Anwarkhan Sameenkhan, Koilpillai Jebastin, Narayanasamy Damodharan
Department of Pharmacy, Sri Ramaswamy Memorial (SRM) Institute of Science and Technology, Kattankulathur, IND.
Department of Pharmaceutics, Sri Ramaswamy Memorial (SRM) Institute of Science and Technology, Kattankulathur, IND.
Cureus. 2024 Sep 1;16(9):e68419. doi: 10.7759/cureus.68419. eCollection 2024 Sep.
The blood-brain barrier (BBB) poses an important obstacle to treating neurological disorders because it limits the entry of therapeutic agents into the central nervous system (CNS). Surmounting this barrier is crucial for delivering drugs effectively and targeting precise areas of the brain affected by conditions like Parkinson's disease, Alzheimer's disease, and brain tumors. This review examines the diverse strategies employed to enhance brain targeting, including nanotechnology, viral vectors, and biological therapies. Nanoparticles, liposomes, and dendrimers offer promising approaches for encapsulating drugs and facilitating their transport across the BBB. Viral vectors, such as adeno-associated viruses, demonstrate high transfection efficiency for gene therapy applications in CNS diseases. Biological therapies, including stem cell transplantation and neuromodulation techniques, can potentially restore normal cellular function and treat genetic disorders. Challenges such as BBB permeability, safety concerns, and regulatory considerations are discussed, along with future perspectives on precision medicine, noninvasive delivery methods, and biomarker discovery. By addressing these challenges and embracing innovative approaches, the field of brain drug targeting aims to transfer the way that neurological illness is treated and improve patient outcomes.
血脑屏障(BBB)对神经系统疾病的治疗构成了重要障碍,因为它限制了治疗药物进入中枢神经系统(CNS)。克服这一屏障对于有效给药以及靶向治疗受帕金森病、阿尔茨海默病和脑肿瘤等疾病影响的大脑精确区域至关重要。本综述探讨了用于增强脑靶向性的多种策略,包括纳米技术、病毒载体和生物疗法。纳米颗粒、脂质体和树枝状大分子为封装药物并促进其穿过血脑屏障的运输提供了有前景的方法。病毒载体,如腺相关病毒,在中枢神经系统疾病的基因治疗应用中显示出高转染效率。生物疗法,包括干细胞移植和神经调节技术,有可能恢复正常细胞功能并治疗遗传疾病。文中讨论了血脑屏障通透性、安全问题和监管考量等挑战,以及精准医学、非侵入性给药方法和生物标志物发现的未来前景。通过应对这些挑战并采用创新方法,脑药物靶向领域旨在改变神经系统疾病的治疗方式并改善患者预后。