革新帕金森病治疗:利用鼻内纳米乳剂靶向治疗的潜力。

IF 5.7 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Gulshan Sharma, Karan Wadhwa, Shobhit Kumar, Govind Singh, Rakesh Pahwa
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引用次数: 0

摘要

帕金森病(PD)是最突出和最普遍的慢性神经退行性疾病,通常以经典运动症状为特征,这些症状与基因突变、路易体和随后的黑质纹状体多巴胺能神经元选择性丧失有关。血脑屏障(BBB)和血脑脊液屏障保护中枢神经系统免受毒素侵害,是帕金森病有效脑药物输送的最重要障碍。近年来,由于药物可以通过三叉神经和嗅觉通路直接从鼻子给药,鼻内给药引起了大脑靶向性的极大关注。对于通过鼻腔给药的脑靶向,全球已经研究了几种先进和有前途的配方技术。纳米乳剂被认为是PD治疗的一种创新载体,它提供了靶向给药和增强神经治疗药物的生物利用度。本文深入探讨了帕金森病的病理生理学,克服血脑屏障的各种药物递送策略,以及纳米乳剂通过鼻内途径的潜在作用。关于纳米乳剂鼻内给药及其在帕金森病治疗中的关键应用的各种研究成果也已开始。植物成分和表面修饰纳米乳液在有效治疗帕金森病方面的潜在作用也得到了反映,同时也反映了这一领域当前的挑战和未来的前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Revolutionizing Parkinson's treatment: Harnessing the potential of intranasal nanoemulsions for targeted therapy.

Parkinson's disease (PD) is the most prominent and highly prevalent chronic neuro-degenerative disease generally recognized by classical motor symptoms which are linked with genetic mutation, Lewy bodies, and subsequently selective loss of nigrostriatal dopaminergic neurons. The blood-brain barrier (BBB) and blood-cerebrospinal fluid barrier protect the central nervous system against toxins and are the most significant barriers to effective brain drug delivery in managing Parkinsonism. In recent years, intranasal delivery has attracted remarkable attention for brain targeting as the drug can be administered to the brain directly from the nose employing the trigeminal and olfactory pathways. For brain targeting through nasal delivery, several advanced and promising formulation techniques have been investigated globally. Nanoemulsions are regarded as an innovative carrier approach for PD, where these provide targeted administration and enhanced bioavailability of neurotherapeutics. This manuscript provides deeper insight into the pathophysiology of PD, various drug delivery strategies to overcome BBB, and the potential role of nanoemulsions via the intranasal route. Various research findings on the intranasal administration of nanoemulsions and their pivotal applications in the treatment of PD have also been embarked. The potential role of phytoconstituents and surface-modified nanoemulsions for the effective treatment of PD has also been reflected along with current challenges and future perspectives in this avenue.

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来源期刊
Drug Delivery and Translational Research
Drug Delivery and Translational Research MEDICINE, RESEARCH & EXPERIMENTALPHARMACOL-PHARMACOLOGY & PHARMACY
CiteScore
11.70
自引率
1.90%
发文量
160
期刊介绍: The journal provides a unique forum for scientific publication of high-quality research that is exclusively focused on translational aspects of drug delivery. Rationally developed, effective delivery systems can potentially affect clinical outcome in different disease conditions. Research focused on the following areas of translational drug delivery research will be considered for publication in the journal. Designing and developing novel drug delivery systems, with a focus on their application to disease conditions; Preclinical and clinical data related to drug delivery systems; Drug distribution, pharmacokinetics, clearance, with drug delivery systems as compared to traditional dosing to demonstrate beneficial outcomes Short-term and long-term biocompatibility of drug delivery systems, host response; Biomaterials with growth factors for stem-cell differentiation in regenerative medicine and tissue engineering; Image-guided drug therapy, Nanomedicine; Devices for drug delivery and drug/device combination products. In addition to original full-length papers, communications, and reviews, the journal includes editorials, reports of future meetings, research highlights, and announcements pertaining to the activities of the Controlled Release Society.
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