College of Pharmacy and Chemistry & Chemical Engineering, Taizhou University, Taizhou 225300, China; Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 310000, China.
College of Pharmacy and Chemistry & Chemical Engineering, Taizhou University, Taizhou 225300, China.
Biomed Pharmacother. 2024 Nov;180:117564. doi: 10.1016/j.biopha.2024.117564. Epub 2024 Oct 13.
Ischemic stroke, characterized by vascular occlusion, has recently emerged as one of the primary causes of mortality and disability worldwide. Conventional treatment modalities, such as thrombolytic and neuroprotective therapies, face numerous challenges, including limited bioavailability, significant neurotoxicity, suboptimal targeting, short half-life, and poor blood-brain barrier (BBB) penetration. Nanoparticle-based drug delivery systems present distinct advantages, such as small size, enhanced lipophilicity, and modifiability, which can potentially address these limitations. Utilizing nanoparticles for drug delivery in ischemic stroke therapy offers improved drug bioavailability, reduced neurotoxicity, enhanced targeted delivery, prolonged drug half-life, and better dissolution kinetics. This review aims to provide a comprehensive overview of current strategies in preclinical studies for managing or preventing ischemic stroke from a nanomaterial perspective, highlighting the advantages and limitations of each approach.
缺血性脑卒中,以血管阻塞为特征,最近已成为全球范围内主要的死亡和残疾原因之一。传统的治疗方法,如溶栓和神经保护治疗,面临着许多挑战,包括生物利用度有限、显著的神经毒性、靶向性不佳、半衰期短和血脑屏障(BBB)穿透性差。基于纳米粒子的药物传递系统具有明显的优势,如小尺寸、增强的亲脂性和可修饰性,这可能解决这些局限性。在缺血性脑卒中治疗中利用纳米粒子进行药物传递,可以提高药物的生物利用度、降低神经毒性、增强靶向传递、延长药物半衰期并改善溶解动力学。本综述旨在从纳米材料的角度全面概述目前在管理或预防缺血性脑卒中的临床前研究中的策略,强调每种方法的优缺点。