Cited by 305Nanoparticle-Based Drug DeliveryAdvanced Drug Delivery SystemsBarrier Structure and Function Studies

Nanotechnology: A Promising Approach for Delivery of Neuroprotective Drugs

Open access
Naqvi, Saba, Panghal, Archna, Flora, S. J. S.·2020·Frontiers in Neuroscience

Abstract

Central nervous system (CNS) disorders especially neurodegenerative disorders are the major challenge for public health and demand the great attention of researchers to protect people against them. In past few decades, different treatment strategies have been adopted, but their therapeutic efficacy are not enough and have only shown partial mitigation of symptoms. Blood-brain barrier (BBB) and blood-cerebrospinal fluid barrier (BSCFB) guard the CNS from harmful substances and pose as the major challenges in delivering drugs into CNS for treatment of CNS complications such as Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), stroke, epilepsy, brain tumors, multiple sclerosis (MS), and encephalitis, etc. Nanotechnology has come out as an exciting and promising new platform of treating neurological disorders and has shown great potential to overcome problems related to the conventional treatment approaches. Molecules can be nanoengineered to carry out multiple specific functions such as to cross the BBB, target specific cell or signaling pathway, respond to endogenous stimuli, and act as a vehicle for gene delivery, support nerve regeneration and cell survival. In present review, the role of nanocarrier systems such as liposomes, micelles, solid lipid nanoparticles (SLNPs), dendrimers, and nanoemulsions for delivery of various neurotherapeutic agents has been discussed, besides this, their mechanism of action, and nanoformulation of different neuroprotective agents like curcumin, edaravone, nerve growth factors in CNS disorders like Alzheimer's, Parkinsonism, epilepsy, stroke, and brain tumors has been reviewed.

AI snapshot

Written from the paper’s full text.

TL;DR

This narrative review argues that nanotechnology-based carriers—liposomes, micelles, solid lipid nanoparticles, polymeric nanoparticles, dendrimers, and nanoemulsions—can help overcome the blood-brain barrier and deliver neuroprotective agents for CNS disorders. It surveys preclinical and clinical examples across Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, multiple sclerosis, brain tumors, epilepsy, and stroke, while emphasizing unresolved toxicity and translation barriers.

Key findings

  • Nanocarriers are proposed to cross the BBB/BCSFB via mechanisms including endocytosis/transcytosis, P-gp efflux inhibition, tight-junction permeation, and surfactant-mediated membrane effects; the review cites nanocarrier size ranges such as micelles 10–100 nm, polymeric nanoparticles 10–100 nm, liposomes 10–1000 nm depending on type, and nanoemulsions 100–500 nm.
  • Disease-specific applications include curcumin nanoformulations for AD/PD/HD/stroke, NGF-loaded nanoparticles, edaravone lipid nanosystems, and nanocarriers for brain tumors and epilepsy; for stroke, the review states ischemic stroke contributes 87% of total stroke and hemorrhagic stroke 13% (10% intracerebral, 3% hemorrhagic).
  • Reported quantitative examples include NanoCurc at 25 mg/kg intraperitoneally twice daily in athymic mice, curcumin-loaded polysorbate 80-modified cerasomes at 15 mg curcumin/kg in a PD mouse model, xenon-loaded liposomes at 7–14 mg/kg reducing infarct size in a rat stroke model, and nitrendipine-associated dementia reduction up to 50% over 2 years in HD.
  • The global burden context cited is that in 2016 neurological disorders were the leading cause of DALYs [276 million (95% UI 247–308)] and the second leading cause of deaths [9.0 million (8.8–9.4)].

Methods

  • Narrative review; no primary experiments or systematic review/meta-analysis are described.
  • Synthesizes published literature on nanocarrier systems for CNS drug delivery, including tables of FDA-approved nanoformulated drugs, pharmacokinetic/biopharmaceutical properties, safety profiles, and disease-specific applications.
  • Main analysis is descriptive: compares nanocarrier types, proposed mechanisms of BBB crossing, and preclinical/clinical outcomes for neuroprotective agents such as curcumin, nerve growth factors, and edaravone.

Limitations

  • Stated: insufficient data exist to prove nanomedicines are better than conventional neurotherapeutics; nanocarriers may cause oxidative stress, amino acid disturbance, BBB disruption, neuroinflammation, excitotoxicity, DNA damage, and allergic responses.
  • Stated: clinical translation is limited by unclear fate of nanocarriers, systemic toxicity, biocompatibility, RES elimination, aggregation, limited drug loading, and high clearance; more toxicology, mechanism, pharmacokinetic, and non-invasive route studies are needed.
  • Evident: as a narrative review, it lacks a systematic search strategy or formal quality assessment and relies heavily on cited preclinical studies, so efficacy and safety claims are not independently validated by primary data in this paper.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3389/fnins.2020.00494

Cites

239 of 239 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 216 cited sources checked · 0 supported · 0 flagged

  • Premisecitation

    Nanocarrier-based brain targeted delivery can be accomplished via receptor-mediated, transporter-mediated, and pharmacological disruption of the BBB.

    “Nanocarrier based brain targeted delivery can be accomplished via receptor-mediated, transporter-mediated and pharmacological disruption of BBB.”
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    • cites Guo et al., 2012 source

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    • cites Gao et al., 2013 source

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    Various nanodrug systems such as polymers, micelles, liposomes, dendrimers, nanocrystals, and SLNPs have been used to improve efficacy, safety, physiological properties, pharmacokinetics, and pharmacodynamics of drugs.

    “Various nanodrug system such as polymers, micelles, liposomes, dendrimers, nanocrystals, SLNPs have been used to improve efficacy, safety physiological properties pharmacokinetics, and pharmacodynamics of drugs (Figure 2) (Shegokar and Müller, 2010; Chan and Kwok, 2011; Gao et al., 2012; Thomas et al., 2013).”
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    • cites Chan and Kwok, 2011

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  • Interpretationnone given

    Nanotechnology-based approaches for site-specific delivery of therapeutics across the BBB may potentially be engineered to carry out particular functions as needed.

    “Nanotechnology-based approaches for site-specific delivery of therapeutics and other compounds across the BBB may potentially be engineered to carry out particular functions as needed.”
    Quote in the paperSubstantial claim
  • Premisecitation

    ATP-binding cassette (ABC) transporters present on endothelial cells restrict therapeutic drug entry into the brain.

    “ATP-binding cassette (ABC) transporters present over the endothelial cells and restrict the therapeutic drug entry also along with neurotoxic agents/metabolites/hormones/mediators.”
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    • cites Alyautdin et al., 2014 source

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  • Premisenone given

    The size, surface area, surface charge and morphology of nanocarriers have a remarkable impact on their passage across CNS barriers.

    “The size, surface area, surface charge and morphology of nanocarriers have a remarkable impact on their passage across CNS barriers.”
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    Interpretationcitation

    Nanotechnology-based drug delivery is a promising approach for neuro disorders because nanocarriers have been shown to traverse the BBB or BCSFB and deliver drugs within the CNS to the target site.

    “Among these methods, nanotechnology-based drug delivery is a quite new as compare to conventional methods and promising approach in the field of neuro disorders, as nanocarriers have been proved efficacious in effectively traversing the BBB or BCSFB and thus effectively delivering drugs within the CNS to the target site (Silva, 2005; Jain, 2007; Wong et al., 2012; Li et al., 2017).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Silva, 2005

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    • cites Jain, 2007

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    • cites Wong et al., 2012

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    • Rests on an assumption: Results from preclinical models (mice, cell lines) are predictive of therapeutic outcomes in humans for CNS nanomedicines.
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Targeted delivery of the drug is a promising approach to minimize the side effects of a therapeutic agent.

    “Targeted delivery of the drug is a promising approach to minimize the side effects of a therapeutic agent.”
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    Interpretationnone given

    The size, shape, composition, surface charge, monomers molar ratio, solubility of drug, their physiochemical properties, and their release in different acidic and basic environments inside cells play a very important role in the pharmacokinetics of each type of nanocarrier.

    “Although it is quite difficult to say which nanoparticulate drug delivery system is having more potential and safe among listed nanocarriers such as polymers, micelles, liposomes, dendrimers, nanocrystals, SLNPs, the size, shape, composition, surface charge, monomers molar ratio, solubility of drug, their physiochemical properties and further their release in different acidic and basic environment”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationcitation

    Nanotechnology is an innovative, promising, and cutting-edge approach for delivering neurotherapeutics across the BBB.

    “Nanotechnology is an innovative, promising and cutting edge approach for delivering neurotherapeutics across BBB.”
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    • cites Kaur et al., 2008

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    • Rests on an assumption: Results from preclinical models (mice, cell lines) are predictive of therapeutic outcomes in humans for CNS nanomedicines.
  • May combine two claims.

    Premisecitation

    Polymeric micelles are more stable, have longer duration of action, and higher biodistribution than non-polymeric micelles.

    “As compared to non-polymeric micelles, polymeric micelles are considered more stable having long duration of action and high biodistribution (Ozkizilcik et al., 2017).”
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    • cites Ozkizilcik et al., 2017

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    Premisecitation

    The complexity of the BBB, high levels of efflux transport proteins including P-glycoproteins (P-gp) and Multidrug Resistant Protein-1 (MRP-1), and expression of metabolic enzymes limit drug entry into the brain.

    “The complexity of BBB, the existence of high levels of efflux transport proteins including P-glycoproteins (P-gp) and Multidrug Resistant Protein-1 (MRP-1), and the expression of metabolic enzymes limits the entry of drug inside the brain (Tajes et al., 2014).”
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    • cites Tajes et al., 2014

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    Premisecitation

    Micelles have a core-shell structural design with size ranging from 10 to 100 nm, consisting of an outer hydrophilic environment mostly made of PEG and an inner hydrophobic core, allowing loading of hydrophobic drugs.

    “They have a core-shell structural design with size ranging from 10 to 100 nm consisting outer hydrophilic environment mostly made up of polyethylene glycol (PEG) and inner hydrophobic core synthesized by means of molecules such as polycaprolactone, polypropylene glycols, phospholipids, and fatty acids, thus they allow loading of hydrophobic drugs (Torchilin, 2007).”
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    Premisecitation

    Current neurotherapeutics have limited entry into brain cells via the BBB, resulting in insufficient brain entry, and limited access to immune cells in the brain.

    “The current neurotherapeutics are associated with two major limitations i.e., before entering into brain cells they are pose to limited entry via BBB as insufficient entry in brain as well as of limited access to immune cells to brain (Misra et al., 2003; Nagpal et al., 2013).”
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    • cites Misra et al., 2003

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    • cites Nagpal et al., 2013

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    Interpretationnone given

    The selection of an appropriate nanocarrier system is a prerequisite for effective delivery of drug to the CNS across the BBB.

    “The selection of an appropriate nanocarrier system is a prerequisite for effective delivery of drug to CNS across BBB.”
    Quote in the paperSubstantial claim
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    Premisecitation

    The drug itself constitutes one part of the nanoengineered complex, while the remaining complex is intended to accomplish other key functions such as encapsulating the active drug, protecting against enzymatic degradation, releasing drug at specific pH, crossing the BBB, and targeting specific brain cells.

    “The drug, the pharmacologically active component to be delivered, itself constitutes one part of the nanoengineered complex while remaining complex is intended to accomplish other key functions such as encapsulating the active drug protection against enzymatic degradation, drug release at specific pH, ability to cross the BBB, and targeting specific brain cells (Silva, 2008).”
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    • cites Silva, 2008

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    Premisecitation

    Decorating the delivery system with BBB receptor ligands, coupling antibodies, peptides or aptamers with BBB receptor ligand delivery system, and transporter ligands coupled micelle delivery are approaches for nanocarrier-based brain targeting.

    “Decorating the delivery system with BBB receptor ligands, coupling antibodies, peptides or aptamers with BBB receptor ligand delivery system, and transporter ligands coupled micelle delivery are some of the approaches for nanocarriers based brain targeting (Guo et al., 2012; Gao et al., 2013).”
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    • cites Guo et al., 2012

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    • cites Gao et al., 2013

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    Premisecitation

    Most drugs used in neural diseases are lipophilic, have molecular weight greater than 400-500 Da, and cannot cross the BBB in pharmacologically significant quantities.

    “Most of the drugs used in neural diseases are lipophilic in nature having molecular weight greater 400–500 Da and not able to cross the BBB in pharmacologically significant quantity (Fischer et al., 1998)”
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    • cites Fischer et al., 1998

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    Premisecitation

    SLNs are preferred over polymeric nanoparticles due to advantages including low intrinsic cytotoxicity, physical stability, shielding of labile drugs from degradation, and controlled release, making them potential brain drug delivery systems especially for brain tumors.

    “SLNs are preferred more over PNPs due to numerous advantages such as low intrinsic cytotoxicity, physical stability, shielding of labile drugs from degradation, controlled release which provide them potentiality to be used as a brain drug delivery system, especially for brain tumors”
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    • cites Laquintana et al., 2009

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    Premisecitation

    Transferrin receptor-mediated PLGA nanoparticles have better biodistribution in the brain via intranasal administration and are not affected by P-gp pump efflux, enhancing functionalized nanoparticle concentration in the basolateral side after 24 h via receptor-mediated endocytosis.

    “They observed that transferring receptor mediated PLGA nanoparticles have better biodistribution in brain via intranasal administration and not affected by P-gP pump efflux enhacing functionalized nanoparticles concentration in the basolateral side after 24 h via receptor mediated endocytosis (Cayero-Otero et al., 2019).”
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    • cites Cayero-Otero et al., 2019

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    Premisecitation

    Polymeric nanoparticles consist of a core of dense polymer matrix to encapsulate lipophilic drugs and a hydrophilic corona to provide steric stability.

    “They consists a core of dense polymer matrix to encapsulate the lipophillic drugs and a hydrophilic corona to provide steric stability to NPs.”
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    • cites Sahoo et al., 2017

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Liposomes are small spherical vesicles composed of a hydrophilic compartment at the center enclosed by a single or multiple phospholipid bilayers, morphologically resembling the cell membrane, and are used for delivery of drugs, proteins, and peptides.

    “These are small spherical vesicles composed of the hydrophilic compartment at the center enclosed by a single or multiple phospholipid bilayers due to which they morphologically resemble with the cell membrane and are used as a strategic approach for drug delivery, proteins and peptides (Martins et al., 2007; Wong et al., 2012; Ozkizilcik et al., 2017).”
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    • cites Martins et al., 2007

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    • cites Wong et al., 2012

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    • cites Ozkizilcik et al., 2017

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Solid-lipid nanoparticles (SLNs) are aqueous colloidal nanocarriers composed of physiological lipids dispersed in water or an aqueous surfactant solution and solidify upon cooling.

    “These are aqueous colloidal nanocarriers system which are composed of physiological lipid (triglycerides, fatty acids, steroids, and waxes, etc.), dispersed in water or in an aqueous surfactant solution and possess the ability to get solidify upon cooling”
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    • cites Barchet and Amiji, 2009

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    • cites Mukherjee et al., 2009

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    Premisecitation

    Immunoliposome delivery of siRNA against EGFR demonstrated knock-down of EGFR expression and increased survival of mice implanted intracranially with brain tumors.

    “This approach has also been used for delivery of small interfering RNA (siRNA) against epithelial growth factor receptor (EGFR) and demonstrated the knock-down of EGFR expression and increased survival of mice implanted intracranially with brain tumors (Pardridge, 2007).”
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    Premisecitation

    The residence time of polymeric nanoparticles in systemic circulation can be increased by surface modification with hydrophilic polymers such as PEGs and polysaccharides, whereas inclusion of tissue-specific ligands facilitates targeted delivery to the brain.

    “The residence time of these NPs in systemic circulation can be increased by the surface modification either with physical adsorption or covalent binding of hydrophilic polymers such as PEGs and polysaccharides, whereas the inclusion of tissue-specific ligands facilitates targeted delivery to the brain (Mohamed and Van Der Walle, 2008; Wilson et al., 2008).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Mohamed and Van Der Walle, 2008 source

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    • cites Wilson et al., 2008

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    Premisecitation

    Liposomes were successfully proven as a drug carrier system in the 1970s.

    “Liposomes are considered as the first generation of the novel colloidal nanocarriers which were successfully proven themselves as a drug carrier system in the 70’s (Bawarski et al., 2008).”
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    • cites Bawarski et al., 2008

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    Premisecitation

    In mice, intravenous administration of modified micelles loaded with a fluorescent dye or haloperidol resulted in improved delivery of the fluorescent dye to the brain and a drastic increase in the neuroleptic effect of haloperidol.

    “In mice, the intravenous administration of these modified micelles after loading with a fluorescent dye or neuroleptic drug haloperidol, resulted in improved delivery of the fluorescent dye to the brain and drastic increase in the neuroleptic effect of haloperidol (Kabanov et al., 1989).”
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    • cites Kabanov et al., 1989

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    Premisecitation

    Modification of SLNs with PEG increases penetration to the blood-brain barrier and enhances drug delivery to the CNS.

    “Modification of SLNs with PEG increases penetration to BBB and enhances drug delivery to the CNS as demonstrated by a comparative study of SLNs and PEG-modified SLNs loaded with antitumor drugs like camptothecin and doxorubicin”
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    • cites Blasi et al., 2007

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    • cites Wong et al., 2007

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    Premisecitation

    The drug to be delivered may be encapsulated, adsorbed, or chemically linked to the surface of polymeric nanoparticles.

    “The drug to be delivered may be encapsulated, adsorbed or chemically linked to the surface of the NPs (Sahoo et al., 2017).”
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    • cites Sahoo et al., 2017

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    Premisecitation

    Pluronic block copolymers have the ability to hinder drug efflux transporters, for instance, inhibiting P-gp efflux transporters widely expressed on the BBB, and enhance drug shipment to the CNS.

    “The class of pluronic (also known as Poloxamers) block copolymers is of particular interest as they have an ability to hinder drug efflux transporters, for instance, inhibition of P-gp efflux transporters widely expressed on BBB and enhance drug shipment to the CNS (Batrakova and Kabanov, 2008).”
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    • cites Batrakova and Kabanov, 2008 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Liposomes are reversible structures due to non-covalent interactions such as van der Waals forces and hydrogen bonding between molecules.

    “These are reversible structures due to presence of non-covalent interactions such as van der walls forces and hydrogen bonding between molecules (Ramos-Cabrer and Campos, 2013).”
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    • cites Ramos-Cabrer and Campos, 2013

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    Premisecitation

    Transferrin-modified cyclo-(Arg-Gly-Asp-d-Phe-Lys)-Paclitaxel conjugate-loaded micelles demonstrated increased uptake by brain microvascular endothelial cells in vitro, lengthened retention in glioma tumor in vivo, and no considerable toxicity.

    “For instance, Zhang et al. (2012) studied transferrin-modified cyclo-(Arg-Gly-Asp-d-Phe-Lys)-Paclitaxel conjugate-loaded micelle and demonstrated the increased uptake by the brain microvascular endothelial cells in vitro in addition to the lengthened retention in glioma tumor in vivo and no considerable toxicity was noticed.”
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    • cites Zhang et al., 2012

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Polymeric nanoparticles are solid colloidal dispersions of biodegradable and biocompatible polymers such as PACA, PLA, PLGA, natural proteins, and polysaccharides with size range 10-100 nm.

    “Polymeric nanoparticles are solid colloidal dispersion of biodegradable and biocompatible polymers such as poly (alkylcyanoacrylate) (PACA), polyesters such as poly (lactide) (PLA), poly (D,L-lactide-co-glycolic acid) (PLGA), and several others such as natural proteins and polysaccharides with size range 10–100 nm (Kumari et al., 2010).”
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    Premisecitation

    Coating of PBCA nanoparticles with 1% polysorbate 80 amplified the concentration of rivastigmine or tacrine inside the brain compared with free drug and selectively targeted to the CNS for AD, reducing hepatic or gastrointestinal side-effects.

    “It has been established that coating of poly (n-butylcyanoacrilate) (PBCA) NPs with 1% polysorbate 80 (PS80) amplified the concentration of rivastigmine or tacrine drug inside the brain as compared with free drug and selectively targeted to the CNS for AD reducing the hepatic or gastrointestinal side-effects coupled with conventional treatment approach (Wilson et al., 2008).”
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    Premisecitation

    The external hydrophilic shell provides stability to micelles in an aqueous environment and prolongs their circulation time in the bloodstream, protecting them from the reticulo-endothelial system and facilitating their accumulation in specific regions with leaky vasculature.

    “The external hydrophilic shell provides stability to micelles in an aqueous environment and prolongs their circulation time in bloodstream, thus protecting it from reticulo-endothelial system (RES) and further facilitate their accumulation in specific region having leaky vasculature (Park et al., 2008).”
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    • cites Park et al., 2008

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    Interpretationnone given

    The possible mechanism of SLN delivery across the blood-brain barrier may be endocytosis or transcytosis in endothelial cells lining brain blood capillaries, or permeation through tight junctions between endothelial cells.

    “The possible mechanism of their delivery across BBB may be endocytosis, transcytosis which takes place in the endothelial cells lining the blood capillaries in brain or permeation through the tight junctions between endothelial cells.”
    Quote in the paperSubstantial claim
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    Premisecitation

    Conjugation of prednisolone-loaded liposomes with monoclonal antibodies (immunoliposomes) improved distribution of liposomes inside the brain and showed high efficacy against experimental autoimmune encephalomyelitis.

    “Conjugation of prednisolone-loaded liposomes with mAbs that will be recognized by cell surface receptors in the targeted tissue called immunoliposomes, demonstrated further improvement in distribution of liposomes inside brain and high efficacy against experimental autoimmune encephalomyelitis (Schmidt et al., 2003).”
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    • cites Schmidt et al., 2003

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    Premisecitation

    Specific ligand transferrin (T7) and non-specific cell penetrating peptide (TAT) conjugated doxorubicin encapsulated liposomes demonstrated high availability across the BBB and specific cell targeting to brain glioma.

    “For instance, specific ligand transferrin (T7) and non-specific cell penetrating peptide (TAT) conjugated doxorubicin encapsulated liposomes demonstrated high availability across BBB and specific cell targeting to the brain glioma (Zong et al., 2014).”
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    • cites Zong et al., 2014

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Dendrimers have a 3-D symmetrical architecture with an inner core and hyper-branches known as generations, with peripheral functional groups that allow functionalization with different ligands.

    “They have 3-D symmetrical architecture possessing an inner core from which a number of hyper-branches, known as “generations,” having various chemical functional groups at the peripheral terminal surface arise due to which they can be easily functionalized with different ligands”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Tripathy and Das, 2013

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    • cites Xu et al., 2013

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    • cites Leiro et al., 2018

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    Premisecitation

    Caveolae are flask-shaped plasma membrane invaginations, and caveolin protein in three isoforms (caveolin-1, caveolin-2, and caveolin-3) plays a dominating role in caveolar transportation.

    “Caveolae are flask-shaped plasma membrane invaginations and caveolin protein, present in three isoforms in mammalian cells: caveolin-1, caveolin-2, and caveolin-3 play a dominating role in this transportation pathway”
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    • cites Kou et al., 2013

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    Premisecitation

    Three distinct steps are involved in transcytosis: endocytosis of the nanocarrier at the plasma membrane, trafficking of intracellular vesicles toward the opposite surface, and exocytosis.

    “Three distinct steps are involved in overall transcytosis process: endocytosis of the nanocarrier at the plasma membrane, trafficking of intracellular vesicles toward the opposite surface followed by exocytosis”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Rappoport, 2008

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    • cites Pardridge, 2012 source

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    • cites Georgieva et al., 2014

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    Premisecitation

    Positive surface charge of nanomaterials interacts with the negative surface charge of brain endothelial cells via electrostatic interactions, and lipophilic nature of nanocarriers enhances adsorption.

    “Surface charge like positive nature of the nanomaterials interacts with the negative surface charge of endothelial cells of brain, due to electrostatic interactions between carrier and cells, secondly lipophillic nature of nanocarriers also enhance and facilitates adsorption process”
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    • cites Markoutsa et al., 2011

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    • cites Lien et al., 2012

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    Interpretationcitation

    Adsorbed drug-carrier conjugates are endocytosed by cells, sometimes followed by exocytosis, and further penetrate into cells or brain parenchyma.

    “The adsorbed drug–carrier conjugates is endocytosized by the cells, at times followed by exocytosis, and further penetration of the nano carrier into the cells or brain parenchyma occurs.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Vilella et al., 2014

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    Premisenone given

    Entry of foreign entities into the CNS is strictly prohibited by the blood-brain barrier, so only selective entities get access to the brain.

    “Since the entry of foreign entities in CNS is strictly prohibited by BBB, only selective one gets access to the brain.”
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    Interpretationreasoning

    Receptor-mediated transcytosis across the blood-brain barrier is an attractive strategy to deliver drugs into the CNS and requires a vector for delivery between apical and basolateral surfaces in polarized cells.

    “Transcytosis process especially the receptor-mediated transcytosis across BBB is an attractive strategy to deliver drugs into CNS. It requires vector for the delivery of nanocarrier between the apical and basolateral surface in polarized cells.”
    Quote in the paperSubstantial claim
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    Premisecitation

    Clathrin-mediated endocytosis involves nanocarrier binding to a specific receptor, triggering clathrin-1 polymerization, inward budding, dynamin pinching off to form clathrin-coated vesicles, and eventual degradation in lysosomes with pH-triggered drug release.

    “As the nanocarrier binds with a specific receptor on the cell membrane, it triggers the polymerization of clathrin-1, a cytosolic protein underneath the plasma membrane forming an inward budding leading to the internalization of cargo”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Rappoport, 2008

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    • cites Pucadyil and Schmid, 2009

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    • cites Mellman, 1992

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  • May combine two claims.

    Premisecitation

    G4HisMal dendrimers have high ability to cross the blood-brain barrier with significant biocompatibility and show memory protection in a transgenic mouse model of Alzheimer disease via synapse protection.

    “they were tested it against AD and found their high ability to cross BBB with significant biocompatibility showing memory protection in transgenic mice model of Alzheimer disease via synapse protection”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Aso et al., 2019

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In PAMAM-PEG-Doxorubicin conjugates, cisaconityl acid-sensitive linkage follows acid-triggered release kinetics that increases with PEGylation and imparts reduced hepatic and splenic accumulation, prolonged circulation time, and enhanced tumor buildup.

    “cisaconityl linkage, an acid-sensitive linkage, in PAMAM-PEG-Doxorubicin (DOX) conjugates followed an acid-triggered release kinetics which gradually increases with increasing degree of PEGylation and simultaneously imparts following properties to the conjugates: reduced hepatic and splenic accumulation, prolonged circulation time, and enhanced tumor buildup”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Zhu et al., 2010a, b

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Nanotechnology has gained interest for delivery of radiocontrast agents and imaging agents for diagnosis.

    “Besides delivery of therapeutic drugs, nanotechnology has also gained the interest of researchers for delivery of radiocontrast agents, imaging agents for diagnosis purpose.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Molecules are nano-engineered to traverse the blood-brain barrier, target specific cells or signaling pathways, and act as carriers for gene delivery.

    “Molecules are nano-engineered so that they have an ability to traverse the BBB, target the specific cell or signaling pathway, act as a carrier for gene delivery.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    The D-mino dendrimer formulation has high efficacy compared to free drug, decreasing inflammatory cytokines and nitric oxide levels.

    “The rapid uptake, decreases inflammatory cytokines and nitric oxide levels suggested that dendrimers formulation are having high efficacy as compare to free drug”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sharma et al., 2017

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The caveolar pathway is similar to the clathrin-mediated pathway but can escape lysosomal delivery, which augments drug delivery at the targeted site and improves therapeutic value.

    “This pathway is similar to the clathrin-mediated pathway in most of the aspects but there is possibility to escape lysosomal delivery which is a key factor that makes it different from the clathrin-mediated pathway”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Mcintosh et al., 2002

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Fabrication of nanoemulsions with oils rich in omega-3 polyunsaturated fatty acids imparts properties for overcoming biological barriers including the blood-brain barrier and helps rapid distribution of drugs to peripheral sites, especially the brain.

    “fabrication of nanoemulsions with oils that are rich in omega-3 polyunsaturated fatty acids (PUFA) imparts specific properties to nanocarriers for overcoming biological barrier, including the BBB, therefore help in achieving the rapid distribution of drugs to peripheral sites, especially the brain”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Shah et al., 2013

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Nanoemulsions as drug delivery systems tackle problems such as low bioavailability, poor targetability, and poor penetrability across the blood-brain barrier.

    “Recently, their use as drug delivery system has been promoted heavily to tackle several problems associated with conventional delivery systems such as low bioavailability, poor targetability, and penetrability across BBB”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lovelyn and Attama, 2011

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Nanoemulsions are oil-in-water or water-in-oil colloidal particulate systems composed of edible oils, surfactants and water, with a size range of 100-500 nm.

    “Nanoemulsions are either oil-in-water (O/W) or water-in-oil (W/O) colloidal particulate systems that are composed of edible oils, surface-active agents (surfactants) and water, having a size range 100–500 nm”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Sarker, 2005

      Not checked in the free run.

    • cites Lovelyn and Attama, 2011

      Not checked in the free run.

  • May combine two claims.

    Premisenone given

    Nanocarriers enter the brain either by passive, gradient-dependent passive targeting or active, energy-dependent active targeting pathways.

    “They get entry into the brain either by passive, gradient-dependent (passive targeting) or active, energy-dependent (active targeting) pathways.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Pathology of Parkinson disease involves various other brain regions, neurotransmitter imbalance in acetylcholine and dopamine, and protein aggregates other than Lewy bodies.

    “pathology of PD is not just limited to a particular part of the brain but it involves various other regions of the brain, neurotransmitters such as imbalance in ACh and dopamine, and protein aggregates other than Lewy bodies”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kalia and Lang, 2015

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given

    Manifestations of Parkinson disease involve motor symptoms like tremor, speech, writing changes and non-motor symptoms like cognitive, behavioral, and autonomic changes.

    “The manifestations of PD involve motor symptoms like tremor, speech, writing changes and non-motor symptoms like cognitive, behavioral, and autonomic changes.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    PEG stabilized nanomicelles composed of phospholipids inhibit Aβ aggregation and attenuate Aβ-induced neurotoxicity in SHSY-5Y human neuroblastoma cell line in vitro.

    “It was demonstrated that PEG stabilized nanomicelles composed of phospholipids inhibit Aβ aggregation and attenuate Aβ-induced neurotoxicity in SHSY-5Y human neuroblastoma cell line in vitro”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Pai et al., 2006

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Fullerene's ability for neuroprotection against Aβ toxicity in vitro and in vivo has not been proved, but its ability to inhibit Aβ peptide fibrillization and prevent Aβ-induced cognitive impairments after intraventricular administration suggests a beneficial role in Alzheimer disease treatment.

    “On the other hand ability of fullerene for neuroprotection, in vitro as well as in vivo, against Aβ toxicity has not been proved, yet its ability to inhibit Aβ peptide fibrillization and prevention of Aβ-induced cognitive impairments after intraventricular administration suggests its beneficial role in AD treatment”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Podolski et al., 2007

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The prevalence rate of multiple sclerosis ranges from 2 to 150 per 100,000 people, and females are more susceptible than males.

    “The prevalence rate of MS ranges 2–150 per 100,000 people and females are more susceptible than males”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Jones et al., 2008

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given

    Multiple sclerosis is a progressive autoimmune and inflammatory disease in which the body's immune cells attack the nervous system.

    “Multiple sclerosis (MS) is a progressive autoimmune and inflammatory disease. It is a multifactorial disease in which body’s immune cells attack on the nervous system.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    Nitrendipine is a calcium channel blocker that declines the incidences of dementia up to 50% in Huntington disease over a period of 2 years.

    “Nitrendipine is a calcium channel blocker that declines the incidences of dementia (upto 50%) in HD in a period of 2 years.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisenone given

    Multiple sclerosis involves pathogenic mechanisms leading to demyelination of myelinated axons, resulting in slow conduction of nerve signals.

    “It involves various pathogenic mechanisms leading to demyelination of myelinated axons which results into slow conduction of nerve signal.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Alzheimer disease is a slowly progressive neurodegenerative disorder and is the main culprit for dementia syndrome.

    “Alzheimer’s disease is a slowly progressive neurodegenerative disorder, and is the main culprit for dementia syndrome.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sloane et al., 2002

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    A nanoliposomal formulation of curcumin enhances its bioavailability without disturbing its ability to inhibit Aβ aggregation.

    “The nanoliposomal formulation of curcumin enhanced its bioavailability without disturbing its ability of inhibiting Aβ aggregation”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Taylor et al., 2011

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Brains of Huntington disease patients and mouse models demonstrate accumulation of mutant huntingtin in striatal astrocytes, leading to age-dependent Huntington-like pathology and premature mortality.

    “Brains of HD patients and mouse models of HD demonstrates accumulation of mutant HTT in striatal astrocytes which ultimately leads to age-dependent HD-like pathology and premature mortality”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bradford et al., 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Multiple sclerosis is diagnosed on the basis of clinical findings, magnetic resonance imaging, and examination of cerebrospinal fluid.

    “It is diagnosed on the basis of clinical findings, magnetic resonance imaging (MRI) and examination of Cerebrospinal fluid (CSF)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Khare et al., 2014

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Increased levels of metal ions such as copper contribute to Alzheimer disease pathology, and chelating agents are an approach for Alzheimer disease management.

    “Since the increased level of metal ions, such as copper, also contributes in the pathology of AD, use of chelating agents is another approach for AD management”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lovell et al., 1998

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    PEG and polyethyleimine nanogel complexes with antisense oligonucleotides cross the blood-brain barrier in vitro and deliver oligonucleotides to the brain when injected intravenously, more efficaciously when functionalized with insulin or transferrin molecules.

    “The PEG and polyethyleimine nanogels complexes with antisense oligonucleotides demonstrated the efficient crossing of BBB in vitro and also delivered the oligonucleotides to the brain, when injected intravenously, more efficaciously particularly when the gels were functionalized with insulin or Tf molecules”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Vinogradov et al., 2004

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Microemulsion nanoparticles loaded with copper chelator d-penicillamine cross the blood-brain barrier and dissolve pre-existing Aβ aggregates in vitro.

    “Microemulsion nanoparticles loaded with copper chelator d-penicillamine were found to have capability of crossing the BBB and dissolving the pre-existing Aβ aggregates in vitro”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cui et al., 2005

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    Degeneration of nervous tissue in Alzheimer disease starts years before the actual appearance of symptoms.

    “The degeneration of nervous tissue in AD starts years back of the actual appearance of the symptoms of the disease.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisereasoning

    Nitrendipine is hydrophilic, has permeability issues, and poorly crosses the blood-brain barrier.

    “Being hydrophilic, this drug has permeability issues and thus poorly crosses BBB.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Parkinson disease is illustrated by loss of dopaminergic neurons in the substantia nigra and generation of α-synuclein aggregates (Lewy bodies), and is the next most common neurodegenerative disorder worldwide after Alzheimer disease.

    “Parkinson’s disease, illustrated by loss of dopaminergic neurons in the substantia nigra of the midbrain and the generation of α-synuclein aggregates (Lewy bodies), is the next most common neurodegenerative disorder worldwide after AD.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kalia and Lang, 2015

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    mPEG PLGA nanoparticles of size 70 nm encapsulating Schisantherin A extend SA circulation in the blood stream, increase brain uptake, and are potentially efficacious for Parkinson disease.

    “mPEG PLGA nanoparticles of size range 70 nm i.e., Schisantherin A (SA) was used against Parkinson diseases (PD) in zebrafish larvae where SA encapsuled in nanoparticles formulation that extended SA circulation in the blood stream and consequently an increased brain uptake and reported as potentially efficacious for the treatment of PD”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Chen et al., 2017

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Nanotechnological approach has shown great potential to reverse or limit disease states, promote functional regeneration of damaged neurons, provide neuroprotection, and facilitate drug delivery overcoming the blood-brain barrier.

    “This problem can be addressed by the nanotechnological approach, as it has shown great potential to reverse or limit the disease states, promote the functional regeneration of damaged neurons, provide neuroprotection and facilitate the delivery of drugs overcoming the BBB”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Modi et al., 2010

      Not checked in the free run.

    • cites Soursou et al., 2015

      Not checked in the free run.

  • May combine two claims.

    Premisereasoning

    Oxidative damage is a key factor in Alzheimer disease pathology, suggesting applications of antioxidants in Alzheimer disease management.

    “Oxidative damage, another key factor in the pathology of AD, suggests the applications of antioxidants in AD management.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Fullerene derivatives are potent free-radical scavengers and possess neuroprotective action against glutamate receptor-induced excitotoxicity.

    “Fullerene derivatives, the potent free-radical scavengers, have been found to possess neuroprotective action against glutamate receptors induced excitotoxicity.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Podolski et al., 2007

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Evidence suggests mutual interplay of microglial, astrocyte and T-cells beside demyelination in multiple sclerosis.

    “There are evidences which suggest mutual interplay of microglial, astrocyte and T-cells beside demyelination”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Khare et al., 2014

      Not checked in the free run.

    • cites Ojha and Kumar, 2018

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    In diseased conditions, glial activation leads to neuroinflammation and imbalance between pro-inflammatory and anti-inflammatory cytokines; nanoformulations stabilize and modulate drug release to cross the blood-brain barrier and restore healthy conditions by reducing neuroinflammation and glial cell activation.

    “when an external stumuli or in diseased conditions glial activation occurs which leads to neuroinflammation and leads to imbalance between pro-inflammatory and (IL-1β, TNF-α, and IL-6) and anti-inflammatory cytokines (IL-4, IL-10, etc.), here the authors are showing through schematic representation that drugs loaded with nanoformulations such as immunoliposomes, dendrimers, micelles, liposomes, a”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Huntington disease occurs due to a monogenic mutation in exon 1 of the huntingtin gene leading to polyglutamine expansion and misfolding and aggregation of huntingtin protein in the brain.

    “It occurs due to monogenic mutation in the exon 1 of huntingtin gene which leads to polyglutamine (poly Q) expansion and causes misfolding and aggregation of huntingtin protein (HTT) in the brain”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bates et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Amyloid-β plaques and Tau protein hyper-phosphorylation are considered hallmarks of Alzheimer disease.

    “Amyloid-β plaques and Tau protein hyper-phosphorylation are considered as hallmarks of AD”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kumar and Singh, 2015 source

      Not checked in the free run.

  • May combine two claims.

    Premisenone given

    Fullerenols have the ability to clear free radicals and reduce oxidative burden to cells.

    “Fullerenols have ability to clear free radicals and reduce oxidative burden to cell.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Huntington disease is described by preferential loss of neurons in the striatum and other brain regions leading to progressive motor, cognitive, and psychiatric manifestations.

    “Huntington disease (HD) is described by preferential loss of neurons in striatum and other brain regions leading to progressive motor, cognitive, and psychiatric manifestations.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Curcumin reduces Aβ oligomerization and cytotoxicity in vitro but has poor bioavailability when injected into mice.

    “The in vitro study demonstrated the ability of phytochemical curcumin to reduce Aβ oligomerization and cytotoxicity, but poor bioavailability was shown when injected into mice”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Yang et al., 2005 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Conventional gene delivery studies involve viral vectors commonly associated with toxicity and immunogenicity, while nanotechnological approach is devoid of such problems.

    “The conventional gene delivery studies involve viral vectors, but they were commonly associated with toxicity and immunogenicity problems while nanotechnological approach was found to be devoid of such type of problems”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Witt and Marks, 2011

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Fullerenols have antagonistic behavior on glutamate receptors and can be implicated for neuroprotective use.

    “Jin et al reported their antagonistic behavior on glutamate receptors and therefore they can be implicated for neuroprotective use”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Jin et al., 2000

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Brain tumors are among the most challenging diseases to treat due to poor prognosis, diagnosis, high recurrence rate, and limited methods to transport anti-cancer drugs across the blood-brain barrier in effective concentration.

    “They are among the most challenging disease to treat due to poor prognosis, diagnosis, high recurrence rate, and availability of limited number of convenient methods to transport anti-cancer drugs across BBB in effective concentration”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Sanai and Berger, 2008

      Not checked in the free run.

    • cites Özdemir et al., 2017

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Brain tumors may be benign or metastatic, and glioblastoma multiforme is the most prevalent malignant glioma.

    “Brain tumors, like other body parts tumors, may be benign, originating and residing within the brain, or metastatic, originating from a tumor outside the CNS, among which glioblastoma multiforme (GBM) – a malignant glioma, is the most prevalent.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Sanai and Berger, 2008

      Not checked in the free run.

    • cites Özdemir et al., 2017

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Current treatments for brain tumors are palliative, involving surgical debulking with radiotherapy and chemotherapy, are not sufficient for complete treatment, and reversal to the tumor state is common.

    “Current treatments available are just palliative, involving united approaches of surgical debulking with radiotherapy and chemotherapy, which are not sufficient for the complete treatment, and also the reversal to the tumor state again is most common”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Özdemir et al., 2017

      Not checked in the free run.

  • May combine two claims.

    Premisenone given

    Nanoparticles as contrast agents offer detailed cellular and molecular imaging and provide information for efficient surgical removal of gliomas.

    “For imaging purpose, NPs as contrast agents offer detailed cellular and molecular imaging and thus provide information for efficient surgical removal of gliomas.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Fullerenols act as antioxidants and free radical scavengers and are capable of reducing glutamate-, NMDA-, AMPA-, and kainite-induced excitotoxicity and apoptosis.

    “Fullerenols, hydroxyl functional group possessing fullerene derivatives, have been demonstrated to act as an antioxidant and free radical scavenger, due to which they are capable of reducing glutamate, N-methyl-d-aspartate (NMDA), Amino-3-hydroxyl-5-methyl-4-isoxazole-propionate (AMPA), and kainite induced excitotoxicity and apoptosis.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Jin et al., 2000

      Not checked in the free run.

    • cites Dugan et al., 2001

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Xenon gas readily crosses the blood-brain barrier and has favorable neuroprotective properties; xenon-loaded liposomes administered up to 5 h after stroke onset at 7-14 mg/kg diminish infarct size in a rat model.

    “xenon gas, a small molecule that can readily cross the BBB and has favorable neuroprotective properties, was loaded into liposomes and administered for up to 5 h after stroke onset with an optimal dosage range of 7–14 mg/kg and found to diminish infarct size in a rat model”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Peng et al., 2013

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Curcumin's clinical implication is hindered by low solubility, physico-chemical instability, poor bioavailability, rapid metabolism, and poor pharmacokinetics.

    “Despite the wide medicinal applications of curcumin, its clinical implication is hindered due to low solubility, physico-chemical instability, poor bioavailability, rapid metabolism, and poor pharmacokinetic (Chattopadhyay et al., 2008).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Chattopadhyay et al., 2008

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Fullerenol-mediated neuroprotection is suggested to occur through inhibition of glutamate channels without affecting GABA(A) or taurine receptors and by lowering glutamate-mediated intracellular calcium concentrations.

    “The ability of these nano-structures to inhibit glutamate channels without affecting GABA (A) or taurine receptors as well as their capability to lower the glutamate-mediated intracellular calcium concentrations are the suggested mechanisms for fullerenol mediated neuroprotection (Jin et al., 2000; Dugan et al., 2001).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Jin et al., 2000

      Not checked in the free run.

    • cites Dugan et al., 2001

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Ischemic stroke contributes 87% of total stroke and comprises lacunar, cardioembolic and cryptogenic stroke; hemorrhagic stroke contributes 13%, comprising 10% intracerebral and 3% hemorrhagic.

    “Ischemic stroke, contributing 87% of total stroke, comprising of lacunar, cardioembolic and cryptogenic stroke, and the hemorrhagic stroke, having 13% contribution to the total stroke, comprising of 10% intracerebral and 3% hemorrhagic stroke”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sacco et al., 2013 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Epilepsy is a CNS disorder characterized by an abnormal increase in brain electrical activity that may be limited to the focal area or spread throughout the brain, resulting in partial or generalized seizures.

    “Epilepsy, a CNS disorder, is characterized by an abnormal increase in brain electrical activity that may be either limited to the focal area or spread throughout the brain, resulting in partial or generalized seizures, respectively”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Jabir et al., 2015

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Gefitinib inhibits EGFR signaling and blocks autophosphorylation of critical tyrosine residues on EGFR, whereas GOLPH3 siRNA downregulates GLOPH3 expression.

    “Gefitinib can inhibit EGFR signaling and block the autophosphorylation of critical tyrosine residues on EGFR whereas GOLPH3 siRNA downregulate GLOPH3 expression”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ye et al., 2019

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Biodegradable PLGA-curcumin is non-toxic in human neuroblastoma SK-N-SH cells and protects from H2O2-induced rise in ROS.

    “Exhibit non-toxicity in human neuroblastoma SK-N-SH cells and protect from H2O2- induced rise in ROS.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Doggui et al., 2012

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    Glioma cells aggressively infiltrate normal brain tissue and survive exposure to current adjuvant therapies, making it important to construct specific targeted nanoplatforms capable of delivering imaging agents directly into invasive tumor cells.

    “Owing to the ability of glioma cells to aggressively infiltrate normal brain tissue and survive from the exposure to current adjuvant therapies, it is extremely important to construct specific targeted nanoplatforms capable of delivering imaging agents directly into invasive tumor cells.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    DNA-carrier gold nanoparticle based barcode assay is highly sensitive to detect biomarkers in cerebrospinal fluid or diseased brain and may be useful in diagnosis of multiple sclerosis.

    “DNA-carrier gold NPs based barcode assay is highly sensitive assay to detect biomarkers in CSF or diseased brain. Since radio diagnosis is a gold technique for detection of MS, this diagnostic assay may be highly useful in diagnosis of MS”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Georganopoulou et al., 2005

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Curcumin has been found to possess many pharmacological activities including anti-inflammatory, antimicrobial, anticancer, and neuroprotective effects in neurodegenerative disorders in preclinical and clinical studies.

    “Being a natural antioxidant, curcumin has been found to possess many pharmacological activities including anti-inflammatory, antimicrobial, anticancer, the neuroprotective effect in neurodegenerative disorders (Table 5), in both preclinical and clinical studies.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Chattopadhyay et al., 2008

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    CNTF loaded microcapsules demonstrate in situ sustained delivery of CNTF upon encapsulation into polymers and are devoid of immune response and cytotoxic effect.

    “ciliary neurotrophic factor (CNTF) loaded microcapsules demonstrated in situ sustained delivery of CNTF upon encapsulation into polymers. This formulation was found to be devoid of any immune response and cytotoxic effect”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Aebischer et al., 1996

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Biodegradable PLGA-curcumin prevents induction of the redox-sensitive transcription factor Nrf2 in the presence of H2O2, indicating protection against oxidative injury in AD.

    “Able to prevent the induction of the redox-sensitive/transcription factor Nrf2 in the presence of H2O2, indicative approach to protect neurons against oxidative injury that is usually observed in AD”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Doggui et al., 2012

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Cerium oxide nanoparticles possess antioxidant properties that support cell survival and reduce production of free radicals, and are non-toxic to neuronal (HT22) and macrophage (RAW164) cell lines.

    “Cerium oxide nanoparticles were demonstrated to possess antioxidant properties that supported cell survival and reduced the production of free radicals, as well as, were found to be non-toxic to neuronal (HT22) and macrophage (RAW164) cell lines”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Schubert et al., 2006

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Methotrexate conjugated to polyether-copolyester dendrimers demonstrates improved cytotoxicity against U87 and U343 cancer cell lines in culture and overcomes acquired resistance to the drug.

    “Methotrexate conjugated to polyether-copolyester (PEPE) dendrimers demonstrated improved cytotoxicity against U87 and U343 cancer cell lines in culture and this nanoformulation was able to overcome acquired resistance to the drug”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Dhanikula et al., 2008

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    PEG-coated hexadecyl cyanoacrylate nanoparticles encapsulating an antineoplastic drug show controlled drug release kinetics and higher diffusion of drug across the blood-brain barrier compared to bulk drug in a rat model of gliosarcoma.

    “They observed controlled drug release kinetics along with higher diffusion of drug across BBB as compared to bulk drug in a rat model of gliosarcoma”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Brigger et al., 2002

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Nanotechnological approach has shown great potential to overcome major hurdles in stroke management and provides a useful platform for development of novel therapeutic methods.

    “The nanotechnological approach has shown great potential to overcome the major hurdles in stroke management and has provided a useful platform for the development of novel therapeutic methods for treatment”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sarmah et al., 2017

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The problems of curcumin delivery can be solved by developing an efficient delivery system, and nanotechnology provides a platform to handle the hurdles for efficient delivery and action of curcumin.

    “However, these problems can be solved by developing efficient delivery system, and the nano-technological approach has provided a platform to handle all the hurdles for the efficient delivery and action of curcumin (Naksuriya et al., 2014).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Naksuriya et al., 2014

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Stroke is an acute CNS disorder characterized by disruption to the vasculature supplying the brain, resulting in sudden symptoms within seconds to hours depending on the fraction of the brain involved and the severity.

    “Stroke, an acute CNS disorder, is characterized by the disruption to the vasculature supplying the brain, resulting into sudden symptoms, within seconds to hours, which usually depends on the fraction of the brain involved and the severity.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Effective neuroprotection and promotion of vascular regeneration in ischemic brain have been achieved by treatment with VEGF-loaded transferrin-modified liposomes (Tf-LPs).

    “Thus, effective neuroprotection and promotion of vascular regeneration in the ischemic brain have been achieved by treatment with VEGF loaded transferrin-modified liposomes (Tf-LPs).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Zhao et al., 2010

      Not checked in the free run.

    • Rests on an assumption: VEGF participates in post-ischemic brain repair via promoting neurogenesis and cerebral angiogenesis and is potentially useful to attenuate ischemic brain injury.
  • May combine two claims.

    Interpretationnone given

    Increased surface area results in augmented chemical reactivity of nanoparticles, which increases ROS production and leads to toxicity such as neuroinflammation, excitotoxicity, DNA damage, and allergic responses.

    “The increased surface area results in an augmented chemical reactivity of the nanoparticles which then increase the production of ROS and ultimately leads to toxicity, such as neuroinflammation, excitotoxicity, DNA damage and allergic responses.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    PEG-liposomes with anti-transferrin, lipid conjugate liposome, nanoliposomes, and PEG-polylactic acid block copolymer inhibit Aβ aggregation.

    “Aggregation inhibition of Aβ”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Mourtas et al., 2014

      Not checked in the free run.

  • May combine two claims. The quote only partly states this claim.

    Premisecitation

    Water-soluble PLGA-coated curcumin NPs coupled with Tet-1 peptide successfully destroy amyloid aggregates and have anti-oxidative and non-cytotoxic properties.

    “They found that curcumin encapsulated NPs successfully destroyed amyloid aggregates along with anti-oxidative property and non-cytotoxicity (Mathew et al., 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Mathew et al., 2012

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    PLGA-b-PEG-TPP-based curcumin nanoformulation shows significant cytosolic and mitochondrial fractions in cells, indicating mitochondria-targeting chemotherapeutics.

    “Confirmed significant cytosolic and mitochondrial fractions in cells, indicating mitochondria-targeting chemotherapeutics”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Marrache and Dhar, 2012

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Poly(N-isopropyl acrylamide)-curcumin nanoformulation improves neurobehavioral activity, reduces cytokine levels (TNF-α and IL-1β), and reduces oxidative stress.

    “Improved neurobehavioral activity and reduced cytokine levels (tumor necrosis factor alpha (TNF-α) and IL-1β) and reduces oxidative stress”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ahmad et al., 2016

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    CPC nanoparticles improve behavior disorder and dopamine depletion in MPTP-induced PD mice after treatment at 15 mg curcumin/kg.

    “Furthermore, they observed improved behavior disorder along with dopamine depletion after treatment with CPC NPs (15 mg curcumin/kg) (Nisi Zhang et al., 2018).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Nisi Zhang et al., 2018

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Iron oxide nanoparticles conjugated to NGF stabilize NGF and enhance neuronal differentiation.

    “Stabilize NGF and enhance neuronal differentiation”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Marcus et al., 2015

      Not checked in the free run.

    • Rests on an assumption: NGFs are needed for development and phenotype maintenance of neurons in the peripheral nervous system and for functional integrity of neurons in the CNS, and have therapeutic potential for various CNS disorders.
  • May combine two claims.

    Premisecitation

    Intraperitoneal injection of NanoCurcTM at 25 mg/kg twice daily in athymic mice demonstrates significant curcumin levels in the brain and results in decreased H2O2 and caspase activities along with increased glutathione concentrations.

    “In vivo, intraperitoneal (IP) injection of NanoCurcTM at a dose of 25 mg/kg twice daily in athymic mice demonstrated significant curcumin levels in the brain and resulted in decreased levels of H2O2, and caspases activities in brain along with increased glutathione concentrations (Ray et al., 2011).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ray et al., 2011

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Solid-LNS shows elevated cellular uptake and better neuroprotective effect compared to edaravone in SH-SY5Y695 cell line.

    “Solid-LNS showed elevated cellular uptake and better neuroprotective effect compared to EDR in SH-SY5Y695 cell line (Parikh et al., 2017).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Parikh et al., 2017

      Not checked in the free run.

    • Rests on an assumption: No oral formulation of edaravone is currently available; only an intravenous liquid formulation is commercially available.
  • May combine two claims.

    Premisecitation

    Curcumin-gold nanoparticles interact with amyloid protein/peptide and diminish amyloid fibrillation and dissolve amyloid fibrils by acting as artificial molecular chaperones.

    “Interacted with amyloid protein/peptide and simultaneously diminish amyloid fibrillation and dissolve amyloid fibrils by acting as artificial molecular chaperones”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Palmal et al., 2014

      Not checked in the free run.

  • May combine two claims.

    Interpretationnone given

    Nanoparticles functionalized with specific ligands provide successful drug targeting, but their extremely small size and large surface area may cause particle aggregation, interparticular friction, limited drug loading, and high clearance rate sufficient to preclude their use in diagnosis and drug delivery.

    “Although, nanoparticles functionalized with specific ligands provide successful drug targeting, but their extremely small size and the large surface area may cause problems like particle aggregation, interparticular friction, limited drug loading and high clearance rate sufficient to preclude their use in diagnosis and drug delivery.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Anti-amyloid antibody-conjugated curcumin/dexamethasone loaded gadolinium/magnetic nanoparticles enable early diagnosis, effective targeting, and therapeutic action against cerebrovascular amyloid.

    “Early diagnosis, effective targeting, and as a therapeutic agent(s) of cerebrovascular amyloid”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Jaruszewski et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Curcumin-loaded polysorbate 80 modified cerasome (CPC) nanoparticles have better stability, longer circulation time, and higher permeation than bulk curcumin.

    “They reported better stability, longer circulation time, and higher permeation of nanoformulation of curcumin as compared to bulk curcumin.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Nisi Zhang et al., 2018

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Curcumin-loaded PLGA-PEG nanoparticles diffuse effectively through brain parenchyma and provide neuroprotection against impaired blood-brain barrier in regions of injury in neonatal rat brain.

    “They observed neuroprotection against impaired blood–brain barrier in regions of injury. These nanoparticles diffuses effectively through the brain parenchyma (Joseph et al., 2018).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Joseph et al., 2018

      Not checked in the free run.

  • The quote only partly states this claim.

    Premisecitation

    tApoE3-conjugated curcumin-loaded PBCA polymer nanoparticles treat Aβ-induced cytotoxicity in AD.

    “Treatment of Aβ-induced cytotoxicity in AD”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Mulik et al., 2010

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The composition of a nanocarrier is the key determinant of its properties and may be responsible for oxidative stress, amino acid disturbance, and BBB disruption that cause neurotoxicity in the brain.

    “The composition of nanocarrier is the key determinant of its properties, and may be responsible for oxidative stress, amino acid disturbance and BBB disruption that cause neurotoxicity in the brain (Sharma and Sharma, 2007).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sharma and Sharma, 2007

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Oral bioavailability of edaravone is very low, but it has shown great potential for AD and cerebral aneurysm via oral administration in preclinical studies.

    “Though, oral bioavailability of EDR is very less, yet, it has shown great potential for AD, cerebral aneurysm via oral administration in preclinical studies (Hudson et al., 2013).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hudson et al., 2013

      Not checked in the free run.

    • Rests on an assumption: No oral formulation of edaravone is currently available; only an intravenous liquid formulation is commercially available.
  • May combine two claims.

    Premisecitation

    A number of nanomedicines are in their infancy in preclinical and clinical studies, and sufficient data are still required to prove them as a better approach over conventional neurotherapeutics.

    “Although, a number of nanomedicine are in its infancy in the preclinical and clinical studies, and still sufficient data required to prove them as a better approach over conventional neurotherapeutics (Dinda and Pattnaik, 2013).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Dinda and Pattnaik, 2013

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    The main issue for bench-to-bedside translation of nanoformulations is toxicity.

    “The main issue for bench to bedside translation of nanoformulations is toxicity which has to be dealt carefully.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationreasoning

    Nanomedicines have been implicated to address problems related to treatment of neurological disorders and have a cutting edge over conventional CNS therapy.

    “Nanomedicines have been implicated to address the problems related to treatment of neurological disorder and have a cutting edge over the conventional CNS therapy.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    Nanocarriers have enabled targeted delivery of chemotherapeutics as well as antisense gene therapy in malignant brain tumors, resulting in remarkable inhibition of disease progression in vitro and in vivo.

    “Nanocarriers have enabled targeted delivery of chemotherapeutics as well as antisense gene therapy, in malignant brain tumors, ensuing in remarkable inhibition of disease progression in vitro as well as in vivo study.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    A small number of promising preclinical studies have been successfully translated to the clinic for effective patient care.

    “Fortunately, a small number of these promising preclinical studies have been successfully translated to the clinic for effective patient care.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    In models of AD, PD, and stroke, different nanoscalic approaches have been identified to cure neurological disorders such as inhibition of Aβ oligomerization, reduce reactive oxygen species, and enhance functional neuronal networks.

    “In models of AD, PD and stroke, different nanoscalic approaches have been identified to cure neurological disorders such as inhibition of Aβ oligomerization, reduce reactive oxygen species, and enhance functional neuronal networks.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationnone given

    Several nanoformulations have shown great efficacy in preclinical and clinical studies, but their clinical translation from bench to bedside is not very successful due to inadequate information about their final fate in terms of toxicity, and other problems like aggregation and rapid clearance due to nano-size.

    “Even though, several nanoformulations have shown great efficacy in preclinical and clinical studies, their clinical translation from bench to bedside is not very successful due to inadequate information about their final fate in terms of toxicity, and other problems like aggregation and rapid clearance due to nano-size.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Nanocarriers such as nanoparticles, liposomes, nanopharmaceuticals, nanotubes, nanoemulsions, nanosensors, dendrimers, and micelles have high prospective in neuroprotection as theranostics.

    “Nanocarriers such as nanoparticles, liposomes, nanopharmaceuticals, nanotubes, nanoemulsions, nanosensors, dendrimers, and micelles, etc. are having high prospective in neuroprotection as theranostics.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    Nanotechnology has been implicated in the development of nanoformulations of various neuroprotective drugs such as curcumin, nerve growth factors, and edaravone, but limited data are provided related to their adverse effects.

    “Nanotechnology has been implicated in the development of nanoformulations of various neuroprotective drugs such as curcumin, nerve growth factors, and edaravone, etc. but still limited data are provided related to their adverse effects.”
    Quote in the paperNot a substantial claim
131 of 131
  • The paper relies on this without support.

    Results from preclinical models (mice, cell lines) are predictive of therapeutic outcomes in humans for CNS nanomedicines.

    “In mice, the intravenous administration of these modified micelles after loading with a fluorescent dye or neuroleptic drug haloperidol, resulted in improved delivery of the fluorescent dye to the brain and drastic increase in the neuroleptic effect of haloperidol (Kabanov et al., 1989).”
  • The paper relies on this without support.

    Conventional treatment approaches cannot completely treat Alzheimer disease, and orally administered drugs such as tacrine and rivastigmine are unable to treat the disease.

    “The conventional treatment approaches are not able for complete treatment of disease, thus the inability of orally administered drugs such as tacrine, rivastigmine, etc. to treat the disease, opens the door for the application of nanotechnology for AD treatment.”
  • The paper relies on this without support.

    Current medication treatments for Parkinson disease do not cure nor alleviate progression, and available drugs cannot cross the blood-brain barrier.

    “The current medication treatments available for PD do not cure nor alleviate the progression of the disease but aim to provide the symptomatic relief to the patients, and beside this, the inability of available drugs to cross BBB is another challenge for treating PD.”
  • The paper relies on this without support.

    Symptomatic and protective treatment strategies are available for Huntington disease but none are efficacious to completely cure the disease.

    “Symptomatic and protective treatment strategies are available for HD but none of them are efficacious to completely cure the disease.”
  • The paper relies on this without support.

    Current treatment methods for epilepsy are almost failures due to hurdles such as inability of drugs to cross the blood-brain barrier, drug resistance, and recurrence after drug discontinuation.

    “The current treatment methods, having the aim of diminishing the seizure frequency and severity while producing the minimum toxic effects to the brain and other tissues of the body, are almost failures due to various hurdles, such as the inability of drugs to cross BBB, drug resistance and recurrence of disease after drug discontinuation.”
  • The paper relies on this without support.

    Stroke is among the principal causes of mortality and morbidity due to challenges in drug treatment, demanding development of new therapeutic approaches.

    “It is among the principal cause of mortality and morbidity, regardless of the availability of a number of treatment approaches, due to various challenges in drug treatment, which demands the development of new therapeutic approaches.”
  • The paper relies on this without support.

    NGFs are needed for development and phenotype maintenance of neurons in the peripheral nervous system and for functional integrity of neurons in the CNS, and have therapeutic potential for various CNS disorders.

    “Various growth factors among which, Nerve growth factors (NGFs) are most essential, are needed for the development and phenotype maintenance of neurons in the peripheral nervous system and for the functional integrity of neurons in the CNS. NGFs have great therapeutic potential for various CNS disorders (Table 6).”
  • The paper relies on this without support.

    VEGF participates in post-ischemic brain repair via promoting neurogenesis and cerebral angiogenesis and is potentially useful to attenuate ischemic brain injury.

    “Vascular endothelial growth factor (VEGF) was considered as a potentially useful therapeutic agent to attenuate ischemic brain injury, as it has been shown to participate in the process of post-ischemic brain repair via promoting neurogenesis and cerebral angiogenesis.”
  • The paper relies on this without support.

    No oral formulation of edaravone is currently available; only an intravenous liquid formulation is commercially available.

    “No oral formulation of the EDR is currently available in the market and liquid formulation for the purpose of intravenous infusion is the only commercially available formulation.”
  • The paper relies on this without support.

    The blood-brain barrier and blood-cerebrospinal fluid barrier are the main physiological barriers and a bottleneck for successful treatment of CNS disorders and brain tumors.

    “BBB and BCSFB is the main physiological barrier which possess big bottleneck for the successful treatment of CNS disorders and brain tumors, complex anatomical structure, unique microenvironment, and their selectivity toward any foreign compound including drug is treated as a biggest challenge toward CNS drug delivery.”
10 of 10

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Micro and nanospheres, polymeric micelles, nanocapsules and nanoparticulate systems improve specific targeting of bioactive compounds, decrease systemic toxicity, improve therapeutic efficiency, and protect active substances against biochemical degradation.

    “In the last decade, micro and nanospheres, polymeric micelles, nanocapsules and, in general, nanoparticulate systems have been shown to have an effect in improving the specific targeting of bioactive compounds, decreasing their systemic toxicity, improving the therapeutic efficiency rate and protecting active substances against biochemical degradation [217,218].”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Muscimol formulation conflicts with its cited reference

    Minor

    The epilepsy section calls the cited formulation liposomal, but the paper's Kohane et al. (2002) reference identifies muscimol-containing microparticles.

  • Carbamazepine formulation conflicts with its cited reference

    Minor

    The epilepsy section cites Samia et al. (2012) for carbamazepine-loaded solid lipid nanoparticles, but the listed reference describes a carbamazepine nanoemulgel.

  • MS preclinical-study description conflicts with cited clinical study

    Minor

    The MS section describes the cited CNTF work as preclinical, while the paper's Aebischer et al. (1996) reference describes delivery in patients with amyotrophic lateral sclerosis.

  • Pilocarpine micelle row cites a doxorubicin study

    Minor

    Table 2 attributes the pilocarpine micelle result to Matsumura et al. (2004), but the paper's reference entry for that study identifies its drug as doxorubicin.

  • Doxorubicin micelle row cites a pilocarpine study

    Minor

    Table 2 attributes the doxorubicin micelle result to Pepic et al. (2004), whereas the listed reference concerns micellar solutions with pilocarpine.

5 of 5

Cites

1 retracted

Flagged first, then by citations

27 of the 266 references couldn’t be matched to a known paper.

Research works printed but not linked: 5

  1. 2017, FDA Approved Drugs.
  2. 2017, Our Product: Zilretta (triamcinolone acetonide extended. (release)Formulation).
  3. 2017, Novel drug approvals for 2017.
  4. Özdemir, 2017, Nanotechnology Methods for Neurological Diseases and Brain Tumors: Drug Delivery Across the Blood–Brain Barrier.
  5. Xu, 2014, Dendrimer advances for the central nervous system delivery of therapeutics., ACS Chem. Neurosci., 5, 2, 10.1021/cn400182z · DOI

Cited by

Sorted by citations

Authors
Naqvi, S., Panghal, A., & Flora, S. J. S.
Affiliations
National Institute of Pharmaceutical Education and Research (IN)
Corresponding author
  • Naqvi, Saba
  • Flora, S. J. S.
Venue
Frontiers in Neuroscience
Published
2020-06-09
Volume
14
Pages
494-494
ISSN
1662-453X (ISSN-L)
OpenAlex
W3034784818
Cited by
305
References
266
Citations by year
2026: 24 · 2025: 61 · 2024: 66 · 2023: 61 · 2022: 54 · 2021: 32 · 2020: 7
FWCI
2.58
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Neuroscience (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
All India Council for Technical Education
Topics
  • Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
  • Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
Keywords
nanotechnology, drug delivery, neuroprotection, blood-brain barrier, blood-CSF barrier, nanocarriers, liposomes, micelles, solid lipid nanoparticles, dendrimers, nanoemulsions, neurodegenerative diseases, Alzheimer's disease, Parkinson's disease, epilepsy, stroke, brain tumors, curcumin, edaravone, nerve growth factor, gene delivery, nerve regeneration

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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