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Advanced Neurology                                                   Graphene quantum dots approach in AD



            resulting from a myriad of pathological changes occurring   the diagnosis and treatment of CNS disorders, including
            daily, including the formation of senile plaques composed   multiple sclerosis, Parkinson’s disease, and AD. 12,13  GQDs
            of amyloid beta (Aβ) peptides and neurofibrillary tangles   are particularly attractive due to their fluorescence-
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            (NFTs) of the central nervous system (CNS),  which   emitting capabilities, a nanoscale size that facilitates blood–
            leads to significant neurodegeneration. According to the   brain barrier penetration, chemical stability, solubility, and
            Alzheimer’s Association, AD accounts for approximately   ease of synthesis. They can also penetrate the cell nucleus
            60 – 80% of all dementia cases and affects 10 – 30% of   and interact with DNA. Unlike conventional organic dyes,
            people aged above 65.  Research suggests that by 2040, the   which are limited by narrow spectral ranges and shorter
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            number of patients suffering from AD or dementia-related   lifetimes, GQDs can emit across the entire spectrum,
            diseases is expected to increase yearly from 2.4 million   providing brighter and more durable fluorescence. 14
            to 5.8 million.  From 1990 to 2019, a study analyzing   This review focuses on discussing the present frontiers
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            the global burden of disease revealed a striking increase   of  quantum  dots  (QDs)  application  in  AD  intervention.
            of 160.84% in the incidence of AD and 147.95% in its   It highlights the recent developments in the use of GQDs
            prevalence. In addition, both men and women exhibited   as novel drug carriers and diagnostic tools. In addition,
            a steady increase in age-standardized rates, with women   the review addresses challenges related to the potential
            showing higher age-standardized rates in the categories of   neurotoxic effects of GQDs and offers suggestions and
            incidence, prevalence, mortality, and disability-adjusted   strategies to overcome these challenges, aiming to enhance
            life-years. Uncontrolled smoking was the primary driving   the safety and efficacy of QD-based therapies in AD.
            factor for AD burden among men, while obesity was the
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            main contributing factor for women.  With approximately   2. Properties of QDs
            50 million AD patients worldwide, the aging population   QDs are man-made semiconductor nanoparticles whose
            is  expected to  triple  this number by  2050,  increasing   electronic and optical features are influenced by their shape
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            the risk of impairment, financial burden, and medical   and size.  These characteristics have received significant
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            expenses. Chronic diseases such as diabetes, depression,   interest over the past 20 years due to their basic characteristics
            heart disease, inflammatory bowel disease, and AD have   depending on the size of the QDs. Thus, the fundamental
            been linked through clinical and molecular research   properties of QDs can be achieved by altering their size at
            findings.  The relationship between AD and diabetes, as   a steady composition.  The structure of QDs presents a
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            well as other diseases, stems from disturbances in several   semiconductor core enclosed in a separate shell material that
            overlapping biological systems. The association between   serves as a surface passivation layer. Their diameters span a
            diabetes  and  AD  is  significant,  as  diabetes  patients   remarkably small range of 2 – 10 nm, roughly corresponding
            exhibit a 1.25 – 1.9-fold rise in cognitive dysfunction.   to 10 – 50 atomic diameters.  The shell and core of QDs
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            The socioeconomic impact of the disease on patients,   have varying dimensions and forms, and their properties
            families, and caregivers makes it extremely worrying.  The   can be adjusted to suit specific needs. For instance, the
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            combination  of  protracted  and  untreatable  pathologies,   optoelectronic properties of spherical QDs differ from those
            along with insufficient disease-modifying therapies, poses   of rod- or disk-shaped QDs. The core of a QD is responsible
            a significant strain on the economies of different countries.   for its basic electrical and optical properties, while the shell
            The economic burden of AD and its comorbid pathologies   enhances stability, solubility, and biocompatibility.  This
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            had an estimated cost of US$2.8 trillion in 2019 and is   core consists of a semiconductor material, typically derived
            expected to reach US$16.9 trillion by 2050.  Low-  and   from  various  elements  of  the  periodic  table,  including
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            middle-income countries are expected to bear 65% of the   elements of groups II – VI, such as cadmium telluride and
            global economic burden by 2050. In the United States, the   cadmium selenide. These elements exhibit size-dependent
            cost of AD treatment was estimated at US$321 billion in   optical  properties,  allowing  their  emission  wavelengths
            2022, with the projected costs expected to exceed US$1   to be tuned across a broad spectrum, which is useful in
            trillion by 2050. Similarly, in South Korea, the healthcare   biological imaging using light-emitting diodes.  Elements
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            cost for AD treatment was US$4.218 million between 2015   of group  III – V, such as indium arsenide and gallium
            and 2019.  Recent advancements have introduced various   arsenide, are known for their excellent electronic properties,
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            innovative approaches, including graphene quantum   including high  electron mobility  and direct  bandgap,
            dots (GQDs), the youngest member of the carbon family.   making them ideal  for applications in optoelectronics,
            These nanoparticles, known for their strong light emission   quantum computing, and photonics.  In addition, elements
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            and fluorescence, exhibit unique properties such as size   of groups IV and VI, such as lead sulfide and lead selenide,
            tunability, high quantum yield, photostability, and versatile   are known for their strong infrared absorption and emission,
            emission capabilities.  GQDs offer promising potential for   which are important for applications in telecommunications,
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            Volume 4 Issue 4 (2025)                         18                               doi: 10.36922/an.7087
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