Mohammed Payam Nawzad, Hussen Narmin Hamaamin, Hasan Aso Hameed, Salh Hozan Jaza Hama, Jamalis Joazaizulfazli, Ahmed Sumeer, Bhat Ajmal R, Kamal Mohammad Amjad
Department of Pharmacognosy and Pharmaceutical Chemistry, College of Pharmacy, University of Sulaimani, Sulaimani 46001, Kurdistan Region-Iraq, Iraq.
Department of Chemistry, College of Science, University of Garmian, Kalar 46021, Kurdistan Region-Iraq, Iraq.
EXCLI J. 2025 Jan 3;24:34-59. doi: 10.17179/excli2024-7163. eCollection 2025.
Unfortunately, nowadays, brain disorders, which include both neurological and mental disorders, are the main cause of years spent living with a disability worldwide. There are serious diseases with a high prevalence and a high mortality rate. However, the outmoded technical infrastructure makes their treatment difficult. The blood-brain barrier (BBB) serves as a protective mechanism for the central nervous system (CNS) and regulates its homeostatic processes. The brain is protected against injury and illness by an extremely complex system that precisely regulates the flow of ions, very few tiny molecules, and an even smaller number of macromolecules from the blood to the brain. Nevertheless, the BBB also considerably inhibits the delivery of medications to the brain, making it impossible to treat a variety of neurological diseases. Several strategies are now being studied to enhance the transport of drugs over the BBB. According to this research, nanoparticles are one of the most promising agents for brain disease treatment while many conventional drugs are also capable of crossing this barrier but there are amazing facts about nanoparticles in brain drug delivery. For example, 1. Precision Targeting: Through mechanisms such as receptor-mediated transport, ligand attachment, or the use of external stimuli (e.g., magnetic or thermal guidance), nanoparticles can deliver drugs specifically to diseased areas of the brain while minimizing exposure to healthy tissues. This targeted approach reduces side effects and enhances therapeutic outcomes. 2. Improved Drug Stability: Drugs can be encapsulated by nanoparticles, which keeps them stable and shields them from deterioration while being transported to the brain. 3. Therapeutic Payload: Nanoparticles possess a high surface-area-to-volume ratio, enabling them to encapsulate a substantial quantity of therapeutic agents relative to their size. This allows for enhanced drug delivery efficiency, maximizing therapeutic outcomes while potentially reducing the required dosage to achieve the desired effect. 4. Imaging Properties: Certain nanoparticles can also act as contrast agents for magnetic resonance imaging (MRI), allowing for the real-time visualization of drug distribution and administration in the brain. 5. Combination Therapy Possibility: Nanoparticles can be designed to co-deliver multiple medications or therapeutic agents, which could enhance synergistic effects. There have been studies where nanoparticles were successfully used for combination therapies, demonstrating potential for personalized treatments. One notable example is in cancer treatment, where nanoparticles have been designed to co-deliver multiple chemotherapeutic agents. In general, brain medication delivery by nanoparticles is a novel strategy that has the potential to revolutionize neurological disease therapy and enhance patient outcomes. The study furthermore includes a concise depiction of the structural and physiological characteristics of the BBB, and it also provides an overview of the nanoparticles that are most often used in medicine. A brief overview of the structural and physiochemical characteristics of the NPs, as well as the most popular nanoparticles used in medicine, is also included in the review.
不幸的是,如今,包括神经疾病和精神疾病在内的脑部疾病是全球致残年限的主要原因。存在一些患病率高且死亡率高的严重疾病。然而,过时的技术基础设施使这些疾病的治疗变得困难。血脑屏障(BBB)作为中枢神经系统(CNS)的一种保护机制,调节其稳态过程。大脑受到一个极其复杂的系统的保护,该系统精确调节从血液到大脑的离子、极少数小分子以及数量更少的大分子的流动。尽管如此,血脑屏障也极大地抑制了药物向大脑的递送,使得治疗多种神经疾病变得不可能。目前正在研究几种策略来增强药物通过血脑屏障的运输。根据这项研究,纳米颗粒是治疗脑部疾病最有前景的药物之一,而许多传统药物也能够穿过这一屏障,但在脑部药物递送方面,纳米颗粒有一些惊人的事实。例如,1. 精准靶向:通过受体介导的运输、配体附着或使用外部刺激(如磁导向或热导向)等机制,纳米颗粒可以将药物特异性地递送至大脑的患病区域,同时尽量减少对健康组织的暴露。这种靶向方法减少了副作用并提高了治疗效果。2. 提高药物稳定性:药物可以被纳米颗粒包裹,这使其在运输到大脑的过程中保持稳定并免受降解。3. 治疗载荷:纳米颗粒具有高的表面积与体积比,使其能够相对于其尺寸包裹大量治疗剂。这提高了药物递送效率,在可能降低达到预期效果所需剂量的同时最大化治疗效果。4. 成像特性:某些纳米颗粒还可以作为磁共振成像(MRI)的造影剂,实现对大脑中药物分布和给药的实时可视化。5. 联合治疗可能性:纳米颗粒可以设计为共同递送多种药物或治疗剂,这可以增强协同效应。已经有研究成功地将纳米颗粒用于联合治疗,证明了个性化治疗的潜力。一个显著的例子是在癌症治疗中,纳米颗粒被设计为共同递送多种化疗药物。总体而言,通过纳米颗粒进行脑部药物递送是一种新颖的策略,有可能彻底改变神经疾病治疗并改善患者预后。该研究还简要描述了血脑屏障的结构和生理特征,并且还提供了医学上最常用的纳米颗粒的概述。该综述还包括纳米颗粒的结构和物理化学特征以及医学上最常用的纳米颗粒的简要概述。