Lai Guogang, Wu Hao, Yang Kaixia, Hu Kaikai, Zhao Wen, Chen Xiao, Li Jiayi, Wang Haifeng, Lv Zhongyue, Xie Guomin, Wu Xiping
Department of Neurology, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China.
Ningbo Institute of Innovation for Combined Medicine and Engineering, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China.
Int J Nanomedicine. 2025 Jun 17;20:7781-7810. doi: 10.2147/IJN.S525960. eCollection 2025.
Alzheimer's disease (AD), a primary neurodegenerative disorder, is characterized by amyloid-β plaques and tau hyperphosphorylation-induced neurofibrillary tangles. Current treatments only alleviate symptoms, and Aβ monoclonal antibodies raise safety concerns in clinical use. Natural components (NCs) of Traditional Chinese Medicine (TCM) (eg, curcumin, quercetin, berberine, resveratrol) exhibit multi-target neuroprotective effects in AD, but poor blood-brain barrier (BBB) penetration and low bioavailability limit clinical use. Recent strategies to enhance TCM delivery include NP-based nanoparticle (NP) drug delivery systems (NDDS), structural modifications, and combination therapies. NDDS demonstrate superior performance in enabling brain-targeting delivery via passive (paracellular/transcellular) and active (adsorption-/receptor-/carrier-mediated transcytosis) approaches, improving NCs' stability, controlled release, and bioavailability. With NCs of TCM delivery via NDDS, it is possible to develop intelligent therapeutic systems that combine multi-target regulation with precise drug delivery. This review summarizes the diverse neuroprotective effects of NCs of TCM in AD treatment and discusses the commonly used types of NPs for AD therapy. It particularly focuses on these NCs of TCM delivery via NDDS, covering aspects such as NPs types, fabrication techniques, characteristics, administration routes, and advantages. Finally, the challenges and potential solutions for NCs of TCM were examined, along with comparative advantages and limitations among different NPs and future research directions. Collectively, NCs of TCM delivery via NDDS demonstrate promising therapeutic potential for AD treatment.
阿尔茨海默病(AD)是一种原发性神经退行性疾病,其特征为β淀粉样蛋白斑块和tau蛋白过度磷酸化诱导的神经原纤维缠结。目前的治疗方法只能缓解症状,而β淀粉样蛋白单克隆抗体在临床应用中引发了安全性问题。中药的天然成分(如姜黄素、槲皮素、黄连素、白藜芦醇)在AD中具有多靶点神经保护作用,但血脑屏障(BBB)穿透性差和生物利用度低限制了其临床应用。近期增强中药递送的策略包括基于纳米颗粒(NP)的药物递送系统(NDDS)、结构修饰和联合疗法。NDDS通过被动(细胞旁/跨细胞)和主动(吸附/受体/载体介导的转胞吞作用)途径实现脑靶向递送,在提高天然成分的稳定性、控释和生物利用度方面表现出卓越性能。通过NDDS递送中药天然成分,有可能开发出将多靶点调节与精确药物递送相结合的智能治疗系统。本综述总结了中药天然成分在AD治疗中的多种神经保护作用,并讨论了用于AD治疗的常用纳米颗粒类型。特别关注通过NDDS递送的这些中药天然成分,涵盖纳米颗粒类型、制备技术、特性、给药途径和优势等方面。最后,研究了中药天然成分面临的挑战和潜在解决方案,以及不同纳米颗粒之间的比较优势和局限性以及未来的研究方向。总体而言,通过NDDS递送的中药天然成分在AD治疗中显示出有前景的治疗潜力。
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