Senanayake Dinithi, Yapa Piumika, Dabare Sanduni, Munaweera Imalka
Department of Chemistry, Faculty of Applied Sciences, University of Sri Jayewardenepura Nugegoda 10250 Sri Lanka
RSC Adv. 2025 Jul 21;15(32):25910-25928. doi: 10.1039/d5ra03578c.
The therapeutic drug penetration into brain tissues meets limitations through the restrictive function of the blood-brain barrier (BBB) within the central nervous system (CNS). The advancement of nanocarrier engineering techniques allows scientists to develop nanoscale delivery vehicles that successfully cross the BBB. This review analyses modern brain-delivery nanodrug delivery platforms by examining the properties and distribution of liposomes and polymeric nanoparticles, dendrimers, solid lipid nanoparticles, and exosomes. Organizations use specific physicochemical approaches designed for each platform to boost brain penetration and enhance therapeutic drug distribution for improving drug effectiveness. An analysis is presented of the various procedures to cross or bypass the BBB where receptor-mediated transcytosis joins focused ultrasound, as well as magnetic targeting and chemical modifications. The article presents therapeutic developments regarding neurological treatment of Alzheimer's disease, alongside Parkinson's disease and glioblastoma. Early laboratory success has produced promising results, yet challenges persist during the translation of these findings for clinical use because of safety issues as well as compatibility problems and difficulties with scaling up manufacturing processes. Finally, it discusses regulatory advancements and describes active market trends in nanomedicine that focus on precise delivery techniques and combination treatment methods, and brain-targeted delivery systems. The innovations combined present an optimistic future for CNS drug development because they create substantial opportunities to reshape neurological disorder treatments.
治疗药物透过血脑屏障(BBB)的限制功能进入脑组织时会受到限制,而血脑屏障位于中枢神经系统(CNS)内。纳米载体工程技术的进步使科学家能够开发出成功穿越血脑屏障的纳米级递送载体。本综述通过研究脂质体、聚合物纳米颗粒、树枝状大分子、固体脂质纳米颗粒和外泌体的性质及分布,分析了现代脑递送纳米药物递送平台。各机构针对每个平台采用特定的物理化学方法来提高脑渗透率,并增强治疗药物的分布以提高药物疗效。本文分析了穿越或绕过血脑屏障的各种方法,其中受体介导的转胞吞作用与聚焦超声、磁靶向和化学修饰一同被提及。文章介绍了针对阿尔茨海默病、帕金森病和胶质母细胞瘤的神经治疗的治疗进展。早期的实验室成功已产生了有前景的结果,但由于安全问题、兼容性问题以及扩大生产过程中的困难,将这些研究结果转化为临床应用时仍存在挑战。最后,本文讨论了监管进展,并描述了纳米医学的活跃市场趋势,这些趋势侧重于精确递送技术和联合治疗方法以及脑靶向递送系统。这些创新共同为中枢神经系统药物开发展现了乐观的未来,因为它们为重塑神经疾病治疗创造了大量机会。