Targeted and Stimulus-Responsive Nanomedicines for the Treatment of Central Nervous System (CNS) Disorders

A special issue of Pharmaceuticals (ISSN 1424-8247). This special issue belongs to the section "Pharmaceutical Technology".

Deadline for manuscript submissions: closed (31 October 2021) | Viewed by 12749

Special Issue Editors


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Guest Editor
University of Montreal, Montreal, QC, Canada
Interests: drug delivery; nanoparticles; nanogels; polymeric nanocarriers; sustained release; blood–brain barrier (BBB); drug permeability; transcytosis mechanisms; BBB receptors; endothelial cells; IVIVC

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Guest Editor
ARNA Laboratory, INSERM U1212, CNRS UMR 5320, University of Bordeaux, Faculty of Pharmacy, F-33016 Bordeaux, France
Interests: drug delivery; gene therapy; liposomes; lipid nanoparticles; stimuli-responsive nanoparticles; targeting strategies; aptamers; DNA nanotechnology; pH-responsive; molecular tweezers; switchable lipids; cancer; chronic lung disease

Special Issue Information

Dear Colleagues,

Despite tremendous efforts to create innovative treatments, CNS diseases are still among the diseases with the poorest outcomes for those affected. A clinical diagnosis of illnesses such as glioma, Parkinson’s disease, Alzheimer’s disease, multiple sclerosis and many others strikes patients with a deadly sentence on a daily basis, and the current pharmaceutical tools to alleviate their medical condition are still limited in number and mostly palliative.

When the nanotechnology wave overwhelmed the pharmaceutical field some thirty years ago, there was no limit to researchers’ expectations regarding CNS nanotreatments, with major progress made in deciphering the fate of nanoparticles in the blood circulation; however, to date, the presence of the restrictive blood–brain barrier (BBB) still limits the effective translocation of nanocarriers into the brain.

New strategies have to be designed to target and tackle the specificities of the BBB and the pathological conditions of CNS disorders. For instance, what are the specific translocation pathways used by nanocarriers to cross the BBB? What is the fate of nanocarriers in BBB endothelial cells according to their materials and/or targeting strategy ? How can we improve both BBB translocation and brain cellular targeting? How can we exploit pathological microenvironment to improve specific drug or gene targeting?

To answer those questions, we welcome contributions regarding:

  • Methodologies to synthetize and characterize nanomedicines, lipid-, polymer- or hydrid-based nanocarriers for therapeutic, diagnostic or theranostic purposes;
  • In vitro and in vivo proof-of-concepts for detecting or targeting brain disorders, i.e., using ligands, aptamers, peptides or stimuli-responsive strategies;
  • Reports of novel receptors and pathways specifically involved in nanocarrier translocation to the CNS.

Prof. Dr. Valérie Gaëlle Roullin
Prof. Jeanne Leblond Chain
Guest Editors

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Keywords

  • brain disease
  • brain pathology
  • CNS disorder
  • brain targeting
  • nanoparticles
  • nanocarriers
  • nanomedicines
  • transcytosis
  • translocation
  • blood–brain barrier
  • diagnosis
  • therapy
  • theranostic
  • lipid nanoparticles
  • polymer nanoparticles
  • liposomes
  • active targeting
  • aptamers
  • stimulus-responsive
  • gene delivery
  • combined therapy

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Published Papers (3 papers)

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Research

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15 pages, 2305 KiB  
Article
Liquid Crystalline Nanoparticles for Nasal Delivery of Rosuvastatin: Implications on Therapeutic Efficacy in Management of Epilepsy
by Mohammad Zubair Ahmed, Urooj A. Khan, Abdul Haye, Nidhi B. Agarwal, Nabil A. Alhakamy, Hani A. Alhadrami, Musarrat Husain Warsi and Gaurav K. Jain
Pharmaceuticals 2020, 13(11), 356; https://doi.org/10.3390/ph13110356 - 30 Oct 2020
Cited by 14 | Viewed by 2460
Abstract
In the present study we investigated the protective role of intranasal rosuvastatin liquid crystalline nanoparticles (Ros-LCNPs) against pentylenetetrazole (PTZ) induced seizures, increasing current electroshock (ICES) induced seizures, and PTZ-induced status epilepticus. From the dose titration study, it was evident that intranasal rosuvastatin (ROS), [...] Read more.
In the present study we investigated the protective role of intranasal rosuvastatin liquid crystalline nanoparticles (Ros-LCNPs) against pentylenetetrazole (PTZ) induced seizures, increasing current electroshock (ICES) induced seizures, and PTZ-induced status epilepticus. From the dose titration study, it was evident that intranasal rosuvastatin (ROS), at lower dose, was more effective than oral and intraperitoneal ROS. The Ros-LCNPs equivalent to 5 mg/kg ROS were developed by hydrotrope method using glyceryl monooleate (GMO) as lipid phase. The high resolution TEM revealed that the formed Ros-LCNPs were cubic shaped and multivesicular with mean size of 219.15 ± 8.14 nm. The Ros-LCNPs showed entrapment efficiency of 70.30 ± 1.84% and release was found to be biphasic following Korsmeyer–Peppas kinetics. Intranasal Ros-LCNPs (5 mg/kg) showed significant increase in latency to PTZ-induced seizures and ICES seizure threshold compared to control and intranasal ROS solution. Additionally, intranasal Ros-LCNPs provided effective protection against PTZ-induced status epilepticus. No impairment in cognitive functions was observed following intranasal Ros-LCNPs. The results suggested that Ros-LCNPs could be an effective and promising therapeutics for the epilepsy management. Full article
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Review

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22 pages, 8202 KiB  
Review
Targeted Drug Delivery to the Central Nervous System Using Extracellular Vesicles
by Lina Zhou, Sunitha Kodidela, Sandip Godse, Stacey Thomas-Gooch, Asit Kumar, Babatunde Raji, Kaining Zhi, Harry Kochat and Santosh Kumar
Pharmaceuticals 2022, 15(3), 358; https://doi.org/10.3390/ph15030358 - 15 Mar 2022
Cited by 19 | Viewed by 5823
Abstract
The blood brain barrier (BBB) maintains the homeostasis of the central nervous system (CNS) and protects the brain from toxic substances present in the circulating blood. However, the impermeability of the BBB to drugs is a hurdle for CNS drug development, which hinders [...] Read more.
The blood brain barrier (BBB) maintains the homeostasis of the central nervous system (CNS) and protects the brain from toxic substances present in the circulating blood. However, the impermeability of the BBB to drugs is a hurdle for CNS drug development, which hinders the distribution of the most therapeutic molecules into the brain. Therefore, scientists have been striving to develop safe and effective technologies to advance drug penetration into the CNS with higher targeting properties and lower off-targeting side effects. This review will discuss the limitation of artificial nanomedicine in CNS drug delivery and the use of natural extracellular vesicles (EVs), as therapeutic vehicles to achieve targeted delivery to the CNS. Information on clinical trials regarding CNS targeted drug delivery using EVs is very limited. Thus, this review will also briefly highlight the recent clinical studies on targeted drug delivery in the peripheral nervous system to shed light on potential strategies for CNS drug delivery. Different technologies engaged in pre- and post-isolation have been implemented to further utilize and optimize the natural property of EVs. EVs from various sources have also been applied in the engineering of EVs for CNS targeted drug delivery in vitro and in vivo. Here, the future feasibility of those studies in clinic will be discussed. Full article
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21 pages, 1307 KiB  
Review
Think Big, Start Small: How Nanomedicine Could Alleviate the Burden of Rare CNS Diseases
by Abdelfattah Faouzi and Valérie Gaëlle Roullin
Pharmaceuticals 2021, 14(2), 109; https://doi.org/10.3390/ph14020109 - 30 Jan 2021
Cited by 5 | Viewed by 3817
Abstract
The complexity and organization of the central nervous system (CNS) is widely modulated by the presence of the blood–brain barrier (BBB) and the blood–cerebrospinal fluid barrier (BCSFB), which both act as biochemical, dynamic obstacles impeding any type of undesirable exogenous exchanges. The disruption [...] Read more.
The complexity and organization of the central nervous system (CNS) is widely modulated by the presence of the blood–brain barrier (BBB) and the blood–cerebrospinal fluid barrier (BCSFB), which both act as biochemical, dynamic obstacles impeding any type of undesirable exogenous exchanges. The disruption of these barriers is usually associated with the development of neuropathologies which can be the consequence of genetic disorders, local antigenic invasions, or autoimmune diseases. These disorders can take the shape of rare CNS-related diseases (other than Alzheimer’s and Parkinson’s) which a exhibit relatively low or moderate prevalence and could be part of a potential line of treatments from current nanotargeted therapies. Indeed, one of the most promising therapeutical alternatives in that field comes from the development of nanotechnologies which can be divided between drug delivery systems and diagnostic tools. Unfortunately, the number of studies dedicated to treating these rare diseases using nanotherapeutics is limited, which is mostly due to a lack of interest from industrial pharmaceutical companies. In the present review, we will provide an overview of some of these rare CNS diseases, discuss the physiopathology of these disorders, shed light on how nanotherapies could be of interest as a credible line of treatment, and finally address the major issues which can hinder the development of efficient therapies in that area. Full article
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