Bavafa Amir, Negah Sajad Sahab, Forouzanfar Fatemeh
Department of Neuroscience, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Curr Vasc Pharmacol. 2025 Jan 27. doi: 10.2174/0115701611337079250115071933.
Resveratrol [RES] is a polyphenolic stilbene with therapeutic potential owing to its antioxidant, anti-inflammatory, neuroprotective, and cardioprotective properties. However, the very poor oral bioavailability, fast metabolism, and extremely low stability under physiological conditions pose a severe detriment to the clinical use of RES. This newly developed field of nanotechnology has led to the formulation of RES into nanoformulations with the goal of overcoming metabolicpharmacokinetic limitations and enhancing the targeted transport of RES to the central nervous system [CNS]. Among the various routes of administration, the combination of nose-to-brain [N2B] delivery via the intranasal [IN] route has recently garnered attention as a straightforward, noninvasive route for transport to the blood-brain barrier [BBB] for greater effects and less harmful systemic side effects by transporting nano-encapsulated RES into the neural tissues. This review critically summarizes the mechanisms and benefits of the N2B route for the delivery of RES nanoformulations, collating in vivo data demonstrating increased CNS bioavailability and stability and, consequently, improved therapeutic efficacy in animal models of neurodegenerative diseases. Compared with the more 'traditional' routes of administration, IN administration of RES nanoformulations is less toxic, cost-effective, and efficient in crossing the BBB. Therefore, this route represents a promising approach to the management of CNS disorders. Further optimization of nanoformulation design and clinical protocols is required to translate these promising findings into therapeutic strategies aimed at neuroprotection and disease modification in human CNS pathologies.
白藜芦醇 [RES] 是一种多酚芪类化合物,因其具有抗氧化、抗炎、神经保护和心脏保护特性而具有治疗潜力。然而,其口服生物利用度极低、代谢迅速且在生理条件下稳定性极差,这严重阻碍了 RES 的临床应用。纳米技术这一新兴领域已促使将 RES 制成纳米制剂,目的是克服代谢和药代动力学限制,并增强 RES 向中枢神经系统 [CNS] 的靶向转运。在各种给药途径中,经鼻内 [IN] 途径进行鼻至脑 [N2B] 递送,作为一种直接、无创的途径,可将纳米包裹的 RES 转运至血脑屏障 [BBB],从而产生更大的效果且全身副作用更小,最近受到了关注。本综述批判性地总结了 N2B 途径递送 RES 纳米制剂的机制和益处,整理了体内数据,这些数据表明在神经退行性疾病动物模型中,CNS 生物利用度和稳定性增加,从而提高了治疗效果。与更“传统”的给药途径相比,经鼻内给予 RES 纳米制剂毒性更小、成本效益更高,且在穿越血脑屏障方面更有效。因此,该途径是治疗 CNS 疾病的一种有前景的方法。需要进一步优化纳米制剂设计和临床方案,以将这些有前景的发现转化为针对人类 CNS 病变中神经保护和疾病修饰的治疗策略。