Novel therapeutic delivery for neurodegenerative diseases: Strategies to overcome CNS barriers

Rohit R Doke, Tejas S Naik, Disha L Lamkhade, Tanaya S Bhise, Vikrant N Khokrale, Yuvraj B Gosavi
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Abstract

The incidence of central nervous system (CNS) diseases is expected to rise significantly due to increasing lifespan and changing population demographics. Among CNS diseases, neurodegenerative diseases (ND’s) entail a significant challenge since they frequently involve neuronal loss and age-related progressive deterioration in brain function. Although the mechanisms and pathogenesis of neuronal disorders including Parkinson's disease (PD), Alzheimer's disease, and Huntington's disease (HD) have been extensively studied, effective treatment strategies remain limited. Drug delivery to the CNS is particularly challenging and poses a significant obstacle in the management of neurodegeneration. The present review focuses on the challenges associated with neuronal disorders, especially concerning the delivery of macro molecules containing proteins and nucleic acid. Additionally, we highlight opportunities to enhance therapeutic delivery for the treatment of ND’s. As our understanding of the biological aspects of ND’s continues to grow, there is a growing potential for therapeutic interventions. Therefore, these delivery strategies play a vital role for the future transition of CNS therapies from research labs to clinical practices.
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神经退行性疾病的新型治疗递送:克服中枢神经系统障碍的策略
随着寿命的延长和人口结构的变化,中枢神经系统(CNS)疾病的发病率预计将显著上升。在中枢神经系统疾病中,神经退行性疾病(ND)带来了重大挑战,因为它们经常涉及神经元丢失和与年龄相关的脑功能进行性恶化。虽然神经疾病包括帕金森病(PD)、阿尔茨海默病和亨廷顿病(HD)的机制和发病机制已经被广泛研究,但有效的治疗策略仍然有限。向中枢神经系统输送药物尤其具有挑战性,并对神经退行性疾病的治疗构成了重大障碍。目前的综述主要集中在与神经疾病相关的挑战,特别是关于含有蛋白质和核酸的大分子的传递。此外,我们强调了加强ND治疗的治疗递送的机会。随着我们对ND的生物学方面的理解不断增长,治疗干预的潜力也越来越大。因此,这些递送策略对未来中枢神经系统治疗从研究实验室到临床实践的转变起着至关重要的作用。
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