2019
DOI: 10.3390/pharmaceutics11020084
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Nanoemulsions for “Nose-to-Brain” Drug Delivery

Abstract: The blood–brain barrier (BBB) plays a fundamental role in protecting the brain from toxic substances and therefore also controls and restricts the entry of therapeutic agents. The nasal administration of drugs using the nose-to-brain pathway allows direct drug targeting into the brain, avoiding the first-pass effect and bypassing the BBB. Through the nasal route, the drug can access the brain directly along the trigeminal and olfactory nerves, which are located in the upper part of the nasal cavity. Nanoemulsi… Show more

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Cited by 180 publications
(120 citation statements)
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References 83 publications
(105 reference statements)
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“…Pharmaceutics 2020, 12, 198 20 of 29 In the case of eye and brain, which according to the old immune-privileged concept are organs isolated and protected from the systemic immune response of the organism [119], the use of less immunogenic non-viral vectors [165] is even more relevant to avoid damage in such sensitive organs [43]. In addition, in order to develop a more friendly approach, at a preclinical level, many nanotechnology-based formulations of different materials, shapes, and compositions can be tailored with specific ligands to overcome both BRB and BBB and deliver their cargo by non-invasive routes of administration such as topical instillation on ocular [166][167][168][169] and nose surfaces [170][171][172] (Figure 8). Considering the versatility of the cationic niosome platform for gene delivery applications, some of the biomaterials commonly used to overcome the BRB and BBB, such as transferrin, Annexin V, insulin, or gemini surfactants, could be incorporated in novel niosome vesicles, bearing in mind the recent results reported after the in situ administration of such non-viral vectors in both retina and brain cortex tissues.…”
Section: Future Perspectivesmentioning
confidence: 99%
“…Pharmaceutics 2020, 12, 198 20 of 29 In the case of eye and brain, which according to the old immune-privileged concept are organs isolated and protected from the systemic immune response of the organism [119], the use of less immunogenic non-viral vectors [165] is even more relevant to avoid damage in such sensitive organs [43]. In addition, in order to develop a more friendly approach, at a preclinical level, many nanotechnology-based formulations of different materials, shapes, and compositions can be tailored with specific ligands to overcome both BRB and BBB and deliver their cargo by non-invasive routes of administration such as topical instillation on ocular [166][167][168][169] and nose surfaces [170][171][172] (Figure 8). Considering the versatility of the cationic niosome platform for gene delivery applications, some of the biomaterials commonly used to overcome the BRB and BBB, such as transferrin, Annexin V, insulin, or gemini surfactants, could be incorporated in novel niosome vesicles, bearing in mind the recent results reported after the in situ administration of such non-viral vectors in both retina and brain cortex tissues.…”
Section: Future Perspectivesmentioning
confidence: 99%
“…To improve the bioavailability of the drug, it is enclosed in polymeric nanoparticles [30]. Due to the small particle size, their increased surface area and high activity, the bioavailability of the preparation increases during oral administration [35].…”
Section: Drug Carriersmentioning
confidence: 99%
“…105 From the available research work, it can be concluded that mucoadhesive nanoemulsion mostly intended for parenteral and intranasal administration to the brain was extensively studied and found as promising carrier system which reduces the associated adverse effect, improves the therapeutic potency and offers a non-invasive patient-friendly technique to access the brain. 106…”
Section: Nanoemulsionmentioning
confidence: 99%