Lababidi Jude Majed, Azzazy Hassan Mohamed El-Said
Department of Chemistry, School of Sciences & Engineering, The American University in Cairo, AUC Avenue, New Cairo, Egypt.
NPJ Parkinsons Dis. 2025 Aug 20;11(1):248. doi: 10.1038/s41531-025-01081-1.
Parkinson's Disease (PD) involves degeneration of dopamine-producing neurons, mitochondrial dysfunction, alpha-synuclein aggregation, neuroinflammation, and gut-brain axis disturbances. Despite the availability of pharmacological treatments, these interventions fail to prevent disease progression due to their limited ability to penetrate the blood-brain barrier (BBB) and systemic side effects. Phytochemicals, known for their antioxidant and neuroprotective properties, offer a complementary approach to PD treatment. However, their therapeutic potential is limited by rapid metabolism and poor bioavailability. Several nanoparticles were suggested to enhance the stability and bioavailability of therapeutic agents while enabling controlled release and improved BBB penetration. This review is focused on the use of poly (lactic-co-glycolic acid) (PLGA)-based nanosystem as advanced drug delivery carriers for PD due to its versatility, safety, biodegradability, and extensive studies which evaluated the use of PLGA for drug delivery. It also evaluates their use for encapsulating pharmacological drugs such as dopamine agonists, dopamine precursors, COMT inhibitors, and MAO-B inhibitors, addressing the limitations of conventional therapies. Additionally, the review highlights the utility of PLGA nanoparticles in delivering phytochemicals with neuroprotective effects such as polyphenols, flavonoids, and coumarins to overcome challenges associated with their solubility and stability and ultimately enhance their activities for managing PD.
帕金森病(PD)涉及多巴胺能神经元变性、线粒体功能障碍、α-突触核蛋白聚集、神经炎症以及肠-脑轴紊乱。尽管有药物治疗方法,但由于这些干预措施穿透血脑屏障(BBB)的能力有限以及存在全身副作用,无法阻止疾病进展。植物化学物质以其抗氧化和神经保护特性而闻名,为PD治疗提供了一种补充方法。然而,它们的治疗潜力受到快速代谢和低生物利用度的限制。有人提出几种纳米颗粒可增强治疗剂的稳定性和生物利用度,同时实现控释并改善BBB穿透性。本综述重点关注基于聚(乳酸-乙醇酸)(PLGA)的纳米系统作为PD的先进药物递送载体的应用,这是由于其多功能性、安全性、可生物降解性以及众多评估PLGA用于药物递送的广泛研究。它还评估了它们用于包封多巴胺激动剂、多巴胺前体、儿茶酚-O-甲基转移酶(COMT)抑制剂和单胺氧化酶-B(MAO-B)抑制剂等药理药物的情况,解决了传统疗法的局限性。此外,该综述强调了PLGA纳米颗粒在递送具有神经保护作用的植物化学物质(如多酚、黄酮类化合物和香豆素)方面的效用,以克服与其溶解度和稳定性相关的挑战,并最终增强它们在管理PD方面的活性。