Zhou Hong, Yin Xiuhua, Zhang Guanqiao, Yang Zaixing, Zhou Ruhong
Institute of Quantitative Biology, College of Life Sciences, College of Physics, Zhejiang University, Hangzhou 310027, China.
Department of Medical Laboratory, School of Medicine, Shaoxing University, Shaoxing 312000, China.
JACS Au. 2025 Mar 31;5(4):1519-1537. doi: 10.1021/jacsau.5c00002. eCollection 2025 Apr 28.
Alzheimer's disease (AD) is a complex neurodegenerative disorder and the most common cause of dementia. By 2050, the number of AD cases is projected to exceed 131 million, placing significant strain on healthcare systems and economies worldwide. The pathogenesis of AD is multifactorial, involving hypotheses/mechanisms, such as amyloid-β (Aβ) plaques, tau protein hyperphosphorylation, cholinergic neuron damage, oxidative stress, and inflammation. Despite extensive research, the complexity of these potentially entangled mechanisms has hindered the development of treatments that can reverse disease progression. Nanotechnology, leveraging the unique physical, electrical, magnetic, and optical properties of nanomaterials, has emerged as a promising approach for AD treatment. In this Perspective, we first outlined the major current pathogenic hypotheses of AD and then reviewed recent advances in nanomaterials in addressing these hypotheses. We have also discussed the challenges in translating nanomaterials into clinical applications and proposed future directions, particularly the development of multifunctional and multitarget nanomaterials, to enhance their therapeutic efficacy and clinical applicability in AD treatment.
阿尔茨海默病(AD)是一种复杂的神经退行性疾病,也是痴呆最常见的病因。到2050年,预计AD病例数将超过1.31亿,给全球医疗系统和经济带来巨大压力。AD的发病机制是多因素的,涉及淀粉样β(Aβ)斑块、tau蛋白过度磷酸化、胆碱能神经元损伤、氧化应激和炎症等假说/机制。尽管进行了广泛研究,但这些潜在相互交织机制的复杂性阻碍了能够逆转疾病进展的治疗方法的开发。纳米技术利用纳米材料独特的物理、电学、磁学和光学性质,已成为一种有前景的AD治疗方法。在本综述中,我们首先概述了AD目前主要的致病假说,然后回顾了纳米材料在解决这些假说方面的最新进展。我们还讨论了将纳米材料转化为临床应用所面临的挑战,并提出了未来的方向,特别是多功能和多靶点纳米材料的开发,以提高其在AD治疗中的治疗效果和临床适用性。