2021
DOI: 10.3390/pharmaceutics13122049
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Nanotherapeutics for Nose-to-Brain Drug Delivery: An Approach to Bypass the Blood Brain Barrier

Abstract: Treatment of neurodegenerative diseases or other central nervous system (CNS) disorders has always been a significant challenge. The nature of the blood-brain barrier (BBB) limits the penetration of therapeutic molecules to the brain after oral or parenteral administration, which, in combination with hepatic metabolism and drug elimination and inactivation during its journey in the systemic circulation, decreases the efficacy of the treatment, requires high drug doses and often induces adverse side effects. No… Show more

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Cited by 75 publications
(64 citation statements)
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References 265 publications
(301 reference statements)
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“…However, smaller carbon-based particles less than 20 nm, such as quantum dots (QDs), showed increased accumulation in the brain parenchyma [ 31 ]. The QDs can pass through the BBB pathway and through the trigeminal nerve or olfactory epithelium, which can cause additional problems when investigating in vivo toxicity [ 32 , 33 ]. However, despite the accumulation of carbon-based particles in organs, due to their chemical makeup, carbon-based NPs typically display little to no significant increase in toxicity when examined in vivo [ 34 ]; however, some toxic effects have been recorded [ 35 ].…”
Section: Current Methods and Concerns For In Vivo Nanotoxicity Determ...mentioning
confidence: 99%
“…However, smaller carbon-based particles less than 20 nm, such as quantum dots (QDs), showed increased accumulation in the brain parenchyma [ 31 ]. The QDs can pass through the BBB pathway and through the trigeminal nerve or olfactory epithelium, which can cause additional problems when investigating in vivo toxicity [ 32 , 33 ]. However, despite the accumulation of carbon-based particles in organs, due to their chemical makeup, carbon-based NPs typically display little to no significant increase in toxicity when examined in vivo [ 34 ]; however, some toxic effects have been recorded [ 35 ].…”
Section: Current Methods and Concerns For In Vivo Nanotoxicity Determ...mentioning
confidence: 99%
“…Biocompatible lipid particulate systems are made using biodegradable lipids which make them more biocompatible physiologically with less probability for toxicity. Types of lipids such as 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC), poloxamers, cholesterol, polyethylene glycol (PEG), capmul MCM, precirol, lecithin, and compritol 888 ATO along with the size and charge on lipid excipients have a profound impact on the nose-to-brain delivery of neurotherapeutic drugs ( Lee and Minko, 2021 ). Positively charged lipid carriers are found to have an effective intranasal delivery than neutral or anionic charged lipid carriers as they are easily attracted by the anionic endothelial cells of the brain via absorptive mediated transport.…”
Section: Nanocarrier-based Systems For Management Of Alzheimer’s Dise...mentioning
confidence: 99%
“…During recent years, intranasal (IN) administration, a non-invasive drug delivery approach for local or systemic effects, has been used to provide direct nose-to-brain transport. Due to the presence of direct anatomical connection between the CNS and the nasal cavity, IN administration can provide the access of drugs to the CNS [ 8 , 9 , 10 , 11 ]. As compared to parenteral administration, IN delivery can overcome the BBB, provide faster brain delivery, and enhance drug targeting and drug bioavailability.…”
Section: Introductionmentioning
confidence: 99%