Overcoming Blood-Brain Barrier Resistance: Implications for Extracellular Vesicle-Mediated Drug Brain Delivery

Jean Paul Dardet, Nelson Serrano, I. András, M. Toborek
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引用次数: 5

Abstract

Drug delivery across the blood–brain barrier (BBB) has several challenges, especially toward targeting neurological diseases, due to tight and selective barrier function of the BBB. Several structural and functional components of this barrier contribute to restricting drug entry, such as interendothelial tight junctions (TJs), efflux transporters, drug-metabolizing enzymes, and crosstalk between the cells of the neurovascular unit. Among different strategies to overcome BBB resistance to therapeutic drug delivery, the use of extracellular vesicles (EVs) gained attention in recent years. This review discusses the BBB structural and functional resistance, as well as potential avenues to overcome this challenge using EVs as drug delivery vehicles into the brain.
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克服血脑屏障耐药性:细胞外囊泡介导的药物脑递送的意义
由于血脑屏障具有紧密和选择性的屏障功能,通过血脑屏障(BBB)进行药物递送有几个挑战,尤其是针对神经系统疾病。该屏障的几个结构和功能成分有助于限制药物进入,如内皮间紧密连接(TJs)、外排转运蛋白、药物代谢酶和神经血管单元细胞之间的串扰。在克服血脑屏障对治疗性药物递送耐药性的不同策略中,细胞外囊泡(EV)的使用近年来引起了人们的关注。这篇综述讨论了血脑屏障的结构和功能耐药性,以及使用电动汽车作为药物输送载体进入大脑克服这一挑战的潜在途径。
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