Department of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, People's Republic of China.
Shandong Provincial Clinical Research Center for Otorhinolaryngologic Diseases, Yantai, People's Republic of China.
Int J Nanomedicine. 2024 Nov 21;19:12343-12368. doi: 10.2147/IJN.S497480. eCollection 2024.
The intranasal (IN) route of drug delivery can effectively penetrate the blood-brain barrier and deliver drugs directly to the brain for the treatment of central nervous system (CNS) disorders via intra-neuronal or extra-neuronal pathways. This approach has several advantages, including avoidance of first-pass metabolism, high bioavailability, ease of administration, and improved patient compliance. In recent years, an increasing number of studies have been conducted using drugs encapsulated in solid lipid nanoparticles (SLNs) and nanostructured lipid carriers (NLCs), and delivering them to the brain via the IN pathway. SLNs are the first-generation solid lipid nanocarriers, known for their excellent biocompatibility, high drug-loading capacity, and remarkable stability. NLCs, regarded as the second-generation SLNs, not only retain the advantages of SLNs but also exhibit enhanced stability, effectively preventing drug leakage during storage. In this review, we examined in vivo studies conducted between 2019 and 2024 that used SLNs and NLCs to address CNS disorders via the IN route. By using statistical methods to evaluate pharmacokinetic parameters, we found that IN delivery of SLNs and NLCs markedly enhanced drug accumulation and targeting within the brain. Additionally, pharmacodynamic evaluations indicated that this delivery method substantially improved the therapeutic effectiveness of the drugs in alleviating symptoms in rat models of CNS diseases. In addition, methods for enhancing the efficacy of nose-to-brain delivery of SLNs and NLCs are discussed, as well as advances in clinical trials regarding SLNs and NLCs.
鼻腔(IN)给药途径可以有效地穿透血脑屏障,通过神经元内或神经元外途径将药物直接递送到大脑,用于治疗中枢神经系统(CNS)疾病。这种方法有几个优点,包括避免首过代谢、高生物利用度、给药方便和提高患者依从性。近年来,越来越多的研究使用包封在固体脂质纳米粒(SLNs)和纳米结构脂质载体(NLCs)中的药物,并通过 IN 途径递送到大脑。SLNs 是第一代固体脂质纳米载体,以其优异的生物相容性、高载药量和显著的稳定性而闻名。NLCs 被认为是第二代 SLNs,不仅保留了 SLNs 的优点,而且还表现出增强的稳定性,有效防止储存过程中的药物泄漏。在这篇综述中,我们检查了 2019 年至 2024 年期间进行的体内研究,这些研究使用 SLNs 和 NLCs 通过 IN 途径治疗 CNS 疾病。通过使用统计方法评估药代动力学参数,我们发现 IN 递送 SLNs 和 NLCs 显著增强了药物在大脑中的积累和靶向性。此外,药效学评价表明,这种给药方法大大提高了药物在缓解 CNS 疾病大鼠模型症状方面的治疗效果。此外,还讨论了增强 SLNs 和 NLCs 经鼻脑递送效果的方法,以及 SLNs 和 NLCs 临床试验的进展。