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基于纳米技术的神经退行性疾病治疗方法:全面综述。

Nanotechnology-driven therapies for neurodegenerative diseases: a comprehensive review.

机构信息

Department of Neurosurgery & Center for Neuroregeneration, Houston, TX USA.

School of Medicine and Health Sciences of Tecnológico de Monterrey, Guadalajara, México.

出版信息

Ther Deliv. 2024;15(12):997-1024. doi: 10.1080/20415990.2024.2401307. Epub 2024 Sep 19.

Abstract

Neurological diseases, characterized by neuroinflammation and neurodegeneration, impose a significant global burden, contributing to substantial morbidity, disability and mortality. A common feature of these disorders, including stroke, traumatic brain injury and Alzheimer's disease, is the impairment of the blood-brain barrier (BBB), a critical structure for maintaining brain homeostasis. The compromised BBB in neurodegenerative conditions poses a significant challenge for effective treatment, as it allows harmful substances to accumulate in the brain. Nanomedicine offers a promising approach to overcoming this barrier, with nanoparticles (NPs) engineered to deliver therapeutic agents directly to affected brain regions. This review explores the classification and design of NPs, divided into organic and inorganic categories and further categorized based on their chemical and physical properties. These characteristics influence the ability of NPs to carry and release therapeutic agents, target specific tissues and ensure appropriate clearance from the body. The review emphasizes the potential of NPs to enhance the diagnosis and treatment of neurodegenerative diseases through targeted delivery, improved drug bioavailability and real-time therapeutic efficacy monitoring. By addressing the challenges of the compromised BBB and targeting inflammatory biomarkers, NPs represent a cutting-edge strategy in managing neurological disorders, promising better patient outcomes.

摘要

神经退行性疾病的特点是神经炎症和神经退行性变,给全球带来了巨大的负担,导致大量的发病率、残疾和死亡率。这些疾病(包括中风、创伤性脑损伤和阿尔茨海默病)的一个共同特征是血脑屏障(BBB)受损,而 BBB 是维持大脑内环境稳定的关键结构。在神经退行性疾病中,受损的 BBB 给有效的治疗带来了重大挑战,因为它会让有害物质在大脑中积累。纳米医学为克服这一障碍提供了一种很有前途的方法,其方法是设计纳米颗粒(NPs),以便将治疗剂直接输送到受影响的大脑区域。这篇综述探讨了 NPs 的分类和设计,分为有机和无机两类,并进一步根据其化学和物理性质进行分类。这些特性影响 NPs 携带和释放治疗剂、靶向特定组织以及从体内适当清除的能力。该综述强调了 NPs 通过靶向传递、提高药物生物利用度和实时治疗效果监测来增强神经退行性疾病的诊断和治疗的潜力。通过解决受损的 BBB 以及炎症生物标志物的问题,NPs 代表了管理神经障碍的前沿策略,有望改善患者的预后。

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