Yang Han, Tan Haozhe, Wen Haifei, Xin Peikun, Liu Yanling, Deng Ziwei, Xu Yanning, Gao Feng, Zhang Liping, Ye Ziyue, Zhang Zicong, Chen Yunhao, Wang Yueze, Sun Jianwei, Lam Jacky W Y, Zhao Zheng, Kwok Ryan T K, Qiu Zijie, Tang Ben Zhong
School of Science and Engineering, Shenzhen Institute of Aggregate Science and Technology, The Chinese University of Hong Kong, Shenzhen (CUHK-Shenzhen), Guangdong 518172, P.R. China.
Department of Chemistry, the Hong Kong Branch of Chinese National Engineering Research Center for Tissue Restoration and Reconstruction, Division of Life Science, State Key Laboratory of Molecular Neuroscience, and Department of Chemical and Biological Engineering, The Hong Kong University of Science and Technology, Kowloon, Hong Kong China.
ACS Nano. 2024 Dec 17;18(50):33792-33826. doi: 10.1021/acsnano.4c11966. Epub 2024 Dec 3.
Alzheimer's disease (AD) is a neurodegenerative disease that causes memory loss and progressive and permanent deterioration of cognitive function. The most challenging issue in combating AD is its complicated pathogenesis, which includes the deposition of amyloid β (Aβ) plaques, intracellular hyperphosphorylated tau protein, neurofibrillary tangles (NFT), etc. Despite rapid advancements in mechanistic research and drug development for AD, the currently developed drugs only improve cognitive ability and temporarily relieve symptoms but cannot prevent the development of AD. Moreover, the blood-brain barrier (BBB) creates a huge barrier to drug delivery in the brain. Therefore, effective diagnostic tools and treatments are urgently needed. In recent years, nanomedicine has provided opportunities to overcome the challenges and limitations associated with traditional diagnostics or treatments. Various types of nanoparticles (NPs) play an essential role in nanomedicine for the diagnosis and treatment of AD, acting as drug carriers to improve targeting and bioavailability across/bypass the BBB or acting as drugs directly on AD lesions. This review categorizes different types of NPs and summarizes their applications in nanomedicine for the diagnosis and treatment of AD. It also discusses the challenges associated with clinical applications and explores the latest developments and prospects of nanomedicine for AD.
阿尔茨海默病(AD)是一种神经退行性疾病,会导致记忆丧失以及认知功能的进行性和永久性衰退。对抗AD最具挑战性的问题在于其复杂的发病机制,其中包括β淀粉样蛋白(Aβ)斑块的沉积、细胞内过度磷酸化的tau蛋白、神经原纤维缠结(NFT)等。尽管在AD的机制研究和药物开发方面取得了快速进展,但目前开发的药物仅能提高认知能力并暂时缓解症状,却无法阻止AD的发展。此外,血脑屏障(BBB)为药物在大脑中的递送制造了巨大障碍。因此,迫切需要有效的诊断工具和治疗方法。近年来,纳米医学为克服与传统诊断或治疗相关的挑战和局限性提供了契机。各类纳米颗粒(NPs)在AD诊断和治疗的纳米医学中发挥着至关重要的作用,它们可作为药物载体,以提高跨血脑屏障/绕过血脑屏障的靶向性和生物利用度,或者直接作为药物作用于AD病灶。本综述对不同类型的纳米颗粒进行了分类,并总结了它们在AD诊断和治疗纳米医学中的应用。还讨论了与临床应用相关的挑战,并探讨了AD纳米医学的最新进展和前景。