2016
DOI: 10.1016/j.drudis.2016.06.003
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Targeting delivery in Parkinson's disease

Abstract: Disease-modifying therapies for Parkinson's disease (PD), with the potential to halt the neurodegenerative process and to stimulate the protection, repair, and regeneration of dopaminergic neurons, remain a vital but unmet clinical need. Targeting the delivery of current and new therapeutics directly to the diseased brain region (in particular the nigrostriatal pathway) could result in greater improvements in the motor functions that characterise PD. Here, we highlight some of the opportunities and challenges … Show more

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Cited by 15 publications
(12 citation statements)
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“…This approach could form a welcome supplement to other promising disease-modifying strategies including cell replacement therapies 40 by possibly slowing either neurotoxic microglial effects or propagation of synucleinopathy to grafted tissue. While our animal studies demonstrated acute efficacy with intranigral stereotactic drug administration, systemic administration may be more desirable, as there is greater ease of repeat administration and less risk of infection and less need for costly, technically demanding surgical procedures 41 . Future studies may focus on incorporation of chemical modifications to our AMs, such as quaternary ammonium groups 42 , that may facilitate crossing of the blood-brain barrier, while hopefully retaining microglia-and scavenger receptor-targeting ability.…”
Section: Discussionmentioning
confidence: 89%
“…This approach could form a welcome supplement to other promising disease-modifying strategies including cell replacement therapies 40 by possibly slowing either neurotoxic microglial effects or propagation of synucleinopathy to grafted tissue. While our animal studies demonstrated acute efficacy with intranigral stereotactic drug administration, systemic administration may be more desirable, as there is greater ease of repeat administration and less risk of infection and less need for costly, technically demanding surgical procedures 41 . Future studies may focus on incorporation of chemical modifications to our AMs, such as quaternary ammonium groups 42 , that may facilitate crossing of the blood-brain barrier, while hopefully retaining microglia-and scavenger receptor-targeting ability.…”
Section: Discussionmentioning
confidence: 89%
“…Systems thinking can be applied to design nanoparticles for specific neurological diseases. For example, in PD the therapeutic goal is often to save dying dopaminergic neurons in the presence of BBB impairment, oxidative stress, and microglial cell activation . Nanoparticles can more easily cross an impaired BBB to access the brain parenchyma.…”
Section: Synthesizing Nanomaterials Properties and Pathophysiology Halmentioning
confidence: 99%
“…For example, in PD the therapeutic goal is often to save dying dopaminergic neurons in the presence of BBB impairment, oxidative stress, and microglial cell activation. 214 Nanoparticles can more easily cross an impaired BBB to access the brain parenchyma. However, nanoparticles are likely to be scavenged out of the brain parenchyma by phagocytic activated microglia.…”
Section: Synthesizing Nanomaterials Properties and Pathophysiology Halmentioning
confidence: 99%
“…29 This ability to compress and expand is useful for applications where biomaterial-assisted delivery of cells or therapeutics through a small cannula size is required (i.e., stereotactic injection into the central nervous system). 35 We tested the ability of microcarriers to be injected through a 30 gauge needle or a glass capillary (internal diameters of 160 and 140 µm respectively). ESI Fig.…”
Section: Design and Characteristics Of Cryogelsmentioning
confidence: 99%