摘要
背景:痴呆症及其相关类型,例如阿尔茨海默氏病,血管性痴呆和混合性痴呆属于脑相关疾病,导致长期进行性记忆丧失。这些疾病非常严重,可能会影响一个人的日常生活。迄今为止,由于痴呆症的复杂病理生理学和缺乏有效的药理学方法,痴呆症的治疗仍然是一个尚未得到解决的挑战。基于纳米技术的药物产品的使用可能会改善痴呆症的管理,因为纳米载体可以更有效地将药物输送到大脑。 目的:本研究的目的是提供当前基于纳米技术的药物输送系统,用于治疗各种类型的痴呆症。另外,正在讨论针对所述痴呆类型的当前诊断生物标志物以及它们可用的药理学治疗。 方法:对当前的纳米系统进行了广泛的综述,例如针对阿尔茨海默氏病,血管性痴呆和混合性痴呆的脑部药物输送系统。此外,也报道了纳米热疗作为此类痴呆症的可能成像标志。 结果:鉴于纳米级药物输送系统很容易穿透血脑屏障并在体内循环较长时间,因此纳米技术领域对于靶向痴呆非常有利。这些纳米制剂由聚合物纳米颗粒,固体脂质纳米颗粒,纳米结构脂质载体,微乳液,纳米乳液和液晶组成。纳米治疗剂的递送可以通过各种给药途径来实现,例如透皮,注射,口服,更重要的是,通过鼻内途径。然而,纳米载体主要限于针对阿尔茨海默氏病的疾病。因此,应开发用于其他类型痴呆的纳米载体。 结论:总而言之,了解神经退行性病变的机理并审查当前针对阿尔茨海默氏病和其他痴呆类型的药物递送系统对于医学和药学界产生有效的治疗选择和基于多功能和生物相容性纳米载体的新颖策略具有重要意义,这些纳米载体可以递送药物充分进入大脑
关键词: 痴呆,老年痴呆症,脑部药物递送,纳米技术,纳米颗粒,微乳剂,脂质纳米载体。
[http://dx.doi.org/10.1186/s13195-015-0104-7] [PMID: 25722748]
[http://dx.doi.org/10.1590/1980-57642016dn11-040005] [PMID: 29354216]
[http://dx.doi.org/10.1186/s13195-019-0529-5] [PMID: 31470905]
[http://dx.doi.org/10.3233/JAD-179924] [PMID: 29504543]
[http://dx.doi.org/10.1080/10717544.2018.1428243] [PMID: 29350055]
[http://dx.doi.org/10.3390/nu7075246] [PMID: 26184304]
[http://dx.doi.org/10.3389/fnagi.2019.00247] [PMID: 31572165]
[http://dx.doi.org/10.1186/1471-2377-11-21] [PMID: 21299848]
[http://dx.doi.org/10.2174/1381612823666170927123454] [PMID: 28969533]
[http://dx.doi.org/10.1016/j.expneurol.2015.05.006] [PMID: 25987538]
[http://dx.doi.org/10.1016/S1474-4422(13)70044-9] [PMID: 23477989]
[http://dx.doi.org/10.1016/S1474-4422(12)70291-0] [PMID: 23332364]
[PMID: 22941841]
[http://dx.doi.org/10.1111/j.1749-6632.2002.tb04817.x] [PMID: 12480752]
[http://dx.doi.org/10.1016/j.jconrel.2020.02.020] [PMID: 32061621]
[http://dx.doi.org/10.1080/17425247.2019.1562443] [PMID: 30572726]
[http://dx.doi.org/10.2174/1567205014666170508121031] [PMID: 28482786]
[http://dx.doi.org/10.2174/1567205014666170203125008] [PMID: 28164767]
[http://dx.doi.org/10.1136/jnnp-2014-307662] [PMID: 25261571]
[http://dx.doi.org/10.1371/journal.pone.0159099] [PMID: 27459603]
[http://dx.doi.org/10.1016/j.neurobiolaging.2010.01.004] [PMID: 20106550]
[http://dx.doi.org/10.1038/tp.2014.61] [PMID: 25116835]
[http://dx.doi.org/10.1371/journal.pone.0075091] [PMID: 24073237]
[http://dx.doi.org/10.5483/BMBRep.2020.53.1.309] [PMID: 31865964]
[PMID: 27476881]
[http://dx.doi.org/10.1016/j.clineuro.2016.02.015] [PMID: 26895209]
[http://dx.doi.org/10.1016/j.exger.2009.09.005] [PMID: 19782124]
[http://dx.doi.org/10.1016/j.jprot.2019.04.008] [PMID: 30978462]
[http://dx.doi.org/10.3389/fneur.2015.00236] [PMID: 26635716]
[http://dx.doi.org/10.1111/j.1538-7836.2011.04403.x] [PMID: 21676170]
[http://dx.doi.org/10.1007/s00415-013-7047-3] [PMID: 23877436]
[http://dx.doi.org/10.1016/j.tibtech.2010.09.007] [PMID: 20971518]
[http://dx.doi.org/10.1136/gpsych-2019-100054] [PMID: 31179427]
[http://dx.doi.org/10.1155/2012/824024] [PMID: 22701795]
[http://dx.doi.org/10.1161/01.STR.32.5.1162] [PMID: 11340226]
[http://dx.doi.org/10.1136/jnnp.69.1.74] [PMID: 10864607]
[http://dx.doi.org/10.1016/j.neubiorev.2019.04.014] [PMID: 31026486]
[http://dx.doi.org/10.1016/j.jamda.2016.12.006] [PMID: 28159467]
[http://dx.doi.org/10.1038/s41467-020-14373-2] [PMID: 32001681]
[http://dx.doi.org/10.3233/ADR-190165] [PMID: 32206754]
[http://dx.doi.org/10.1016/j.bgm.2014.11.001]
[http://dx.doi.org/10.1159/000345981] [PMID: 23569455]
[http://dx.doi.org/10.1055/s-0039-1687907] [PMID: 31096303]
[PMID: 20446930]
[http://dx.doi.org/10.1515/CCLM.2004.208] [PMID: 15497469]
[http://dx.doi.org/10.1007/s12017-017-8471-9] [PMID: 29098526]
[http://dx.doi.org/10.1161/01.STR.0000206445.97511.ae] [PMID: 16514100]
[PMID: 23696950]
[http://dx.doi.org/10.1097/WAD.0000000000000034] [PMID: 24632990]
[http://dx.doi.org/10.1016/j.jns.2007.01.045] [PMID: 17324442]
[http://dx.doi.org/10.1002/14651858.CD001190.pub3] [PMID: 29923184]
[http://dx.doi.org/10.2147/CIA.S129145] [PMID: 28458525]
[http://dx.doi.org/10.1007/s40266-016-0405-y] [PMID: 27681702]
[http://dx.doi.org/10.3233/JAD-170672] [PMID: 29254093]
[http://dx.doi.org/10.1007/s40261-015-0296-4] [PMID: 26016820]
[http://dx.doi.org/10.1259/bjr.20170893] [PMID: 29565650]
[http://dx.doi.org/10.3390/ijms17091440] [PMID: 27589733]
[http://dx.doi.org/10.2174/1874471006666131126222835] [PMID: 24283961]
[http://dx.doi.org/10.1021/acsnano.7b07625] [PMID: 29364648]
[http://dx.doi.org/10.1166/jnn.2015.11296] [PMID: 26716196]
[PMID: 29141366]
[http://dx.doi.org/10.1021/acschemneuro.7b00312] [PMID: 29192759]
[http://dx.doi.org/10.7150/ntno.23125] [PMID: 29577020]
[http://dx.doi.org/10.1002/adfm.201401199] [PMID: 25729344]
[http://dx.doi.org/10.1177/1756285612461679] [PMID: 23277790]
[http://dx.doi.org/10.3390/biomimetics3010004] [PMID: 31105226]
[http://dx.doi.org/10.2174/187152712799960709] [PMID: 22229318]
[http://dx.doi.org/10.4103/1673-5374.226381]
[http://dx.doi.org/10.1111/nan.12472] [PMID: 29380913]
[PMID: 18044183]
[http://dx.doi.org/10.1155/2016/5912146]
[http://dx.doi.org/10.1016/j.jalz.2011.09.200]
[http://dx.doi.org/10.2147/IJN.S151474] [PMID: 29440896]
[http://dx.doi.org/10.2147/IJN.S87148] [PMID: 26345528]
[http://dx.doi.org/10.2147/IJN.S171490] [PMID: 30271148]
[http://dx.doi.org/10.7150/thno.21254] [PMID: 29556336]
[http://dx.doi.org/10.1016/j.jconrel.2016.05.044] [PMID: 27208862]
[http://dx.doi.org/10.2174/1381612822666161226151011] [PMID: 28025949]
[http://dx.doi.org/10.2174/0929867325666180221125759] [PMID: 29473493]
[http://dx.doi.org/10.1124/mi.3.2.90] [PMID: 14993430]
[http://dx.doi.org/10.1016/B978-0-12-814031-4.00020-9]
[http://dx.doi.org/10.1016/j.bpj.2014.06.024] [PMID: 25099802]
[http://dx.doi.org/10.2174/1871527319666200618150046] [PMID: 32552655]
[http://dx.doi.org/10.1002/btm2.10153] [PMID: 32440560]
[http://dx.doi.org/10.1021/acsbiomaterials.0c00743] [PMID: 33455287]
[http://dx.doi.org/10.1007/s11095-012-0958-3] [PMID: 23314933]
[http://dx.doi.org/10.2217/nnm.16.5] [PMID: 27003448]
[http://dx.doi.org/10.1038/nbt1340] [PMID: 17891134]
[http://dx.doi.org/10.1080/1061186X.2018.1497037] [PMID: 29972326]
[http://dx.doi.org/10.1073/pnas.1308345110] [PMID: 23754411]
[http://dx.doi.org/10.1021/nn304439f] [PMID: 23402533]
[http://dx.doi.org/10.1021/acsnano.5b00147] [PMID: 25715979]
[http://dx.doi.org/10.2217/nnm-2018-0139] [PMID: 29998779]
[http://dx.doi.org/10.1021/nn5018523] [PMID: 24773217]
[http://dx.doi.org/10.1016/j.ejpb.2009.11.001] [PMID: 19941957]
[http://dx.doi.org/10.1016/j.nano.2016.04.008] [PMID: 27125435]
[http://dx.doi.org/10.1038/nbt.3330] [PMID: 26348965]
[http://dx.doi.org/10.1021/nn5003375] [PMID: 24673594]
[http://dx.doi.org/10.1515/ntrev-2012-0084]
[http://dx.doi.org/10.1021/acsnano.6b04268] [PMID: 27934069]
[http://dx.doi.org/10.1186/s11671-016-1676-2] [PMID: 27726119]
[http://dx.doi.org/10.2174/1570159X11311020006] [PMID: 23997754]
[http://dx.doi.org/10.1155/2013/238428] [PMID: 25937958]
[http://dx.doi.org/10.1038/s41598-019-44569-6] [PMID: 31164665]
[http://dx.doi.org/10.1080/10717544.2019.1636420] [PMID: 31290705]
[http://dx.doi.org/10.1016/j.addr.2013.09.006] [PMID: 24060923]
[http://dx.doi.org/10.3390/biomedicines8010013] [PMID: 31941057]
[http://dx.doi.org/10.1016/j.pharmthera.2004.08.001] [PMID: 15500907]
[http://dx.doi.org/10.5772/intechopen.83040]
[http://dx.doi.org/10.1166/sam.2014.1761]
[http://dx.doi.org/10.1016/j.ejps.2012.04.013] [PMID: 22561106]
[http://dx.doi.org/10.1002/jps.24557]
[http://dx.doi.org/10.2147/IJN.S35329] [PMID: 23180965]
[http://dx.doi.org/10.1016/j.parkreldis.2017.11.175]
[http://dx.doi.org/10.1016/j.carres.2018.03.001] [PMID: 29549749]
[http://dx.doi.org/10.1016/j.actbio.2015.12.005] [PMID: 26675130]
[http://dx.doi.org/10.3390/biom9020056] [PMID: 30743984]
[http://dx.doi.org/10.1186/s11671-018-2759-z] [PMID: 30350003]
[http://dx.doi.org/10.2174/1567201815666181004094707]
[http://dx.doi.org/10.1021/acsomega.8b00764] [PMID: 30087934]
[http://dx.doi.org/10.1016/j.pharep.2019.02.017] [PMID: 31176102]
[http://dx.doi.org/10.1166/jbn.2019.2724] [PMID: 30841963]
[http://dx.doi.org/10.1080/10611860600721051] [PMID: 16882548]
[http://dx.doi.org/10.2174/0929867311320170006] [PMID: 23458620]
[http://dx.doi.org/10.1371/journal.pone.0032616] [PMID: 22403681]
[http://dx.doi.org/10.1021/nn405077y] [PMID: 24467380]
[http://dx.doi.org/10.1016/j.colsurfb.2016.08.052] [PMID: 27591943]
[http://dx.doi.org/10.2147/IJN.S144545] [PMID: 29263666]
[http://dx.doi.org/10.1016/j.nano.2019.02.004] [PMID: 30794963]
[http://dx.doi.org/10.1016/j.ijpharm.2017.05.015] [PMID: 28495580]
[http://dx.doi.org/10.1016/j.ejps.2016.05.012] [PMID: 27185298]
[http://dx.doi.org/10.1016/j.ijpharm.2017.05.039] [PMID: 28549973]
[http://dx.doi.org/10.1016/j.msec.2018.05.062] [PMID: 30033276]
[http://dx.doi.org/10.1016/j.biomaterials.2013.09.063] [PMID: 24099709]
[http://dx.doi.org/10.1016/j.jconrel.2019.03.010] [PMID: 30876953]
[http://dx.doi.org/10.1016/j.colsurfb.2016.04.041] [PMID: 27131092]
[http://dx.doi.org/10.1016/j.nano.2017.12.006] [PMID: 29248676]
[http://dx.doi.org/10.1016/j.ijpharm.2013.11.049] [PMID: 24300213]
[http://dx.doi.org/10.1016/j.jconrel.2010.07.084] [PMID: 21529583]
[http://dx.doi.org/10.1016/j.ejpb.2010.07.007] [PMID: 20637869]
[http://dx.doi.org/10.1016/j.jalz.2014.05.661]
[http://dx.doi.org/10.1016/j.jconrel.2018.04.034] [PMID: 29679667]
[http://dx.doi.org/10.2147/IJN.S39232] [PMID: 23378761]
[PMID: 26834457]
[http://dx.doi.org/10.1016/j.ijpharm.2014.07.003] [PMID: 24999054]
[http://dx.doi.org/10.2147/IJN.S117210] [PMID: 27799765]
[http://dx.doi.org/10.1016/j.jconrel.2015.02.012] [PMID: 25668771]
[http://dx.doi.org/10.1007/s11095-013-1249-3] [PMID: 24338512]
[http://dx.doi.org/10.1016/j.ijpharm.2013.03.054] [PMID: 23578826]
[http://dx.doi.org/10.1016/j.biomaterials.2010.10.027] [PMID: 21131044]
[http://dx.doi.org/10.1016/j.nano.2012.11.004] [PMID: 23220328]
[http://dx.doi.org/10.2147/IJN.S183117] [PMID: 30587974]
[http://dx.doi.org/10.1080/10717544.2017.1309476] [PMID: 28415883]
[http://dx.doi.org/10.1016/j.ijpharm.2013.05.009] [PMID: 23680731]
[http://dx.doi.org/10.2147/IJN.S128396] [PMID: 28280340]
[http://dx.doi.org/10.2147/IJN.S132472] [PMID: 28435263]
[http://dx.doi.org/10.1523/JNEUROSCI.0284-14.2014] [PMID: 25319699]
[http://dx.doi.org/10.1016/j.ejps.2015.07.002] [PMID: 26143262]
[http://dx.doi.org/10.2217/nnm.09.67] [PMID: 20025461]
[http://dx.doi.org/10.1016/j.jconrel.2007.12.018] [PMID: 18313785]
[http://dx.doi.org/10.1021/acschemneuro.8b00510] [PMID: 30335941]
[http://dx.doi.org/10.1016/j.molliq.2018.05.075]
[http://dx.doi.org/10.1016/j.neuint.2017.08.001] [PMID: 28782592]
[http://dx.doi.org/10.1016/j.chemphyslip.2019.104794] [PMID: 31361985]
[http://dx.doi.org/10.1016/j.colsurfb.2019.02.007] [PMID: 30763792]
[http://dx.doi.org/10.1016/j.nlm.2019.107082] [PMID: 31493483]
[http://dx.doi.org/10.1016/j.brainres.2019.146325] [PMID: 31325424]
[http://dx.doi.org/10.23893/1307-2080.APS.05524]
[http://dx.doi.org/10.1016/j.colsurfb.2018.09.063] [PMID: 30300828]
[http://dx.doi.org/10.1016/j.brainresbull.2018.10.009] [PMID: 30449731]
[http://dx.doi.org/10.3390/pharmaceutics11020084] [PMID: 30781585]
[http://dx.doi.org/10.2174/1567201813666151202195729] [PMID: 26638977]
[http://dx.doi.org/10.3109/10717544.2013.838014] [PMID: 24128122]
[http://dx.doi.org/10.1080/21691401.2016.1276919] [PMID: 28102083]
[http://dx.doi.org/10.3109/10717544.2013.878857] [PMID: 24467601]
[http://dx.doi.org/10.1080/02652048.2020.1756971] [PMID: 32293915]
[http://dx.doi.org/10.1007/s13346-020-00754-z] [PMID: 32297166]
[http://dx.doi.org/10.3390/pharmaceutics11020064] [PMID: 30717264]
[http://dx.doi.org/10.1208/s12249-018-1180-3] [PMID: 30238305]
[http://dx.doi.org/10.7324/JAPS.2017.70104]
[http://dx.doi.org/10.1016/j.ijbiomac.2018.06.190 ] [PMID: 30001606]
[http://dx.doi.org/10.1016/j.xphs.2017.11.014] [PMID: 29183742]
[http://dx.doi.org/10.1021/acschemneuro.5b00135] [PMID: 26011650]
[http://dx.doi.org/10.3389/fphar.2019.00910] [PMID: 31507412]
[http://dx.doi.org/10.2174/1568026616666160927150452] [PMID: 27697058]
[http://dx.doi.org/10.1155/2015/935403] [PMID: 26798521]
[http://dx.doi.org/10.1016/j.ijpharm.2017.07.080] [PMID: 28774853]
[http://dx.doi.org/10.1016/j.biomaterials.2016.08.021] [PMID: 27552320]
[http://dx.doi.org/10.1016/j.nano.2019.01.010] [PMID: 30708052]
[http://dx.doi.org/10.3390/brainsci9090214] [PMID: 31450572]