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通过口服脂质纳米颗粒靶向中枢神经系统疾病中的神经炎症

Targeting Neuroinflammation in Central Nervous System Diseases by Oral Delivery of Lipid Nanoparticles.

作者信息

Zou Yuan, Zhang Jing, Chen Longmin, Xu Qianqian, Yao Sheng, Chen Hong

机构信息

Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, China.

Hubei Key Laboratory of Neural Injury and Functional Reconstruction, Huazhong University of Science and Technology, Wuhan 430074, China.

出版信息

Pharmaceutics. 2025 Mar 18;17(3):388. doi: 10.3390/pharmaceutics17030388.

Abstract

Neuroinflammation within the central nervous system (CNS) is a primary characteristic of CNS diseases, such as Parkinson's disease, Alzheimer's disease (AD), amyotrophic lateral sclerosis, and mental disorders. The excessive activation of immune cells results in the massive release of pro-inflammatory cytokines, which subsequently induce neuronal death and accelerate the progression of neurodegeneration. Therefore, mitigating excessive neuroinflammation has emerged as a promising strategy for the treatment of CNS diseases. Despite advancements in drug discovery and the development of novel therapeutics, the effective delivery of these agents to the CNS remains a serious challenge due to the restrictive nature of the blood-brain barrier (BBB). This underscores the need to develop a novel drug delivery system. Recent studies have identified oral lipid nanoparticles (LNPs) as a promising approach to efficiently deliver drugs across the BBB and treat neurological diseases. This review aims to comprehensively summarize the recent advancements in the development of LNPs designed for the controlled delivery and therapeutic modulation of CNS diseases through oral administration. Furthermore, this review addresses the mechanisms by which these LNPs overcome biological barriers and evaluate their clinical implications and therapeutic efficacy in the context of oral drug delivery systems. Specifically, it focuses on LNP formulations that facilitate oral administration, exploring their potential to enhance bioavailability, improve targeting precision, and alleviate or manage the symptoms associated with a range of CNS diseases.

摘要

中枢神经系统(CNS)内的神经炎症是中枢神经系统疾病的主要特征,如帕金森病、阿尔茨海默病(AD)、肌萎缩侧索硬化症和精神障碍。免疫细胞的过度激活导致促炎细胞因子的大量释放,进而诱导神经元死亡并加速神经退行性变的进展。因此,减轻过度的神经炎症已成为治疗中枢神经系统疾病的一种有前景的策略。尽管在药物发现和新型治疗方法的开发方面取得了进展,但由于血脑屏障(BBB)的限制性质,将这些药物有效递送至中枢神经系统仍然是一项严峻的挑战。这凸显了开发新型药物递送系统的必要性。最近的研究已确定口服脂质纳米颗粒(LNPs)是一种有前景的方法,可有效跨越血脑屏障递送药物并治疗神经疾病。本综述旨在全面总结用于通过口服给药对中枢神经系统疾病进行控释和治疗调节的脂质纳米颗粒开发的最新进展。此外,本综述阐述了这些脂质纳米颗粒克服生物屏障的机制,并在口服药物递送系统的背景下评估其临床意义和治疗效果。具体而言,它专注于便于口服给药的脂质纳米颗粒制剂,探索其提高生物利用度、改善靶向精度以及减轻或控制一系列中枢神经系统疾病相关症状的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50f8/11944764/3faf586fcf39/pharmaceutics-17-00388-g001.jpg

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