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经鼻入脑纳米递药策略及其治疗脑部疾病研究进展

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血脑屏障限制了大部分药物的脑部递送,影响了中枢神经系统疾病的治疗。经鼻给药可通过嗅觉和三叉神经等通路让药物绕过血脑屏障直接到达脑部,从而在减轻药物降解和避免肝首过效应的同时提高药物治疗效果。随着纳米技术的兴起,将纳米制剂结合经鼻给药途径有望实现更好的脑靶向与脑部疾病治疗效果。本综述归纳了经鼻入脑各通路的特点,总结了外泌体、液晶等近年来新型经鼻入脑纳米制剂的研究情况,讨论了聚焦超声技术等提高入脑效率的新策略,回顾了近年来经鼻入脑纳米制剂在治疗脑部疾病方面的研究,分析了现阶段的研究困境并展望了其未来临床应用的前景。
Advances in the strategies of nasal into brain nanodelivery and the treatment of brain diseases
The blood-brain barrier limits the brain delivery of most drugs and affects the treatment of central nervous system disorders.The transnasal drug delivery allows the drug to bypass the blood-brain barrier and reach the brain directly through pathways such as the olfactory and trigeminal nerves,thus improving the therapeutic efficacy of the drug while reducing drug degradation and avoiding hepatic first pass effect.With the rise of nanotechnology,the combination of nanoformulations with transnasal routes of administration is expected to achieve better brain targeting and treatment of brain diseases.On the basis of summarizing the characteristics of the various nose-to-brain pathways,this review summarizes the researches on novel transnasal nanopreparations such as exosomes and liquid crystals in recent years as well as new strategies to improve the efficiency of brain entry including focused ultrasound-mediated techniques.We also review the recent studies on transnasal brain entry nanopreparations in the treatment of various brain disorders and current research dilemmas,looking forward to the prospect of their future clinical applications.

intranasal administrationblood-brain barrierbrain targetingnanoparticle deliverybrain disease

先鹏、邹灵辉、倪淑婷、刘梅、胡凯莉

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上海中医药大学中药学院,上海 201203

上海中医药大学交叉科学研究院,上海 201203

上海中医药大学产业发展中心,上海 201203

经鼻给药 血脑屏障 脑靶向 纳米递药 脑部疾病

2024

药学学报
中国药学会 中国医学科学院药物研究所

药学学报

CSTPCD北大核心
影响因子:1.274
ISSN:0513-4870
年,卷(期):2024.59(12)