Laboratory for Neurobiology, Biomedicine, Institute of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Laboratory for Neurobiology, Biomedicine, Institute of Health Science and Technology, Aalborg University, Aalborg, Denmark.
J Control Release. 2016 Jan 28;222:32-46. doi: 10.1016/j.jconrel.2015.11.032. Epub 2015 Dec 3.
An unmet need exists for therapeutic compounds to traverse the brain capillary endothelial cells that denote the blood-brain barrier (BBB) to deliver effective treatment to the diseased brain. The use of nanoparticle technology for targeted delivery to the brain implies that targeted liposomes encapsulating a drug of interest will undergo receptor-mediated uptake and transport through the BBB with a subsequent unfolding of the liposomal content inside the brain, hence revealing drug release to adjacent drug-demanding neurons. As transferrin receptors (TfRs) are present on brain capillary endothelial, but not on endothelial cells elsewhere in the body, the use of TfR-targeted liposomes - colloidal particulates with a phospholipid bilayer membrane - remains the most relevant strategy to obtain efficient drug delivery to the brain. However, many studies have failed to provide sufficient quantitative data to proof passage of the BBB and significant appearance of drugs inside the brain parenchyma. Here, we critically evaluate the current evidence on the use of TfR-targeted liposomes for brain drug delivery based on a thorough investigation of all available studies within this research field. We focus on issues with respect to experimental design and data analysis that may provide an explanation to conflicting reports, and we discuss possible explanations for the current lack of sufficient transcytosis across the BBB for implementation in the design of TfR-targeted liposomes. We finally provide a list of suggestions for strategies to obtain substantial uptake and transport of drug carriers at the BBB with a concomitant transport of therapeutics into the brain.
存在一种未满足的需求,即需要有治疗性化合物穿过血脑屏障(BBB)的脑毛细血管内皮细胞,以便将有效的治疗方法递送到患病的大脑中。利用纳米颗粒技术进行靶向递送到大脑意味着,靶向脂质体包裹的感兴趣药物将通过受体介导的摄取和转运穿过 BBB,随后在大脑内部展开脂质体内容物,从而揭示药物释放到邻近的需要药物的神经元。由于转铁蛋白受体(TfR)存在于脑毛细血管内皮细胞上,但不存在于身体其他部位的内皮细胞上,因此使用 TfR 靶向脂质体 - 具有磷脂双层膜的胶体颗粒 - 仍然是获得高效药物递送到大脑的最相关策略。然而,许多研究未能提供充分的定量数据来证明 BBB 的通透性和药物在脑实质中的显著出现。在这里,我们根据对该研究领域内所有现有研究的彻底调查,批判性地评估了使用 TfR 靶向脂质体进行脑内药物递送的当前证据。我们专注于实验设计和数据分析方面的问题,这些问题可能为相互矛盾的报告提供解释,并讨论了当前缺乏足够的跨 BBB 胞吞作用以实施 TfR 靶向脂质体设计的可能原因。最后,我们提供了一系列建议,用于在 BBB 处获得药物载体的大量摄取和转运,并伴随治疗药物进入大脑。