Pharmacy Department, Faculty of Technology and Engineering, The M S University of Baroda, Kalabhavan, Vadodara, India.
Curr Pharm Biotechnol. 2012 Sep;13(12):2355-79. doi: 10.2174/138920112803341752.
The treatment of brain disorders is particularly challenging due to the presence of a variety of formidable obstacles to deliver drugs selectively and effectively to the brain. Blood-brain-barrier (BBB) constitutes the major obstacle to the uptake of drugs into the brain following systemic administration. Intranasal delivery offers a non-invasive and convenient method to bypass the BBB and delivery of therapeutics directly to the brain. The review discusses the potential of intranasal route to deliver drugs to the brain, the mechanisms and pathways of direct nose to brain drug transport, the various factors influencing transnasal drug absorption, the conventional and novel intranasal drug delivery systems, the various intranasal drug delivery techniques and devices, and examples of brain drug transport that have been feasible in treating various brain disorders. Moreover, products on the market, investigational drugs, and the author's perceptions about the prospect of intranasal delivery for treating brain disorders are also been discussed.
由于存在各种难以逾越的障碍,使得药物难以有选择性和有效地递送到大脑,因此治疗脑部疾病极具挑战性。血脑屏障(BBB)是全身性给药后药物进入大脑的主要障碍。经鼻腔给药为绕过血脑屏障并将治疗药物直接递送到大脑提供了一种非侵入性和方便的方法。本文综述了经鼻腔给药途径将药物递送到大脑的潜力、药物经鼻至脑直接转运的机制和途径、影响经鼻药物吸收的各种因素、传统和新型经鼻腔给药系统、各种经鼻腔给药技术和装置,以及在治疗各种脑部疾病方面具有可行性的脑部药物转运实例。此外,还讨论了市场上的产品、研究中的药物以及作者对经鼻腔给药治疗脑部疾病的前景的看法。