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探索通过纳米载体进行鼻内给药:一种有前景的胶质母细胞瘤治疗方法。

Exploring intranasal drug delivery via nanocarriers: A promising glioblastoma therapy.

作者信息

Deshmukh Vishawambhar, Pathan Nida Sayed, Haldar Niladri, Nalawade Shubhangi, Narwade Mahavir, Gajbhiye Kavita R, Gajbhiye Virendra

机构信息

Poona College of Pharmacy, Bharati Vidyapeeth Deemed to be University, Erandwane, Pune 411038, India.

Nanobioscience Group, Agharkar Research Institute, Pune 411004, India.

出版信息

Colloids Surf B Biointerfaces. 2025 Jan;245:114285. doi: 10.1016/j.colsurfb.2024.114285. Epub 2024 Sep 30.

Abstract

Glioblastoma is one of the most recurring types of glioma, having the highest mortality rate among all other gliomas. Traditionally, the standard course of treatment for glioblastoma involved maximum surgical resection, followed by chemotherapy and radiation therapy. Nanocarriers have recently focused on enhancing the chemotherapeutic administration to the brain to satisfy unmet therapeutic requirements for treating brain-related disorders. Due to the significant drawbacks and high recurrence rates of gliomas, intranasal administration of nanocarrier systems presents several advantages. These include low toxicity, non-invasiveness, and the ability to cross the blood-brain barrier. By customizing their size, encasing them with mucoadhesive agents, or undergoing surface modification that encourages movement over the nose's mucosa, we can exceptionally engineer nanocarriers for intranasal administration. Olfactory and trigeminal nerves absorb drugs administered nasally and transport them to the brain, serving as the primary delivery mechanism for nose-to-brain administration. This review sums up the latest developments in chemotherapeutic nanocarriers, such as metallic nanoparticles, polymeric nanoparticles, nanogels, nano vesicular carriers, genetic material-based nanocarriers, and polymeric micelles. These nanocarriers have demonstrated efficient drug delivery from the nose to the brain, effectively overcoming mucociliary clearance. However, challenges persist, such as limitations in targeted chemotherapy and restricted drug loading capacity for intranasal administration. Additionally, the review addresses regulatory considerations and prospects for these innovative drug delivery systems.

摘要

胶质母细胞瘤是最易复发的胶质瘤类型之一,在所有其他胶质瘤中死亡率最高。传统上,胶质母细胞瘤的标准治疗方案包括最大限度的手术切除,随后进行化疗和放疗。纳米载体最近专注于增强向脑部的化疗给药,以满足治疗脑部相关疾病未满足的治疗需求。由于胶质瘤存在显著缺点和高复发率,纳米载体系统的鼻内给药具有几个优点。这些优点包括低毒性、非侵入性以及穿越血脑屏障的能力。通过定制其大小、用粘膜粘附剂包裹它们或进行表面修饰以促进在鼻腔粘膜上移动,我们可以特别设计用于鼻内给药的纳米载体。嗅觉神经和三叉神经吸收经鼻给药的药物并将其输送到大脑,这是鼻脑给药的主要递送机制。本综述总结了化疗纳米载体的最新进展,如金属纳米颗粒、聚合物纳米颗粒、纳米凝胶、纳米囊泡载体、基于遗传物质的纳米载体和聚合物胶束。这些纳米载体已证明能从鼻子有效地将药物递送至大脑,有效克服了粘液纤毛清除作用。然而,挑战依然存在,如靶向化疗的局限性以及鼻内给药的药物负载能力受限。此外,该综述还讨论了这些创新药物递送系统的监管考量和前景。

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