Liu Mengmeng, Wang Hongli, Yang Yizhuang, Wang Jianhua, Sun Zhen, Zhao Shiyuan, Kong Weihua, Sun Wenxue, Wang Cuiyun, Feng Lei
Department of Pharmacy, Jining No. 1 People's Hospital, Shandong First Medical University, Jining, China.
Department of Pharmacy, Guilin Medical University, Guilin, China.
Ann Med. 2025 Dec;57(1):2537345. doi: 10.1080/07853890.2025.2537345. Epub 2025 Jul 28.
Central nervous system (CNS) diseases pose significant therapeutic challenges owing to their complex pathophysiology and the restrictive nature of the blood-brain barrier (BBB). Plant-derived exosome-like nanoparticles (PDELNs) exhibit intrinsic bioactivity, low immunogenicity, and ability to cross the BBB, making them a promising therapeutic strategy for CNS disorders. This review explores the preparation, isolation, and characterization of PDELNs, with a focus on their therapeutic applications in CNS diseases. We also discuss different administration routes and the impact of functional modifications on BBB penetration. PDELNs offer scalability, biocompatibility, and natural pharmacological activity, which make them attractive candidates for CNS drug delivery. However, challenges remain, including standardized isolation, elucidation of BBB penetration mechanisms, and long-term stability and safety. Future research should focus on clarifying their mechanisms of action, optimizing preparation methods, and validating their long-term safety to facilitate the clinical translation of PDELNs. KEY MESSAGESPDELNs are derived from abundant plant sources, exhibit favorable physicochemical properties.PDELNs offer new possibilities for CNS therapies owing to their low immunogenicity, high biocompatibility, and ability to cross the BBB.
中枢神经系统(CNS)疾病因其复杂的病理生理学和血脑屏障(BBB)的限制性而带来重大的治疗挑战。植物来源的类外泌体纳米颗粒(PDELNs)具有内在的生物活性、低免疫原性以及穿越血脑屏障的能力,使其成为治疗中枢神经系统疾病的一种有前景的治疗策略。本综述探讨了PDELNs的制备、分离和表征,重点关注其在中枢神经系统疾病中的治疗应用。我们还讨论了不同的给药途径以及功能修饰对血脑屏障穿透的影响。PDELNs具有可扩展性、生物相容性和天然药理活性,这使其成为中枢神经系统药物递送的有吸引力的候选物。然而,挑战依然存在,包括标准化分离、血脑屏障穿透机制的阐明以及长期稳定性和安全性。未来的研究应专注于阐明其作用机制、优化制备方法并验证其长期安全性,以促进PDELNs的临床转化。关键信息PDELNs来源于丰富的植物来源,具有良好的物理化学性质。由于其低免疫原性、高生物相容性和穿越血脑屏障的能力,PDELNs为中枢神经系统治疗提供了新的可能性。