“…However, GDNF has not advanced beyond phase II clinical trials, primarily due to challenges attributed to the direct intracranial delivery of large proteins (Gash et al, 2005; Lang et al, 2006; Patel and Gill, 2007; Salvatore et al, 2006). Furthermore, GDNF binds heparin with high affinity (Lin et al, 1994; Lin et al, 1993), and likely other heparin-related molecules abundant in the brain matrix (Rickard et al, 2003; Sariola and Saarma, 2003), which hinders its predictable biodistribution following a direct injection (Gash et al, 2005; Lapchak et al, 1998; Patel and Gill, 2007; Piltonen et al, 2009; Salvatore et al, 2006). While additional delivery strategies have been examined to improve GDNF delivery and distribution in vivo , including: convection enhanced delivery (CED) (Fiandaca et al, 2008; Hamilton et al, 2001; Morrison et al, 2007); co-infusion with heparin during CED (Hamilton et al, 2001); removal of the GDNF N-terminal heparin binding domain (Piltonen et al, 2009); viral vector delivery (Kordower et al, 2000; Ramaswamy et al, 2009; Wang et al, 2002); and encapsulated GDNF-producing cells (Lindner et al, 1995; Lindvall and Wahlberg, 2008), an alternate approach to circumvent these delivery and distribution challenges would be to utilize small, neurotrophic-like functional molecules.…”