Targeting Cytokine-Mediated Inflammation in Brain Disorders: Developing New Treatment Strategies.

IF 4.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pharmaceuticals Pub Date : 2025-01-15 DOI:10.3390/ph18010104
Rahul Mallick, Sanjay Basak, Premanjali Chowdhury, Prasenjit Bhowmik, Ranjit K Das, Antara Banerjee, Sujay Paul, Surajit Pathak, Asim K Duttaroy
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Abstract

Cytokine-mediated inflammation is increasingly recognized for playing a vital role in the pathophysiology of a wide range of brain disorders, including neurodegenerative, psychiatric, and neurodevelopmental problems. Pro-inflammatory cytokines such as interleukin-1 (IL-1), tumor necrosis factor-alpha (TNF-α), and interleukin-6 (IL-6) cause neuroinflammation, alter brain function, and accelerate disease development. Despite progress in understanding these pathways, effective medicines targeting brain inflammation are still limited. Traditional anti-inflammatory and immunomodulatory drugs are effective in peripheral inflammatory illnesses. Still, they face substantial hurdles when applied to the central nervous system (CNS), such as the blood-brain barrier (BBB) and unwanted systemic effects. This review highlights the developing treatment techniques for modifying cytokine-driven neuroinflammation, focusing on advances that selectively target critical cytokines involved in brain pathology. Novel approaches, including cytokine-specific inhibitors, antibody-based therapeutics, gene- and RNA-based interventions, and sophisticated drug delivery systems like nanoparticles, show promise with respect to lowering neuroinflammation with greater specificity and safety. Furthermore, developments in biomarker discoveries and neuroimaging techniques are improving our ability to monitor inflammatory responses, allowing for more accurate and personalized treatment regimens. Preclinical and clinical trial data demonstrate the therapeutic potential of these tailored techniques. However, significant challenges remain, such as improving delivery across the BBB and reducing off-target effects. As research advances, the creation of personalized, cytokine-centered therapeutics has the potential to alter the therapy landscape for brain illnesses, giving patients hope for better results and a higher quality of life.

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靶向细胞因子介导的脑疾病炎症:开发新的治疗策略。
细胞因子介导的炎症越来越被认为在广泛的脑部疾病的病理生理学中起着至关重要的作用,包括神经退行性疾病、精神疾病和神经发育问题。促炎细胞因子如白细胞介素-1 (IL-1)、肿瘤坏死因子-α (TNF-α)和白细胞介素-6 (IL-6)引起神经炎症,改变脑功能,加速疾病发展。尽管在了解这些途径方面取得了进展,但针对脑部炎症的有效药物仍然有限。传统的抗炎和免疫调节药物对周围性炎症疾病有效。然而,当应用于中枢神经系统(CNS)时,它们面临着巨大的障碍,比如血脑屏障(BBB)和不必要的全身效应。这篇综述强调了细胞因子驱动的神经炎症的治疗技术的发展,重点是选择性靶向参与脑病理的关键细胞因子的进展。包括细胞因子特异性抑制剂、基于抗体的疗法、基于基因和rna的干预以及复杂的药物输送系统(如纳米颗粒)在内的新方法,在降低神经炎症方面显示出更大的特异性和安全性。此外,生物标志物的发现和神经成像技术的发展正在提高我们监测炎症反应的能力,从而使更准确和个性化的治疗方案成为可能。临床前和临床试验数据证明了这些量身定制的技术的治疗潜力。然而,重大挑战仍然存在,例如改善血脑屏障的输送和减少脱靶效应。随着研究的进展,个性化的、以细胞因子为中心的治疗方法的创造有可能改变脑部疾病的治疗前景,给患者带来更好的结果和更高的生活质量的希望。
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来源期刊
Pharmaceuticals
Pharmaceuticals Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
6.10
自引率
4.30%
发文量
1332
审稿时长
6 weeks
期刊介绍: Pharmaceuticals (ISSN 1424-8247) is an international scientific journal of medicinal chemistry and related drug sciences.Our aim is to publish updated reviews as well as research articles with comprehensive theoretical and experimental details. Short communications are also accepted; therefore, there is no restriction on the maximum length of the papers.
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