Targeting the pathogenesis and boosting the therapeutic efficacy of Parkinson's disease by advanced nanoparticles

Hanghang Liu, Menglong Hua, Qing Zheng, Yifan Gao, Zhen Li
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Abstract

With the aging of global population, the early diagnosis and treatment of neurodegenerative diseases such as Parkinson's disease (PD) have attracted considerable attention. Despite great advances achieved during the past decades, PD as the second largest neurodegenerative disease is still incurable. In the clinical practice, PD patients are mainly treated by drugs, and supplemented with deep brain stimulation or nerve nucleus destruction. The existing drugs can only relieve the symptoms of motor disorder, and cannot stop the progression of PD. Compared with small molecular drugs, nanoparticles exhibit multiple functions in the neuroprotection and neurorepair due to their tunable physical and chemical properties, easy modification and functionalization. Herein, we first briefly review the characteristics of nanoparticles crossing the blood–brain barrier, which is a primary challenge for the treatment of PD. Then, we summarize the pathologic mechanisms of PD and comprehensively discuss the novel PD therapy based on diverse nanoparticles, including alleviating oxidative stress, scavenging α-synuclein aggregates, chelating metal ions, delivering neurotrophic factors and genes, and transplanting stem cells. This review aims to highlight the great potential of advanced nanoparticles in the therapy of PD.

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先进纳米颗粒靶向帕金森病的发病机制提高疗效
随着全球人口老龄化,帕金森病等神经退行性疾病的早期诊断和治疗引起了人们的极大关注。尽管在过去的几十年里取得了巨大的进步,但帕金森病作为第二大神经退行性疾病仍然无法治愈。在临床实践中,PD患者以药物为主,辅以脑深部刺激或神经核破坏。现有药物只能缓解运动障碍的症状,不能阻止帕金森病的进展。与小分子药物相比,纳米颗粒由于其物理和化学性质可调、易于修饰和功能化,在神经保护和神经修复方面表现出多种功能。在此,我们首先简要回顾了纳米颗粒穿越血脑屏障的特性,这是PD治疗的主要挑战。然后,我们总结了PD的病理机制,并全面讨论了基于不同纳米颗粒的新型PD治疗,包括减轻氧化应激、清除α-突触核蛋白聚集体、螯合金属离子,递送神经营养因子和基因以及移植干细胞。这篇综述旨在强调先进的纳米颗粒在PD治疗中的巨大潜力。
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