基于核酸的治疗药物用于治疗中枢神经系统疾病
Robyn McCartan1,2, Olga Khorkova1,3, Claude-Henry Volmar1,2
1Center for Therapeutic Innovation, University of Miami Miller School of Medicine, Miami, Florida, United States.
Frontiers in genetics
|September 4, 2023
概括
基于核酸的治疗方法对大脑疾病有前途,但面临着交付挑战. 最近的进展集中在化学修饰和输送方法上,以改善大脑暴露,并使系统应用成为可能.
科学领域:
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
- 生物技术是生物技术.
背景情况:
- 基于核酸的疗法 (NBTs) 为中枢神经系统 (CNS) 疾病提供了潜在的治疗方法.
- 目前用于中枢神经系统指示的NBT需要由于血脑屏障 (BBB) 透性差,直接给大脑.
- 目前已批准两种NBT用于中枢神经系统,许多其他NBT正在临床试验中.
研究的目的:
- 审查最近在NBT的化学修饰方面的进展.
- 探索新的NBT交付技术,以增强大脑暴露.
- 讨论NBTs在中枢神经系统治疗中的未来系统应用的潜力.
主要方法:
- 对NBT的化学修饰的文献综述.
- 对针对BBB的药物输送策略的分析.
- 对NBT有效性和脑透研究的审查.
主要成果:
- 化学修饰可以增强NBT的稳定性和细胞吸收.
- 先进的交付系统显示了改进的BBB交叉能力.
- 为了在大脑中达到治疗性NBT度,正在取得进展.
结论:
- 化学修饰和提前交付对于克服BBB限制至关重要.
- 这些策略有望改善NBT在中枢神经系统疾病中的疗效.
- 未来的研究可能会导致对大脑疾病进行全身NBT治疗.
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