探索纳米制剂通过鼻腔途径治疗阿尔茨海默病的潜力。

Avinash Tekade, Prasad Kadam, Sachin Jagdale, Samiksha Surwade, Anil Gaikwad, Parth Pawar, Rushikesh Shinde
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摘要

目的:阿尔茨海默病是一种进行性神经退行性疾病,严重影响认知功能和日常生活。目前的治疗方法只能缓解症状,因此需要针对根本原因的疾病改变疗法。虽然有几种潜在的疗法正处于不同的临床试验阶段,但将阿尔茨海默氏症新药推向市场仍具有挑战性。因此,研究人员也在探索将单克隆抗体、tau 蛋白抑制剂和抗炎药物作为治疗选择。传统设计的剂型具有吸收差、首过代谢和生物利用度低等局限性。由于这些设计的系统不能提供靶向给药,因此还会引起全身性不良反应。因此,在这篇综述中,作者重点介绍了目前在开发鼻内纳米制剂治疗阿尔茨海默病方面取得的进展。这种通过鼻腔途径输送抗老年痴呆症药物的策略有助于将药物准确地输送到大脑,实现快速起效,避免首过代谢,减少副作用和用药剂量:结论:由于现有治疗方法疗效有限,且阿尔茨海默病对患者及其家庭影响深远,因此通过鼻腔途径向大脑输送药物治疗阿尔茨海默病至关重要。因此,通过探索鼻脑给药等创新方法,有可能提高阿尔茨海默氏症患者的生活质量,减轻其社会负担。
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Exploring Potential of Nano-formulations in the Treatment of Alzheimer's Disease through Nasal Route.

Objective: Alzheimer's disease, a progressive neurodegenerative disorder, severely impacts cognitive function and daily living. The current treatment provides only symptomatic relief, and thus, disease-modifying therapies targeting underlying causes are needed. Although several potential therapies are in various stages of clinical trials, bringing a new Alzheimer's drug to market remains challenging. Hence, researchers are also exploring monoclonal antibodies, tau protein inhibitors, and anti-inflammatory drugs as treatment options. Conventionally designed dosage forms come with limitations like poor absorption, first-pass metabolism, and low bioavailability. They also cause systemic adverse effects because these designed systems do not provide target- specific drug delivery. Thus, in this review, the authors highlighted the current advancements in the development of intranasal nanoformulations for the treatment of Alzheimer's disease. This strategy of delivering anti-Alzheimer drugs through the nasal route may help to target the drug exactly to the brain, achieve rapid onset of action, avoid first-pass metabolism, and reduce the side effects and dose required for administration.

Conclusion: Delivering drugs to the brain through the nasal route for treating Alzheimer's disease is crucial due to the limited efficacy of existing treatments and the profound impact of the disease on patients and their families. Thus, by exploring innovative approaches such as nose-to-brain drug delivery, it is possible to improve the quality of life for individuals living with Alzheimer's and alleviate its societal burden.

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