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Nanotechnology approaches to crossing the blood-brain barrier and drug delivery to the CNS

机译:纳米技术跨越血脑屏障和药物输送至中枢神经系统

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摘要

Nanotechnologies are materials and devices that have a functional organization in at least one dimension on the nanometer (one billionth of a meter) scale, ranging from a few to about 100 nanometers. Nanoengineered materials and devices aimed at biologic applications and medicine in general, and neuroscience in particular, are designed fundamentally to interface and interact with cells and their tissues at the molecular level. One particularly important area of nanotechnology application to the central nervous system (CNS) is the development of technologies and approaches for delivering drugs and other small molecules such as genes, oligonucleotides, and contrast agents across the blood brain barrier (BBB). The BBB protects and isolates CNS structures (i.e. the brain and spinal cord) from the rest of the body, and creates a unique biochemical and immunological environment. Clinically, there are a number of scenarios where drugs or other small molecules need to gain access to the CNS following systemic administration, which necessitates being able to cross the BBB. Nanotechnologies can potentially be designed to carry out multiple specific functions at once or in a predefined sequence, an important requirement for the clinically successful delivery and use of drugs and other molecules to the CNS, and as such have a unique advantage over other complimentary technologies and methods. This brief review introduces emerging work in this area and summarizes a number of example applications to CNS cancers, gene therapy, and analgesia.
机译:纳米技术是具有至少一维尺寸(十亿分之一米)的功能组织的材料和设备,其范围从几纳米到大约100纳米。纳米工程材料和设备通常用于生物学应用和医学,尤其是神经科学,其设计从根本上讲是在分子水平上与细胞及其组织进行接触和相互作用。纳米技术应用于中枢神经系统(CNS)的一个特别重要的领域是开发用于跨血脑屏障(BBB)输送药物和其他小分子(如基因,寡核苷酸和造影剂)的技术和方法。 BBB保护和隔离人体中枢神经系统结构(即大脑和脊髓),并创造了独特的生化和免疫环境。临床上,在许多情况下,全身性给药后药物或其他小分子需要进入中枢神经系统,这需要能够穿过血脑屏障。纳米技术可以潜在地设计成一次或以预定的顺序执行多种特定功能,这是临床上成功地将药物和其他分子输送和使用到中枢神经系统的重要要求,因此,与其他互补技术相比,纳米技术具有独特的优势。方法。这篇简短的综述介绍了该领域的新兴工作,并总结了许多示例性应用在中枢神经系统癌症,基因治疗和镇痛方面。

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