Cheng Meng, Dou Yan
Department of Radiology, Tianjin Key Laboratory of Functional Imaging & Tianjin Institute of Radiology, Tianjin Medical University General Hospital, Tianjin, P. R. China.
Nanomedicine (Lond). 2025 May;20(9):1015-1027. doi: 10.1080/17435889.2025.2487409. Epub 2025 Apr 3.
Neurodegenerative diseases (NDs) are intricately linked to the accumulation of various neurotoxins, mainly including toxic proteins, inflammatory mediators, excess metal ions, and viral pathogens. Biological neutralization strategies that use agents to competitively bind harmful substances and thus inhibit their pathogenic activity hold promise for direct removal of neurotoxins but face many limitations and challenges in NDs. Nanomaterials provide a potential solution for neurotoxin neutralization in NDs due to their unique physicochemical and biological properties. This review summarizes recent advancements in nanomaterial-based approaches to neurotoxin neutralization in NDs, highlighting the diverse design principles and mechanisms of action. We also discuss the critical role of targeted delivery to optimize neutralization efficiency and the advantages of combining different neutralization mechanisms or introducing other therapeutic components to exert the synergistic effects. Furthermore, we reveal current limitations and future research directions aimed at paving the way for nanomedicine development based on neurotoxin neutralization for the treatment of NDs.
神经退行性疾病(NDs)与多种神经毒素的积累密切相关,这些神经毒素主要包括毒性蛋白、炎症介质、过量金属离子和病毒病原体。利用试剂竞争性结合有害物质从而抑制其致病活性的生物中和策略有望直接去除神经毒素,但在神经退行性疾病中面临许多限制和挑战。由于其独特的物理化学和生物学特性,纳米材料为神经退行性疾病中的神经毒素中和提供了一种潜在的解决方案。本综述总结了基于纳米材料的神经退行性疾病神经毒素中和方法的最新进展,突出了不同的设计原则和作用机制。我们还讨论了靶向递送在优化中和效率方面的关键作用,以及结合不同中和机制或引入其他治疗成分以发挥协同效应的优势。此外,我们揭示了当前的局限性和未来的研究方向,旨在为基于神经毒素中和的纳米医学发展铺平道路,以治疗神经退行性疾病。