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帕金森病中的纳米技术:克服药物递送挑战并提高治疗效果。

Nanotechnology in Parkinson's Disease: overcoming drug delivery challenges and enhancing therapeutic outcomes.

作者信息

Ali Irfan, Adil Mohammad, Imran Mohammad, Qureshi Saba Asif, Qureshi Saima, Hasan Nazeer, Ahmad Farhan Jalees

机构信息

Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, 110062, India.

Faculty of Medicine, Frazer Institute, University of Queensland, Brisbane, 4102, Australia.

出版信息

Drug Deliv Transl Res. 2025 Jan 29. doi: 10.1007/s13346-025-01799-8.

Abstract

The global prevalence of Parkinson's Disease (PD) is on the rise, driven by an ageing population and ongoing environmental conditions. To gain a better understanding of PD pathogenesis, it is essential to consider its relationship with the ageing process, as ageing stands out as the most significant risk factor for this neurodegenerative condition. PD risk factors encompass genetic predisposition, exposure to environmental toxins, and lifestyle influences, collectively increasing the chance of PD development. Moreover, early and precise PD diagnosis remains elusive, relying on clinical assessments, neuroimaging techniques, and emerging biomarkers. Conventional management of PD involves dopaminergic medications and surgical interventions, but these treatments often become less effective over time and do not address disease treatment. Challenges persist due to the blood-brain barrier's (BBB) impermeability, hindering drug delivery. Recent advancements in nanotechnology offer promising novel approaches for PD management. Various drug delivery systems (DDS), including nanosized polymers, lipid-based carriers, and nanoparticles (such as metal/metal oxide, protein, and carbonaceous particles), aim to enhance drug and gene delivery. These modifications seek to improve BBB permeability, ultimately benefiting PD patients. This review underscores the critical role of ageing in PD development and explores how age-related neuronal decline contributes to substantia nigra loss and PD manifestation in susceptible individuals. The review also highlights the advancements and ongoing challenges in nanotechnology-based therapies for PD.

摘要

全球帕金森病(PD)的患病率呈上升趋势,这是由人口老龄化和持续的环境状况所驱动的。为了更好地理解PD的发病机制,必须考虑其与衰老过程的关系,因为衰老显然是这种神经退行性疾病最重要的风险因素。PD的风险因素包括遗传易感性、接触环境毒素和生活方式的影响,这些因素共同增加了患PD的几率。此外,早期和精确的PD诊断仍然难以实现,主要依赖于临床评估、神经影像学技术和新兴的生物标志物。PD的传统治疗方法包括多巴胺能药物和手术干预,但这些治疗随着时间的推移往往效果不佳,且无法解决疾病的根本问题。由于血脑屏障(BBB)的不透性阻碍了药物递送,挑战依然存在。纳米技术的最新进展为PD的治疗提供了有前景的新方法。各种药物递送系统(DDS),包括纳米聚合物、脂质载体和纳米颗粒(如金属/金属氧化物、蛋白质和碳质颗粒),旨在增强药物和基因递送。这些改进旨在提高血脑屏障的通透性,最终使PD患者受益。本综述强调了衰老在PD发展中的关键作用,并探讨了与年龄相关的神经元衰退如何导致易感个体黑质丢失和PD表现。该综述还强调了基于纳米技术的PD治疗的进展和持续存在的挑战。

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