Therapeutic nanoplatforms and delivery strategies for neurological disorders.
You Jung KangEric Gerard CutlerHyung-Ryong KimPublished in: Nano convergence (2018)
The major neurological disorders found in a central nervous system (CNS), such as brain tumors, Alzheimer's diseases, Parkinson's diseases, and Huntington's disease, have led to devastating outcomes on the human public health. Of these disorders, early diagnostics remains poor, and no treatment has been successfully discovered; therefore, they become the most life-threatening medical burdens worldwide compared to other major diseases. The major obstacles for the drug discovery are the presence of a restrictive blood-brain barrier (BBB), limiting drug entry into brains and undesired neuroimmune activities caused by untargeted drugs, leading to irreversible neuronal damages. Recent advances in nanotechnology have contributed to the development of novel nanoplatforms and effective delivering strategies to improve the CNS disorder treatment while less disturbing brain systems. The nanoscale drug carriers, including liposomes, dendrimers, viral capsids, polymeric nanoparticles, silicon nanoparticles, and magnetic/metallic nanoparticles, enable the effective drug delivery penetrating across the BBB, the aforementioned challenges in the CNS. Moreover, drugs encapsulated by the nanocarriers can reach further deeper into targeting regions while preventing the degradation. In this review, we classify novel disease hallmarks incorporated with emerging nanoplatforms, describe promising approaches for improving drug delivery to the disordered CNS, and discuss their implications for clinical practice.
Keyphrases
- blood brain barrier
- drug delivery
- cerebral ischemia
- cancer therapy
- public health
- drug release
- drug discovery
- clinical practice
- healthcare
- endothelial cells
- brain injury
- sars cov
- type diabetes
- emergency department
- multiple sclerosis
- adipose tissue
- adverse drug
- combination therapy
- functional connectivity
- resting state
- subarachnoid hemorrhage
- mild cognitive impairment
- liquid chromatography
- metabolic syndrome
- electronic health record
- atomic force microscopy