基于纳米颗粒的抗菌药物重新定位以有效靶向阿尔茨海默病的潜力:基于证据的研究的简明更新和未来的挑战。

Biswabhusan Biswal, Bhabani Sankar Satapathy, Abhishek Mishra, Laxmidhar Maharana, Snigdha Pattnaik
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摘要

通过纳米载体(NCs)为基础的平台重新利用药物已成为药物传递研究的最新趋势。各种常规药物现在被重新用于治疗包括阿尔茨海默病(AD)在内的挑战性神经退行性疾病。AD是目前具有挑战性的神经退行性疾病之一,其特征是细胞外淀粉样蛋白-β积聚和细胞内神经原纤维缠结积聚。尽管药物开发取得了令人瞩目的进展,但阿尔茨海默病患者的有效治疗结果仍是遥不可及的梦想。在阿尔茨海默病发生和发展的几个假设中,不能排除微生物引起痴呆和阿尔茨海默病的潜在作用。最近的一些研究已经证明微生物感染与导致阿尔茨海默病进展的神经元损伤之间存在明确的相关性。因此,抗菌药物的再利用已成为一种替代的、潜在的、具有成本效益的策略来检查AD的进展。此外,为了有效地将抗菌药物输送到脑组织,新型的基于NCs的平台是绕过血脑屏障的首选选择。在过去的几年里,一些聚合物和脂质NCs已经被广泛研究,以改善抗微生物药物给药到大脑。目前的综述包括通过不同的NCs递送抗微生物药物以靶向AD的各种重新利用策略。从Scopus、PubMed、Web of science等真实数据库中整理的循证研究成果汇集在一起,提供最新的综述。同时,纳米药物载体在技术转移过程中面临的实际问题也得到了一些启示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Potential of Nanoparticle Based Antimicrobial Drug Repurposing to Efficiently Target Alzheimer's: A Concise Update on Evidence-based Research and Challenges Ahead.

Repurposing of drugs through nanocarriers (NCs) based platforms has been a recent trend in drug delivery research. Various routine drugs are now being repurposed to treat challenging neurodegenerative disorders including Alzheimer disease (AD). AD, at present is one of the challenging neurodegenerative disorders characterized by extracellular accumulation of amyloid-β and intracellular accumulations of neurofibrillary tangles. In spite of catchy progress in drug development, effective treatment outcome in AD patients is far-fetched dream. Out of several proposed hypothesis in the development and progression of AD, potential role of microorganisms causing dementia and AD cannot be ruled out. Several recent researches have been documented a clear correlation in between microbial infection and neuronal damage leading to progression of AD. Thus, antimicrobial drugs repurposing has been emerged as alternate, potential, cost-effective strategy to check progression of AD. Further, for efficient delivery of antimicrobial drugs to brain tissue, novel NCs based platforms are the preferred option to bypass blood-brain barrier. Several polymeric and lipid NCs have been extensively studied over the past years to improve antimicrobial drug delivery to brain. The present review encompasses various repurposing strategy of antimicrobial drugs delivered through various NCs to target AD. Evidence-based research outcome compiled from authentic database like Scopus, PubMed, Web of science have been pooled to provide an updated review. Side by side some light has been thrown on the practical problems faced by nanodrug carriers during technology transfer.

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