Emerich D F, Winn S R
Department of Neuroscience, Alkermes, Inc, Cambridge MA 02139, USA.
Crit Rev Ther Drug Carrier Syst. 2001;18(3):265-98.
Delivery of potentially therapeutic drugs to the brain is hindered by the blood-brain barrier (BBB), which restricts the diffusion of drugs from the vasculature to the brain parenchyma. One means of overcoming the BBB is with cellular implants that produce and deliver therapeutic molecules directly into the CNS region of interest. In this paper we describe the current status of one iteration of cell-based therapy that uses xenogeneic cells encased within a selectively permeable polymeric membrane; this is known as immunoisolation. For the purposes of this review, cell immunoisolation for treating CNS diseases is presented in terms of device configurations, membrane manufacturing, characterization in relevant preclinical model systems, and the current status of clinical trials.
血脑屏障(BBB)阻碍了潜在治疗药物向大脑的递送,它限制了药物从血管系统扩散到脑实质。克服血脑屏障的一种方法是通过细胞植入物,将治疗分子直接产生并递送至感兴趣的中枢神经系统区域。在本文中,我们描述了一种基于细胞疗法的当前进展情况,该疗法使用包裹在选择性渗透聚合物膜内的异种细胞;这被称为免疫隔离。出于本综述的目的,从装置配置、膜制造、在相关临床前模型系统中的表征以及临床试验的当前进展等方面介绍了用于治疗中枢神经系统疾病的细胞免疫隔离。