Drug targeting to the brain

被引:264
作者
de Boer, A. G. [1 ]
Gaillard, P. J. [1 ]
机构
[1] Leiden Univ, Leiden Amsterdam Ctr Drug Res, Blood Brain Barrier Res Grp, Div Pharmacol, NL-2300 RA Leiden, Netherlands
关键词
brain drug targeting; local delivery; global delivery; viral delivery; nonviral delivery;
D O I
10.1146/annurev.pharmtox.47.120505.105237
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The central nervous system (CNS) is a sanctuary site and is protected by various barriers. These regulate brain homeostasis and the transport of endogenous and exogenous compounds by controlling their selective and specific uptake, efflux, and metabolism in the brain. Unfortunately, potential drugs for the treatment of most brain diseases are therefore often not able to cross these barriers. As a result, various drug delivery and targeting strategies are currently being developed to enhance the transport and distribution of drugs into the brain. Here we discuss briefly the biology and physiology of the blood-brain barrier (BBB) and the blood-cerebro-spinal-fluid barrier (BCSFB), and, in more detail, the possibilities for delivering large-molecular-weight drugs by local and global delivery and by viral and receptor-mediated nonviral drug delivery to the (human) brain.
引用
收藏
页码:323 / 355
页数:33
相关论文
共 175 条
[1]   Physiology of the blood-brain barrier and its consequences for drug transport to the brain [J].
Abbott, NJ .
DRUG TRANSPORT(ERS) AND THE DISEASED BRAIN, 2005, 1277 :3-18
[2]   Transporting therapeutics across the blood-brain barrier [J].
Abbott, NJ ;
Romero, IA .
MOLECULAR MEDICINE TODAY, 1996, 2 (03) :106-113
[3]   Dynamics of CNS barriers: Evolution, differentiation, and modulation [J].
Abbott, NJ .
CELLULAR AND MOLECULAR NEUROBIOLOGY, 2005, 25 (01) :5-23
[4]   Evidence for bulk flow of brain interstitial fluid: significance for physiology and pathology [J].
Abbott, NJ .
NEUROCHEMISTRY INTERNATIONAL, 2004, 45 (04) :545-552
[5]   Inflammatory mediators and modulation of blood-brain barrier permeability [J].
Abbott, NJ .
CELLULAR AND MOLECULAR NEUROBIOLOGY, 2000, 20 (02) :131-147
[6]   Stability of lentiviral vector-mediated transgene expression in the brain in the presence of systemic antivector immune responses [J].
Abordo-Adesida, E ;
Follenzi, A ;
Barcia, C ;
Sciascia, S ;
Castro, MG ;
Naldini, L ;
Lowenstein, PR .
HUMAN GENE THERAPY, 2005, 16 (06) :741-751
[7]   HYDROGEN-BONDING .33. FACTORS THAT INFLUENCE THE DISTRIBUTION OF SOLUTES BETWEEN BLOOD AND BRAIN [J].
ABRAHAM, MH ;
CHADHA, HS ;
MITCHELL, RC .
JOURNAL OF PHARMACEUTICAL SCIENCES, 1994, 83 (09) :1257-1268
[8]   A STUDY OF INTRATHECAL, CEREBROSPINAL FLUID-TO-BRAIN EXCHANGE [J].
AIRD, RB .
EXPERIMENTAL NEUROLOGY, 1984, 86 (02) :342-358
[9]   ANTIBODY-RESPONSES TO HEMOPHILUS-INFLUENZAE TYPE B AND DIPHTHERIA-TOXIN INDUCED BY CONJUGATES OF OLIGOSACCHARIDES OF THE TYPE-B CAPSULE WITH THE NONTOXIC PROTEIN CRM197 [J].
ANDERSON, P .
INFECTION AND IMMUNITY, 1983, 39 (01) :233-238
[10]   Are the extracelluar pathways a conduit for the delivery of therapeutics to the brain? [J].
Banks, WA .
CURRENT PHARMACEUTICAL DESIGN, 2004, 10 (12) :1365-1370