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Overcoming the Blood–Brain Barrier: The Role of Nanomaterials in Treating Neurological Diseases

纳米材料 神经科学 材料科学 纳米技术 血脑屏障 中枢神经系统 生物
作者
Denzil Furtado,Mattias Björnmalm,Scott Ayton,Ashley I. Bush,Kristian Kempe,Frank Caruso
出处
期刊:Advanced Materials [Wiley]
卷期号:30 (46) 被引量:534
标识
DOI:10.1002/adma.201801362
摘要

Abstract Therapies directed toward the central nervous system remain difficult to translate into improved clinical outcomes. This is largely due to the blood–brain barrier (BBB), arguably the most tightly regulated interface in the human body, which routinely excludes most therapeutics. Advances in the engineering of nanomaterials and their application in biomedicine (i.e., nanomedicine) are enabling new strategies that have the potential to help improve our understanding and treatment of neurological diseases. Herein, the various mechanisms by which therapeutics can be delivered to the brain are examined and key challenges facing translation of this research from benchtop to bedside are highlighted. Following a contextual overview of the BBB anatomy and physiology in both healthy and diseased states, relevant therapeutic strategies for bypassing and crossing the BBB are discussed. The focus here is especially on nanomaterial‐based drug delivery systems and the potential of these to overcome the biological challenges imposed by the BBB. Finally, disease‐targeting strategies and clearance mechanisms are explored. The objective is to provide the diverse range of researchers active in the field (e.g., material scientists, chemists, engineers, neuroscientists, and clinicians) with an easily accessible guide to the key opportunities and challenges currently facing the nanomaterial‐mediated treatment of neurological diseases.
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