Alzheimer's disease (AD) is associated with cerebral cognitive deficits exhibiting two cardinal hallmarks: accruement of extracellular amyloid plaques and intracellular neurofibrillary tangles composed of hyperphosphorylated tau protein. The currently accessible therapeutic armamentarium merely provides symptomatic relief. Therefore, the cry for prospective neuroprotective strategies seems to be the need of the hour. Areas covered: This review comprehensively establishes correlation between kynurenine pathway (KP) metabolites and AD with major emphasis on its two functionally contrasting neuroactive metabolites i.e. kynurenic acid (KYNA) and quinolinic acid (QUIN) and enlists various clinical studies which hold a potential for future therapeutics in AD. Also, major hypotheses of AD and mechanisms underlying them have been scrutinized with the aim to brush up the readers with basic pathology of AD. Expert opinion: KP is unique in itself as it holds two completely different domains i.e. neurotoxic QUIN and neuroprotective KYNA and disrupted equilibrium between the two has a hand in neurodegeneration. KYNA has long been demonstrated to be neuroprotective but lately being disparaged for cognitive side effects. But we blaze a trail by amalgamating the pharmacological mechanistic studies of KYNA in kinship with α7nAChRs, NMDARs and GABA which lends aid in favour of KA.
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Steering drug loaded, site-specific, coated lipid vesicles to the target receptor sites has the potential of
plummeting adverse effects and improving the pharmacological response in diverse pathologies of large bowel, especially
colon. Colonic delivery via oral route has its own challenges, often governed by several glitches such as drug degradation
or absorption in the upper GIT, instability of proteins/peptides due to high molecular weight and peptidase activity in the
stomach. Consequently, colon specific coated liposomal systems (CSLS) offer a potential alternate for not only site
specificity, but protection from proteolytic activity, and prolonged residence time for greater systemic bioavailability. On
the other hand, liposomal delivery via oral route is also cumbersome owing to several barriers such as instability in GIT,
difficulty in crossing membranes and issues related to production at pilot scale. New advancements in the field of CSLS
have successfully improved the stability and permeability of liposomes for oral delivery via modulating the compositions
of lipid bilayers, adding polymers or ligands. Despite these ostensible propitiousnesses, no commercial oral CSLS has
advanced from bench to bedside for targeted delivery to the colon as yet. Nevertheless, CSLS have quite fascinated the
manufacturers owing to its potential industrial viability, simplistic and low-cost design. Hence, this review aims to
decipher the convolutions involved in the engineering process of industrially viable CSLS for colonic delivery.
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