PMID- 34976208 OWN - NLM STAT- MEDLINE DCOM- 20220310 LR - 20220801 IS - 1838-7640 (Electronic) IS - 1838-7640 (Linking) VI - 12 IP - 2 DP - 2022 TI - Dodging blood brain barrier with "nano" warriors: Novel strategy against ischemic stroke. PG - 689-719 LID - 10.7150/thno.64806 [doi] AB - Ischemic stroke (IS) is one of the leading causes of death and disability resulting in inevitable burden globally. Ischemic injury initiates cascade of pathological events comprising energy dwindling, failure of ionic gradients, failure of blood brain barrier (BBB), vasogenic edema, calcium over accumulation, excitotoxicity, increased oxidative stress, mitochondrial dysfunction, inflammation and eventually cell death. In spite of such complexity of the disease, the only treatment approved by US Food and Drug Administration (FDA) is tissue plasminogen activator (t-PA). This therapy overcome blood deficiency in the brain along with side effects of reperfusion which are responsible for considerable tissue injury. Therefore, there is urgent need of novel therapeutic perspectives that can protect the integrity of BBB and salvageable brain tissue. Advancement in nanomedicine is empowering new approaches that are potent to improve the understanding and treatment of the IS. Herein, we focus nanomaterial mediated drug delivery systems (DDSs) and their role to bypass and cross BBB especially via intranasal drug delivery. The various nanocarriers used in DDSs are also discussed. In a nut shell, the objective is to provide an overview of use of nanomedicine in the diagnosis and treatment of IS to facilitate the research from benchtop to bedside. CI - (c) The author(s). FAU - Parvez, Suhel AU - Parvez S AD - Department of Toxicology, School of Chemical & Life Sciences, Jamia Hamdard, New Delhi 110062, India. FAU - Kaushik, Medha AU - Kaushik M AD - Department of Toxicology, School of Chemical & Life Sciences, Jamia Hamdard, New Delhi 110062, India. FAU - Ali, Mubashshir AU - Ali M AD - Department of Toxicology, School of Chemical & Life Sciences, Jamia Hamdard, New Delhi 110062, India. FAU - Alam, Mohammad Mumtaz AU - Alam MM AD - Drug Design & Medicinal Chemistry Lab, Department of Pharmaceutical Chemistry, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, 110062, India. FAU - Ali, Javed AU - Ali J AD - Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi - 110062, India. FAU - Tabassum, Heena AU - Tabassum H AD - Division of Basic Medical Sciences, Indian Council of Medical Research, Ministry of Health and Family Welfare, Govt. of India, V. Ramalingaswami Bhawan, P.O. Box No. 4911, New Delhi 110029, India. FAU - Kaushik, Pooja AU - Kaushik P AD - Department of Toxicology, School of Chemical & Life Sciences, Jamia Hamdard, New Delhi 110062, India. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220101 PL - Australia TA - Theranostics JT - Theranostics JID - 101552395 SB - IM MH - Animals MH - Blood-Brain Barrier/*drug effects MH - Drug Administration Routes MH - *Drug Delivery Systems MH - Forecasting MH - Humans MH - Ischemic Stroke/drug therapy/physiopathology/*therapy MH - Nanoparticles/*therapeutic use PMC - PMC8692911 OTO - NOTNLM OT - Blood brain barrier OT - Drug delivery system OT - Intranasal drug delivery OT - Ischemic stroke OT - Nanomedicine OT - Neuroprotection COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2022/01/04 06:00 MHDA- 2022/03/11 06:00 PMCR- 2022/01/01 CRDT- 2022/01/03 05:40 PHST- 2021/07/10 00:00 [received] PHST- 2021/10/14 00:00 [accepted] PHST- 2022/01/03 05:40 [entrez] PHST- 2022/01/04 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - thnov12p0689 [pii] AID - 10.7150/thno.64806 [doi] PST - epublish SO - Theranostics. 2022 Jan 1;12(2):689-719. doi: 10.7150/thno.64806. eCollection 2022.