Targeting the Pathological Hallmarks of Alzheimer’s Disease Through Nanovesicle-aided Drug Delivery Approach

Curr Drug Metab. 2022 May 26. doi: 10.2174/1389200223666220526094802. Online ahead of print.

ABSTRACT

Introduction- Nanovesicle technology is making a huge contribution to the progress of treatment studies of various diseases including Alzheimer’s disease (AD). AD is the leading most neurodegenerative disorder characterized by severe cognitive impairment. Despite the prevalence of several forms of anti-AD drugs, the accelerating pace of AD incidence cannot be countered, and to the rescue of which the nanovesicle technology has grabbed much attention. Methodology- Comprehensive literature search was carried out using relevant keywords and online database platforms. Main concepts covered- Initiated and progressed by a complex pathomechanism underlying, increased acetylcholinesterase (AchE) activity, β-amyloid aggregation, and tau-hyperphosphorylation forming neurofibrillary tangles (NFTs) in the brain are amongst the major hallmarks of AD pathology. Therapeutic recommendations exist in the form of AchE inhibitors, along with anti-amyloid and anti-tau therapeutics being explored at a high pace. The degree of therapeutic outcome however gets restricted by their pharmacological limitations. Susceptibility to peripheral metabolism and rapid elimination, inefficiency to cross the blood-brain barrier (BBB), and reach the target brain site are the factors that lower the biostability and bioavailability of anti-AD drugs. The nanovesicle technology has emerged as a route to preserve the therapeutic efficiency of the anti-AD drugs and promote AD treatment. The review hereby aims to summarize the developments made by the nanovesicle technology in aiding the delivery of synthetic and plant-based therapeutics targeting the molecular mechanism of AD pathology. Final perspective- Nanovesicles appear to efficiently aid in target-specific delivery of anti-AD therapeutics and nullify the drawbacks posed by free drugs, besides reducing the dosage requirement and the adversities associated. In addition, the nanovesicle technology also appears to uplift the therapeutic potential of several phyto-compounds with immense anti-AD properties. Furthermore, the review also sheds light on future perspectives to mend the gaps that prevail in the nanovesicle-mediated drug delivery in AD treatment strategies.

PMID:35619248 | DOI:10.2174/1389200223666220526094802