Nanotheranostics, a future remedy of neurological disorders

Expert Opin Drug Deliv. 2019 Feb;16(2):113-128. doi: 10.1080/17425247.2019.1562443. Epub 2019 Jan 7.

Abstract

Introduction: Effective therapy of various neurological disorders is hindered on account of the failure of various therapeutics crossing blood-brain-barrier (BBB). Nanotheranostics has emerged as a cutting-edge unconventional theranostic nanomedicine, capable of realizing accurate diagnosis together with effective and targeted delivery of therapeutics across BBB to the unhealthy regions of the brain for potential clinical success.

Areas covered: We have tried to review the current status of nanotheranostic based approaches followed to manage neurological disorders. The focus has been majorly laid on to explore various theranostic nanoparticles and their application potential towards image-guided neurotherapies. Additionally, the usefulness of exceptional diagnostic, imaging techniques including magnetic resonance imaging and fluorescence imaging are being discussed by highlighting their promising opportunities in the detection, diagnosis, and treatment of the neurological disorders.

Expert opinion: Inimitable diagnostic and therapeutic potential of nanotheranostics have accomplished the aim of personalized therapies by governing the therapeutic efficacy of the system along with facilitating patient pre-selection grounded on non-invasive imaging, thereby predicting the responses of patients to nanomedicine treatments. While these accomplishments are encouraging, they are still the minority and demands for a continuous effort to improve sensitivity and precision in screening/diagnosis along with improving therapeutic efficacy in various neural disorders.

Keywords: BBB; contrast agent; image-guided therapy; nanoparticles; nanotheranostics; neurological disorders; targeted drug delivery.

Publication types

  • Review

MeSH terms

  • Blood-Brain Barrier / metabolism
  • Brain / metabolism
  • Drug Delivery Systems*
  • Humans
  • Magnetic Resonance Imaging
  • Nanomedicine / methods
  • Nanoparticles / therapeutic use
  • Nervous System Diseases / drug therapy*
  • Theranostic Nanomedicine / methods*