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基于纳米疗法的癫痫治疗的最新进展。

Recent advances in nanotherapy-based treatment of epilepsy.

作者信息

Chen Peng, Wang Shudong, Zhang Heming, Li Jian

机构信息

General Hospital of Northern Theater Command, Liaoning 110016, China.

Jinzhou Medical University, Liaoning 121001, China.

出版信息

Colloids Surf B Biointerfaces. 2025 May;249:114499. doi: 10.1016/j.colsurfb.2025.114499. Epub 2025 Jan 6.

Abstract

Epilepsy is a complex neurological disorder characterized by recurrent seizures affecting millions of people worldwide. Despite advances in drug therapy, a significant proportion of patients remain resistant to conventional antiepileptic drugs (AEDs) due to challenges such as impermeability of the blood-brain barrier (BBB), multidrug resistance, and multifaceted epileptogenesis. Nanotechnology offers promising strategies to overcome these barriers by enhancing drug delivery across the BBB, improving target specificity and minimizing systemic side effects. This review explores recent advances in different innovative strategies of nanodelivery systems for epilepsy therapy, and we will discuss the design principles, mechanisms of action and therapeutic efficacy of these nanodelivery systems. In addition, we discuss the challenges and limitations that hinder the clinical translation of nanomedicine-based therapies for epilepsy. We emphasize the need for personalized and multidisciplinary approaches as well as the importance of continued research and interdisciplinary collaboration in order to translate these innovative strategies into effective therapies. Ultimately, the use of nanotechnology has the potential to enhance seizure control, reduce the burden of epilepsy, and improve the quality of life of patients affected by this complex neurological disorder. Nanotechnology-based drug delivery systems may usher in a new era of precision medicine for epilepsy treatment.

摘要

癫痫是一种复杂的神经系统疾病,其特征是反复发作的癫痫发作,全球数百万人受其影响。尽管药物治疗取得了进展,但由于血脑屏障(BBB)的不透性、多药耐药性和多方面的癫痫发生等挑战,相当一部分患者对传统抗癫痫药物(AEDs)仍然耐药。纳米技术提供了有前景的策略,通过增强药物穿过血脑屏障的递送、提高靶标特异性和最小化全身副作用来克服这些障碍。本综述探讨了癫痫治疗纳米递送系统不同创新策略的最新进展,我们将讨论这些纳米递送系统的设计原则、作用机制和治疗效果。此外,我们讨论了阻碍基于纳米医学的癫痫治疗临床转化的挑战和局限性。我们强调需要个性化和多学科方法,以及持续研究和跨学科合作的重要性,以便将这些创新策略转化为有效的治疗方法。最终,纳米技术的应用有可能增强癫痫控制、减轻癫痫负担,并改善受这种复杂神经系统疾病影响患者的生活质量。基于纳米技术的药物递送系统可能会开创癫痫治疗精准医学的新时代。

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