局限性和正在进行的挑战。我们还总结了一般设计原则,这些原则可应用于纳米疗法,同时考虑了最常见的脑疾病所影响的区域和细胞类型。然后,我们强调了阻碍纳米疗法转化为临床应用的持续存在的不确定性。最后,我们提出了继续进行临床前研究的建议,以提高精准纳米医学在解决神经疾病方面的整体效果。本文属于以下分类: 治疗方法和药物发现 > 神经疾病的纳米医学 治疗方法和药物发现 > 新兴技术。