Faculty of Environment & Life, Beijing University of Technology, Beijing, 100124, PR China.
Beijing Molecular Hydrogen Research Center, Beijing, 100124, PR China.
Nanomedicine (Lond). 2024 Apr;19(9):811-835. doi: 10.2217/nnm-2023-0266. Epub 2024 Mar 6.
Ischemic stroke, prevalent among the elderly, necessitates attention to reperfusion injury post treatment. Limited drug access to the brain, owing to the blood-brain barrier, restricts clinical applications. Identifying efficient drug carriers capable of penetrating this barrier is crucial. Blood-brain barrier transporters play a vital role in nutrient transport to the brain. Recently, nanoparticles emerged as drug carriers, enhancing drug permeability via surface-modified ligands. This article introduces the blood-brain barrier structure, elucidates reperfusion injury pathogenesis, compiles ischemic stroke treatment drugs, explores nanomaterials for drug encapsulation and emphasizes their advantages over conventional drugs. Utilizing nanoparticles as drug-delivery systems offers targeting and efficiency benefits absent in traditional drugs. The prospects for nanomedicine in stroke treatment are promising.
缺血性脑卒中在老年人中较为常见,因此需要关注治疗后的再灌注损伤。由于血脑屏障的存在,药物进入大脑的通道有限,这限制了其临床应用。寻找能够穿透这一屏障的有效药物载体至关重要。血脑屏障转运体在向大脑输送营养物质方面发挥着重要作用。最近,纳米颗粒作为药物载体出现,通过表面修饰配体来提高药物的通透性。本文介绍了血脑屏障的结构,阐明了再灌注损伤的发病机制,总结了缺血性脑卒中的治疗药物,探讨了用于药物包封的纳米材料,并强调了它们相对于传统药物的优势。利用纳米颗粒作为药物递送系统具有传统药物所缺乏的靶向性和高效性优势。纳米医学在脑卒中治疗中的前景一片光明。