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用于创伤性脑损伤的鼻内给药系统:进展与展望。

Intranasal delivery systems for traumatic brain injury: Advancements and perspectives.

作者信息

Yoo Shin Hyuk, Heo Soon Chul, Bae Jun Sang, Lee Jun Hee, Knowles Jonathan C, Kim Hae-Won

机构信息

Department of Otorhinolaryngology, Dankook University College of Medicine, Cheonan, Republic of Korea.

Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan, Republic of Korea.

出版信息

J Tissue Eng. 2025 Sep 13;16:20417314251372373. doi: 10.1177/20417314251372373. eCollection 2025 Jan-Dec.

Abstract

Traumatic brain injury (TBI) is a major cause of mortality and morbidity, commonly leading to long-term impairments in cognition, sensorimotor function, and personality. While neuroprotective drugs have demonstrated some efficacy cultures and animal models, their clinical applications remain debated. Intranasal delivery to the brain parenchyma, bypassing the blood-brain barrier for more direct access to target sites, offers a favorable and safe approach. This review illuminates current advancements in intranasal delivery systems for TBI treatment. We begin with an overview of TBI and its current clinical treatment options. We then outline recent developments in intranasal delivery systems of molecules and cells, emphasizing their efficacy in animal models. Finally, we discuss future clinical perspectives on emerging trends, offering insights into leveraging intranasal delivery for effective TBI therapeutics.

摘要

创伤性脑损伤(TBI)是导致死亡和发病的主要原因,通常会导致认知、感觉运动功能和人格方面的长期损害。虽然神经保护药物在细胞培养和动物模型中已显示出一定疗效,但其临床应用仍存在争议。经鼻给药至脑实质,绕过血脑屏障以更直接地到达靶位点,提供了一种有利且安全的方法。本综述阐述了用于TBI治疗的鼻内给药系统的当前进展。我们首先概述TBI及其当前的临床治疗选择。然后,我们概述分子和细胞鼻内给药系统的最新进展,强调它们在动物模型中的疗效。最后,我们讨论新兴趋势的未来临床前景,为利用鼻内给药实现有效的TBI治疗提供见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5804/12433564/fa9b722b97e5/10.1177_20417314251372373-fig1.jpg

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