Prospects of using gene therapy and nanotechnologies for the treatment of neurodegenerative diseases

Ye.V. Rudenko, S.M. Sholomon
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Abstract

In the literature review, an attempt is made to systematize scientific literature regarding the possible prospects of applying gene therapy and nanotechnologies for the treatment of neurodegenerative diseases, such as Alzheimer’s disease, Parkinson’s disease, and Huntington’s disease. It provides a brief description of the likely etiology and pathogenesis of these diseases and offers examples of potential gene targets for therapeutic interventions. The review lists the shortcomings of traditional treatment strategies for neurodegenerative diseases, including typical obstacles related to drug delivery pathways, overcoming the blood-brain barrier, toxicity, and more. It describes the prospects of using nanotechnologies as technical tools for modifying various structures at the molecular level to achieve desired characteristics. In particular, nanotechnologies are described as means that have the potential to assist in the diagnosis and treatment of neurodegenerative diseases, facilitate drug delivery to the central nervous system (CNS), and enhance their effectiveness. The possibility of using nanocomplexes, manufactured using various modern technologies, is also considered, including a focus on metallic, inorganic, polymeric, lipid nanoparticles, and more. The review also outlines the prospects of gene therapy, its potential for treating disorders of the nervous system through the delivery of genetic material to produce therapeutic molecules. In the context of gene therapy, special emphasis is placed on CRISPR/Cas9 technology, which has been introduced for gene editing in eukaryotic cells and is considered an economically efficient and promising method. Thus, this literature review is focused on the application of nanotechnologies and gene therapy for the treatment of neurodegenerative diseases.
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利用基因疗法和纳米技术治疗神经退行性疾病的前景
在这篇文献综述中,试图系统整理有关应用基因疗法和纳米技术治疗阿尔茨海默病、帕金森病和亨廷顿病等神经退行性疾病的可能前景的科学文献。报告简要介绍了这些疾病的可能病因和发病机制,并举例说明了用于治疗干预的潜在基因靶点。综述列举了神经退行性疾病传统治疗策略的不足之处,包括与药物输送途径、克服血脑屏障、毒性等有关的典型障碍。它描述了利用纳米技术作为技术工具,在分子水平上改变各种结构以实现所需的特性的前景。特别是,纳米技术被描述为有可能帮助诊断和治疗神经退行性疾病、促进药物输送到中枢神经系统(CNS)以及提高药物疗效的手段。此外,还考虑了使用各种现代技术制造的纳米复合物的可能性,包括金属、无机、聚合物、脂质纳米粒子等。综述还概述了基因疗法的前景,以及通过传递遗传物质产生治疗分子来治疗神经系统疾病的潜力。在基因治疗方面,特别强调了 CRISPR/Cas9 技术,该技术已被引入真核细胞基因编辑,被认为是一种经济高效且前景广阔的方法。因此,本文献综述重点关注纳米技术和基因疗法在治疗神经退行性疾病方面的应用。
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