Nanomedicine for Neurological Disorders: Advanced Nanotherapeutic Strategies, Blood–Brain Barrier Targeting, and Translational Perspectives
DOI:
https://doi.org/10.68050/JAMS.2026.169Keywords:
Nanomedicine; Neurological Disorders; Blood–Brain Barrier; Nanoparticles; Targeted Drug Delivery; NeurodegenerationAbstract
Diseases of the nervous system, such as Alzheimer's disease, Parkinson's disease, multiple sclerosis, stroke, glioblastoma and traumatic brain injury, continue to be important causes of disability and death around the world. However, the effectiveness of conventional therapies is often hampered by poor solubility, systemic toxicity, and fast metabolism and by limited transport across the blood–brain barrier (BBB). Nanomedicine has come up as a novel treatment modality that can overcome these limitations by targeted delivery, controlled release, improved drug bio-availability and precision treatment. It summarizes the design and biomedical applications of lipid nanoparticles, polymeric nanoparticles, dendrimers, liposomes, exosomes, nanogels, magnetic nanoparticles and biomimetic nano-carriers in the field of neurological disorders in a comprehensive manner. A special attention is given to BBB-targeting strategies, receptor-mediated transport, stimulus-responsive nanoplatforms, neuroprotective therapeutics and nanotheranostic systems, involving simultaneous diagnosis and therapy. Current clinical evidence, regulatory issues and future prospects for emerging developments in AI-driven nanotechnology design, personalized nanomedicine and translational research are critically discussed in this chapter.
References
1. Singh G, Sharma M, Kumar GA, Rao NG, Prasad K, Mathur P, Pandian JD, Steinmetz JD, Biswas A, Pal PK, Prakash S. The burden of neurological disorders across the states of India: the Global Burden of Disease Study 1990–2019. The Lancet Global Health. 2021 Aug 1;9(8):e1129-44.
2. Feigin VL, Vos T, Nichols E, Owolabi MO, Carroll WM, Dichgans M, Deuschl G, Parmar P, Brainin M, Murray C. The global burden of neurological disorders: translating evidence into policy. The Lancet Neurology. 2020 Mar 1;19(3):255-65.
3. Pardridge WM. The blood-brain barrier: bottleneck in brain drug development. NeuroRx. 2005 Jan;2(1):3-14.
4. Peer D, Karp JM, Hong S, Farokhzad OC, Margalit R, Langer R. Nanocarriers as an emerging platform for cancer therapy. Nano-enabled medical applications. 2020 Nov 23:61-91.
5. Ferrari M. Cancer nanotechnology: opportunities and challenges. Nature reviews cancer. 2005 Mar 1;5(3):161-71.
6. Allen TM, Cullis PR. Drug delivery systems: entering the mainstream. Science. 2004 Mar 19;303(5665):1818-22.
7. Amor S, Puentes F, Baker D, Van Der Valk P. Inflammation in neurodegenerative diseases. Immunology. 2010 Feb;129(2):154-69.
8. Heneka MT, Carson MJ, El Khoury J, Landreth GE, Brosseron F, Feinstein DL, Jacobs AH, Wyss-Coray T, Vitorica J, Ransohoff RM, Herrup K. Neuroinflammation in Alzheimer's disease. The Lancet Neurology. 2015 Apr 1;14(4):388-405.
9. Ransohoff RM. How neuroinflammation contributes to neurodegeneration. Science. 2016 Aug 19;353(6301):777-83.
10. Halliwell B. Oxidative stress and neurodegeneration: where are we now?. Journal of neurochemistry.
11. Ross CA, Poirier MA. Protein aggregation and neurodegenerative disease. Nature medicine. 2004 Jul;10(Suppl 7):S10-7.
12. Li S, Selkoe DJ. A mechanistic hypothesis for the impairment of synaptic plasticity by soluble Aβ oligomers from Alzheimer’s brain. Journal of neurochemistry. 2020 Sep;154(6):583-97.
13. Lin MT, Beal MF. Mitochondrial dysfunction and oxidative stress in neurodegenerative diseases. Nature. 2006 Oct 19;443(7113):787-95.
14. Hawkins BT, Davis TP. The blood-brain barrier/neurovascular unit in health and disease. Pharmacological reviews. 2005 Jun 1;57(2):173-85.
15. Schinkel AH. P-Glycoprotein, a gatekeeper in the blood–brain barrier. Advanced drug delivery reviews. 1999 Apr 5;36(2-3):179-94.
16. Jones AR, Shusta EV. Blood–brain barrier transport of therapeutics via receptor-mediation. Pharmaceutical research. 2007 Sep;24(9):1759-71.
17. Hervé F, Ghinea N, Scherrmann JM. CNS delivery via adsorptive transcytosis. The AAPS journal. 2008 Sep;10(3):455-72.
18. Gabathuler R. Approaches to transport therapeutic drugs across the blood–brain barrier to treat brain diseases. Neurobiology of disease. 2010 Jan 1;37(1):48-57.
19. Wiley DT, Webster P, Gale A, Davis ME. Transcytosis and brain uptake of transferrin-containing nanoparticles by tuning avidity to transferrin receptor. Proceedings of the National Academy of Sciences. 2013 May 21;110(21):8662-7.
20. Hynynen K, McDannold N, Vykhodtseva N, Jolesz FA. Noninvasive MR imaging–guided focal opening of the blood-brain barrier in rabbits. Radiology. 2001 Sep;220(3):640-6.
21. Illum L. Transport of drugs from the nasal cavity to the central nervous system. European journal of pharmaceutical sciences. 2000 Jul 1;11(1):1-8.
22. Tosi G, Costantino L, Ruozi B, Forni F, Vandelli MA. Polymeric nanoparticles for the drug delivery to the central nervous system. Expert opinion on drug delivery. 2008 Feb 1;5(2):155-74.
23. De Jong WH, Borm PJ. Drug delivery and nanoparticles: applications and hazards. International journal of nanomedicine. 2008 Dec 1;3(2):133-49.
24. Sonavane G, Tomoda K, Makino K. Biodistribution of colloidal gold nanoparticles after intravenous administration: effect of particle size. Colloids and Surfaces B: Biointerfaces. 2008 Oct 15;66(2):274-80.
25. Alexis F, Pridgen E, Molnar LK, Farokhzad OC. Factors affecting the clearance and biodistribution of polymeric nanoparticles. Molecular pharmaceutics. 2008 Aug 4;5(4):505-15.
26. Torchilin VP. Recent advances with liposomes as pharmaceutical carriers. Nature reviews Drug discovery. 2005 Feb 1;4(2):145-60.
27. Nel A, Xia T, Madler L, Li N. Toxic potential of materials at the nanolevel. science. 2006 Feb 3;311(5761):622-7.
28. Oberdörster G, Oberdörster E, Oberdörster J. Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environmental health perspectives. 2005 Mar 22;113(7):823.
29. Zhang M, Xiang C, Niu R, He X, Luo W, Liu W, Gu R. Liposomes as versatile agents for the management of traumatic and nontraumatic central nervous system disorders: drug stability, targeting efficiency, and safety. Neural Regeneration Research. 2024 Jul 10;20(7):1883.
30. Chang J, Paillard A, Passirani C, Morille M, Benoit JP, Betbeder D, Garcion E. Transferrin adsorption onto PLGA nanoparticles governs their interaction with biological systems from blood circulation to brain cancer cells. Pharmaceutical research. 2012 Jun;29(6):1495-505.
31. Muhs A, Hickman DT, Pihlgren M, Chuard N, Giriens V, Meerschman C, Van der Auwera I, van Leuven F, Sugawara M, Weingertner MC, Bechinger B. Liposomal vaccines with conformation-specific amyloid peptide antigens define immune response and efficacy in APP transgenic mice. Proceedings of the National Academy of Sciences. 2007 Jun 5;104(23):9810-5.
32. Soppimath KS, Aminabhavi TM, Kulkarni AR, Rudzinski WE. Biodegradable polymeric nanoparticles as drug delivery devices. Journal of controlled release. 2001 Jan 29;70(1-2):1-20.
33. Kreuter J. Nanoparticulate systems for brain delivery of drugs. Advanced drug delivery reviews. 2001 Mar 23;47(1):65-81.
34. Wang F, Yang Z, Liu M, Tao Y, Li Z, Wu Z, Gui S. Facile nose-to-brain delivery of rotigotine-loaded polymer micelles thermosensitive hydrogels: In vitro characterization and in vivo behavior study. International Journal of Pharmaceutics. 2020 Mar 15;577:119046.
35. Müller RH, Mäder K, Gohla S. Solid lipid nanoparticles (SLN) for controlled drug delivery–a review of the state of the art. European journal of pharmaceutics and biopharmaceutics. 2000 Jul 3;50(1):161-77.
36. Zensi A, Begley D, Pontikis C, Legros C, Mihoreanu L, Wagner S, Büchel C, von Briesen H, Kreuter J. Albumin nanoparticles targeted with Apo E enter the CNS by transcytosis and are delivered to neurones. Journal of controlled release. 2009 Jul 1;137(1):78-86.
37. Tomalia DA, Reyna LA, Svenson S. Dendrimers as multi-purpose nanodevices for oncology drug delivery and diagnostic imaging.
38. Lesniak WG, Mishra MK, Jyoti A, Balakrishnan B, Zhang F, Nance E, Romero R, Kannan S, Kannan RM. Biodistribution of fluorescently labeled PAMAM dendrimers in neonatal rabbits: effect of neuroinflammation. Molecular pharmaceutics. 2013 Oct 30;10(12):4560.
39. Théry C, Zitvogel L, Amigorena S. Exosomes: composition, biogenesis and function. Nature reviews immunology. 2002 Aug 1;2(8):569-79.
40. Elsharkasy OM, Nordin JZ, Hagey DW, de Jong OG, Schiffelers RM, Andaloussi SE, Vader P. Extracellular vesicles as drug delivery systems: Why and how?. Advanced drug delivery reviews. 2020 Jan 1;159:332-43.
41. Raemdonck K, Demeester J, De Smedt S. Advanced nanogel engineering for drug delivery. Soft Matter. 2009 Feb 10;5(4):707-15.
42. Li Y, Maciel D, Rodrigues J, Shi X, Tomas H. Biodegradable polymer nanogels for drug/nucleic acid delivery. Chemical reviews. 2015 Aug 26;115(16):8564-608.
43. Laurent S, Forge D, Port M, Roch A, Robic C, Vander Elst L, Muller RN. Magnetic iron oxide nanoparticles: synthesis, stabilization, vectorization, physicochemical characterizations, and biological applications. Chemical reviews. 2008 Jun 11;108(6):2064-110.
44. Cui Y, Xu Q, Chow PK, Wang D, Wang CH. Transferrin-conjugated magnetic silica PLGA nanoparticles loaded with doxorubicin and paclitaxel for brain glioma treatment. Biomaterials. 2013 Nov 1;34(33):8511-20.
45. Fang RH, Kroll AV, Gao W, Zhang L. Cell membrane coating nanotechnology. Advanced materials. 2018 Jun;30(23):1706759.
46. Zhang TT, Li W, Meng G, Wang P, Liao W. Strategies for transporting nanoparticles across the blood–brain barrier. Biomaterials science. 2016 Jan 26;4(2):219-29.
47. Cummings JL, Tong G, Ballard C. Treatment combinations for Alzheimer’s disease: current and future pharmacotherapy options. Journal of Alzheimer’s Disease. 2019 Feb 12;67(3):779-94.
48. Correale J, Mattera V, Pasquini JM. Intranasal delivery route for neurodegenerative diseases: recent insights and future directions. Drug Delivery and Translational Research. 2026 Jan;16(1):76-94.
49. Stepanović-Petrović R, Micov A. Novel approaches in the treatment of multiple sclerosis. Arhiv za farmaciju. 2015;65(4):223-36.
50. Haddad M, Hervé V, Ben Khedher MR, Rabanel JM, Ramassamy C. Glutathione: an old and small molecule with great functions and new applications in the brain and in Alzheimer's disease. Antioxidants & Redox Signaling. 2021 Aug;35(4):270-92.
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