Therapeutic strategies and nano-drug delivery applications in management of ageing Alzheimer's disease

Drug Deliv. 2018 Nov;25(1):307-320. doi: 10.1080/10717544.2018.1428243.

Abstract

In recent years, the incidental rate of neurodegenerative disorders has increased proportionately with the aging population. Alzheimer's disease (AD) is one of the most commonly reported neurodegenerative disorders, and it is estimated to increase by roughly 30% among the aged population. In spite of screening numerous drug candidates against various molecular targets of AD, only a few candidates - such as acetylcholinesterase inhibitors are currently utilized as an effective clinical therapy. However, targeted drug delivery of these drugs to the central nervous system (CNS) exhibits several limitations including meager solubility, low bioavailability, and reduced efficiency due to the impediments of the blood-brain barrier (BBB). Current advances in nanotechnology present opportunities to overcome such limitations in delivering active drug candidates. Nanodrug delivery systems are promising in targeting several therapeutic moieties by easing the penetration of drug molecules across the CNS and improving their bioavailability. Recently, a wide range of nano-carriers, such as polymers, emulsions, lipo-carriers, solid lipid carriers, carbon nanotubes, metal based carriers etc., have been adapted to develop successful therapeutics with sustained release and improved efficacy. Here, we discuss few recently updated nano-drug delivery applications that have been adapted in the field of AD therapeutics, and future prospects on potential molecular targets for nano-drug delivery systems.

Keywords: Alzheimer’s; CNS; acetylcholine; molecular targets; nanodrugs; oxidative stress.

Publication types

  • Review

MeSH terms

  • Aging / drug effects*
  • Alzheimer Disease / drug therapy*
  • Animals
  • Cholinesterase Inhibitors / administration & dosage*
  • Cholinesterase Inhibitors / chemistry*
  • Delayed-Action Preparations / administration & dosage
  • Delayed-Action Preparations / chemistry
  • Drug Delivery Systems / methods
  • Humans
  • Lipids / chemistry
  • Nanoparticles / chemistry*
  • Polymers / chemistry

Substances

  • Cholinesterase Inhibitors
  • Delayed-Action Preparations
  • Lipids
  • Polymers

Grants and funding

This review work was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science, and Technology (NRF-2017R1A2A2A07001035).