姜黄素负载聚合物纳米材料作为阿尔茨海默病的新型治疗策略:综述。

IF 12.5 1区 医学 Q1 CELL BIOLOGY Ageing Research Reviews Pub Date : 2024-06-24 DOI:10.1016/j.arr.2024.102393
JinJin Pei , Chella Perumal Palanisamy , Prabhu Manickam Natarajan , Vidhya Rekha Umapathy , Jeane Rebecca Roy , Guru Prasad Srinivasan , Mani Panagal , Selvaraj Jayaraman
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引用次数: 0

摘要

阿尔茨海默病(AD)是现代医学面临的一项严峻挑战,其特征是渐进性神经变性、认知能力下降和记忆障碍。尽管进行了广泛的研究,但有效的治疗策略仍然难以捉摸。姜黄中的姜黄素具有抗氧化、抗炎和保护神经的特性,这一点已得到证实。但这种药物的生物利用度较低,而且会迅速被全身清除,这限制了它的临床应用。这篇综合性综述探讨了姜黄素负载聚合物纳米材料作为治疗急性髓损伤的创新途径的潜力。它深入探讨了各种聚合物纳米材料平台的制备和特性,包括脂质体、胶束、树枝状分子和聚合物纳米颗粒。重点介绍了这些平台如何提高姜黄素的生物利用度,并实现向大脑的靶向递送,从而解决注意力缺失症治疗中的关键难题。从机理上揭示了这些纳米材料是如何调节关键的AD病理过程的,包括淀粉样蛋白-β聚集、tau磷酸化、氧化应激和神经炎症。综述还强调,临床前研究表明,淀粉样蛋白-β斑块和神经炎症减少了,认知功能也得到了改善,而临床试验则表明,姜黄素有望提高其生物利用度和对AD的疗效。此外,它还解决了临床转化所面临的挑战,如监管问题、大规模生产和长期稳定性。通过综述最新进展,本综述强调了姜黄素载体聚合物纳米材料为AD提供新颖有效的治疗方法的潜力,旨在为该领域未来的研究和开发提供指导。
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Curcumin-loaded polymeric nanomaterials as a novel therapeutic strategy for Alzheimer's disease: A comprehensive review

Alzheimer's disease (AD) stands as a formidable challenge in modern medicine, characterized by progressive neurodegeneration, cognitive decline, and memory impairment. Despite extensive research, effective therapeutic strategies remain elusive. The antioxidant, anti-inflammatory, and neuroprotective properties of curcumin, found in turmeric, have demonstrated promise. The poor bioavailability and rapid systemic clearance of this drug limit its clinical application. This comprehensive review explores the potential of curcumin-loaded polymeric nanomaterials as an innovative therapeutic avenue for AD. It delves into the preparation and characteristics of diverse polymeric nanomaterial platforms, including liposomes, micelles, dendrimers, and polymeric nanoparticles. Emphasis is placed on how these platforms enhance curcumin's bioavailability and enable targeted delivery to the brain, addressing critical challenges in AD treatment. Mechanistic insights reveal how these nanomaterials modulate key AD pathological processes, including amyloid-beta aggregation, tau phosphorylation, oxidative stress, and neuroinflammation. The review also highlighted the preclinical studies demonstrate reduced amyloid-beta plaques and neuroinflammation, alongside improved cognitive function, while clinical trials show promise in enhancing curcumin's bioavailability and efficacy in AD. Additionally, it addresses the challenges of clinical translation, such as regulatory issues, large-scale production, and long-term stability. By synthesizing recent advancements, this review underscores the potential of curcumin-loaded polymeric nanomaterials to offer a novel and effective therapeutic approach for AD, aiming to guide future research and development in this field.

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来源期刊
Ageing Research Reviews
Ageing Research Reviews 医学-老年医学
CiteScore
19.80
自引率
2.30%
发文量
216
审稿时长
55 days
期刊介绍: With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.
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