Drug delivery to the central nervous system

E Nance, SH Pun, R Saigal, DL Sellers - Nature Reviews Materials, 2022 - nature.com
Despite the rising global incidence of central nervous system (CNS) disorders, CNS drug
development remains challenging, with high costs, long pathways to clinical use and high …

Overcoming the blood–brain barrier: the role of nanomaterials in treating neurological diseases

D Furtado, M Björnmalm, S Ayton, AI Bush… - Advanced …, 2018 - Wiley Online Library
Therapies directed toward the central nervous system remain difficult to translate into
improved clinical outcomes. This is largely due to the blood–brain barrier (BBB), arguably …

[HTML][HTML] Brain-wide glymphatic enhancement and clearance in humans assessed with MRI

G Ringstad, LM Valnes, AM Dale, AH Pripp… - JCI insight, 2018 - ncbi.nlm.nih.gov
To what extent does the subarachnoid cerebrospinal fluid (CSF) compartment communicate
directly with the extravascular compartment of human brain tissue? Interconnection between …

The glymphatic hypothesis: the theory and the evidence

SB Hladky, MA Barrand - Fluids and Barriers of the CNS, 2022 - Springer
The glymphatic hypothesis proposes a mechanism for extravascular transport into and out of
the brain of hydrophilic solutes unable to cross the blood–brain barrier. It suggests that there …

Mechanisms of fluid movement into, through and out of the brain: evaluation of the evidence

SB Hladky, MA Barrand - Fluids and Barriers of the CNS, 2014 - Springer
Interstitial fluid (ISF) surrounds the parenchymal cells of the brain and spinal cord while
cerebrospinal fluid (CSF) fills the larger spaces within and around the CNS. Regulation of …

The Polyanalgesic Consensus Conference (PACC): recommendations on intrathecal drug infusion systems best practices and guidelines

TR Deer, JE Pope, SM Hayek, A Bux, E Buchser… - … : Technology at the …, 2017 - Elsevier
Introduction Pain treatment is best performed when a patient-centric, safety-based
philosophy is used to determine an algorithmic process to guide care. Since 2007, the …

Convective influx/glymphatic system: tracers injected into the CSF enter and leave the brain along separate periarterial basement membrane pathways

NJ Albargothy, DA Johnston, M MacGregor-Sharp… - Acta …, 2018 - Springer
Tracers injected into CSF pass into the brain alongside arteries and out again. This has
been recently termed the “glymphatic system” that proposes tracers enter the brain along …

Nanoparticles for brain drug delivery

M Masserini - International Scholarly Research Notices, 2013 - Wiley Online Library
The central nervous system, one of the most delicate microenvironments of the body, is
protected by the blood‐brain barrier (BBB) regulating its homeostasis. BBB is a highly …

Intrathecal antibody distribution in the rat brain: surface diffusion, perivascular transport and osmotic enhancement of delivery

ME Pizzo, DJ Wolak, NN Kumar… - The Journal of …, 2018 - Wiley Online Library
Key points It is unclear precisely how macromolecules (eg endogenous proteins and
exogenous immunotherapeutics) access brain tissue from the cerebrospinal fluid (CSF). We …

Elimination of substances from the brain parenchyma: efflux via perivascular pathways and via the blood–brain barrier

SB Hladky, MA Barrand - Fluids and Barriers of the CNS, 2018 - Springer
This review considers efflux of substances from brain parenchyma quantified as values of
clearances (CL, stated in µL g− 1 min− 1). Total clearance of a substance is the sum of …