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载姜黄素的聚合物纳米材料作为阿尔茨海默病治疗的新策略:全面综述。

Curcumin-loaded polymeric nanomaterials as a novel therapeutic strategy for Alzheimer's disease: A comprehensive review.

机构信息

Qinba State Key Laboratory of Biological Resources and Ecological Environment, 2011 QinLing-Bashan Mountains Bioresources Comprehensive Development C. I. C, Shaanxi Province Key Laboratory of Bio-Resources, College of Bioscience and Bioengineering, Shaanxi University of Technology, Hanzhong 723001, China.

Department of Chemical Technology, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand.

出版信息

Ageing Res Rev. 2024 Aug;99:102393. doi: 10.1016/j.arr.2024.102393. Epub 2024 Jun 24.

Abstract

Alzheimer's disease (AD) stands as a formidable challenge in modern medicine, characterized by progressive neurodegeneration, cognitive decline, and memory impairment. Despite extensive research, effective therapeutic strategies remain elusive. The antioxidant, anti-inflammatory, and neuroprotective properties of curcumin, found in turmeric, have demonstrated promise. The poor bioavailability and rapid systemic clearance of this drug limit its clinical application. This comprehensive review explores the potential of curcumin-loaded polymeric nanomaterials as an innovative therapeutic avenue for AD. It delves into the preparation and characteristics of diverse polymeric nanomaterial platforms, including liposomes, micelles, dendrimers, and polymeric nanoparticles. Emphasis is placed on how these platforms enhance curcumin's bioavailability and enable targeted delivery to the brain, addressing critical challenges in AD treatment. Mechanistic insights reveal how these nanomaterials modulate key AD pathological processes, including amyloid-beta aggregation, tau phosphorylation, oxidative stress, and neuroinflammation. The review also highlighted the preclinical studies demonstrate reduced amyloid-beta plaques and neuroinflammation, alongside improved cognitive function, while clinical trials show promise in enhancing curcumin's bioavailability and efficacy in AD. Additionally, it addresses the challenges of clinical translation, such as regulatory issues, large-scale production, and long-term stability. By synthesizing recent advancements, this review underscores the potential of curcumin-loaded polymeric nanomaterials to offer a novel and effective therapeutic approach for AD, aiming to guide future research and development in this field.

摘要

阿尔茨海默病(AD)是现代医学面临的一项艰巨挑战,其特征是进行性神经退行性变、认知能力下降和记忆力减退。尽管进行了广泛的研究,但仍缺乏有效的治疗策略。姜黄中的姜黄素具有抗氧化、抗炎和神经保护作用,具有很大的应用前景。然而,由于该药物的生物利用度低和体内迅速清除,限制了其临床应用。本综述探讨了负载姜黄素的聚合物纳米材料作为治疗 AD 的一种创新治疗方法的潜力。它深入探讨了不同聚合物纳米材料平台(包括脂质体、胶束、树枝状大分子和聚合物纳米粒子)的制备和特性。重点介绍了这些平台如何提高姜黄素的生物利用度并实现对大脑的靶向递送,解决 AD 治疗中的关键挑战。机制研究揭示了这些纳米材料如何调节 AD 的关键病理过程,包括淀粉样β聚集、tau 磷酸化、氧化应激和神经炎症。该综述还强调了临床前研究表明负载姜黄素的聚合物纳米材料可减少淀粉样β斑块和神经炎症,改善认知功能,同时临床试验表明可提高 AD 中姜黄素的生物利用度和疗效。此外,还解决了临床转化的挑战,如监管问题、大规模生产和长期稳定性。通过综合最新进展,本综述强调了负载姜黄素的聚合物纳米材料为 AD 提供新的有效治疗方法的潜力,旨在为该领域的未来研究和发展提供指导。

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