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such as cancer. There are three main reasons explaining this phenomenon. First, some
pathogenic mechanisms of these diseases remain poorly understood and there are still
debates on the role of aggregated proteins in these diseases. For instance, it remains
unknown which species are more toxic than other species. Second, aptamers are
thought to have difficulty in penetrating blood–brain barrier (BBB). Definitely, the
BBB that occurs along all blood capillaries in the brain is known to prevent the
delivery of macromolecules, including the aptamers. So delivery strategies must be
developed to cross the BBB, for instance, using nanoparticles or exosomes. Third,
another important factor concerned with the stability of aptamers in vivo is renal
filtration. The molecular mass of aptamers always ranges from 5 to 15 KD, which
indicates that aptamers are prone to renal filtration. However, the incorporation of
nanomaterials could reduce the renal filtration rates of aptamers. Therefore, more
aptamer-nanomaterial conjugates should be developed to decrease the renal filtration
and improve the therapeutic efficiency of aptamers.
Overall, we believe that the application of aptamers in neurodegenerative disorders
has only just begun and would be massively extended in the near future.
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