Ayub Ahsan, Wettig Shawn
School of Pharmacy, University of Waterloo, 10 Victoria St S A, Kitchener, ON N2G 1C5, Canada.
Pharmaceutics. 2022 Jan 19;14(2):224. doi: 10.3390/pharmaceutics14020224.
Drug delivery to the brain has been one of the toughest challenges researchers have faced to develop effective treatments for brain diseases. Owing to the blood-brain barrier (BBB), only a small portion of administered drug can reach the brain. A consequence of that is the need to administer a higher dose of the drug, which, expectedly, leads to a variety of unwanted side effects. Research in a variety of different fields has been underway for the past couple of decades to address this very serious and frequently lethal problem. One area of research that has produced optimistic results in recent years is nanomedicine. Nanomedicine is the science birthed by fusing the fields of nanotechnology, chemistry and medicine into one. Many different types of nanomedicine-based drug-delivery systems are currently being studied for the sole purpose of improved drug delivery to the brain. This review puts together and briefly summarizes some of the major breakthroughs in this crusade. Inorganic nanoparticle-based drug-delivery systems, such as gold nanoparticles and magnetic nanoparticles, are discussed, as well as some organic nanoparticulate systems. Amongst the organic drug-delivery nanosystems, polymeric micelles and dendrimers are discussed briefly and solid polymeric nanoparticles are explored in detail.
药物输送至脑部一直是研究人员在开发脑部疾病有效治疗方法时所面临的最严峻挑战之一。由于血脑屏障(BBB)的存在,只有一小部分给药药物能够到达脑部。其结果是需要给予更高剂量的药物,不出所料,这会导致各种不良副作用。在过去几十年里,各个不同领域都在进行研究以解决这个非常严重且常常致命的问题。近年来取得了乐观成果的一个研究领域是纳米医学。纳米医学是通过将纳米技术、化学和医学领域融合而诞生的一门科学。目前正在研究许多不同类型的基于纳米医学的药物输送系统,其唯一目的就是改善药物向脑部的输送。本综述汇集并简要总结了这场攻坚战中的一些重大突破。讨论了基于无机纳米颗粒的药物输送系统,如金纳米颗粒和磁性纳米颗粒,以及一些有机纳米颗粒系统。在有机药物输送纳米系统中,简要讨论了聚合物胶束和树枝状大分子,并详细探讨了固体聚合物纳米颗粒。