Liu Qibin, Chen Zhuoqian, Guiseppi-Elie Anthony, Meng Fanling, Luo Liang
National Engineering Research Center for Nanomedicine College of Life Science and Technology Huazhong University of Science and Technology Wuhan China.
Wuhan Pulmonary Hospital Wuhan Institute for Tuberculosis Control Wuhan China.
Smart Mol. 2025 Mar 20;3(2):e20240052. doi: 10.1002/smo.20240052. eCollection 2025 Jun.
The blood-brain barrier (BBB) is a substantial impediment to effectively delivering central nervous system (CNS) therapies. In this review, we provide a comprehensive dissection of the BBB's elaborate structure and function and discuss the inherent limitations of conventional drug delivery mechanisms due to its impermeability. We summarized the creative deployment of nanocarriers, the astute modification of small molecules to bolster their CNS penetration capabilities as well as the burgeoning potential of magnetic nanoparticles and optical techniques that are positioned to enable more precise and targeted drug delivery across the BBB and we discuss the current clinical application of some nanomedicines. In addition, we emphasize the indispensable role of artificial intelligence in designing novel materials and the paramount significance of interdisciplinary research in surmounting clinical challenges associated with BBB penetration. Our review meticulously integrates these insights to accentuate the impact of nanotechnological innovations in BBB research and CNS disease management. It presents a promising trajectory for the evolution of patient care in neurological disorders and suggests that these scientific strides could lead to more efficacious treatments and improved outcomes for those afflicted with such conditions.
血脑屏障(BBB)是有效递送中枢神经系统(CNS)疗法的重大障碍。在本综述中,我们全面剖析了血脑屏障的精细结构和功能,并讨论了由于其不透性导致的传统药物递送机制的固有局限性。我们总结了纳米载体的创新性应用、对小分子的巧妙修饰以增强其穿过血脑屏障的能力,以及磁性纳米颗粒和光学技术在实现更精确、靶向性药物递送穿过血脑屏障方面的新兴潜力,并讨论了一些纳米药物的当前临床应用。此外,我们强调了人工智能在设计新型材料方面的不可或缺的作用,以及跨学科研究在克服与血脑屏障穿透相关的临床挑战方面的至关重要性。我们的综述精心整合了这些见解,以突出纳米技术创新在血脑屏障研究和中枢神经系统疾病管理中的影响。它为神经疾病患者护理的发展呈现了一条充满希望的轨迹,并表明这些科学进展可能为患有此类疾病的患者带来更有效的治疗和更好的治疗效果。