Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label drug delivery. Show all posts
Showing posts with label drug delivery. Show all posts

Saturday, May 23, 2026

Nose-to-Brain Delivery of mRNA-Loaded Lipid Nanoparticles Bypasses the Blood–Brain Barrier for Effective Brain Disease Therapy

 For when our researchers finally discover drugs to repair the brain.

Nose-to-Brain Delivery of mRNA-Loaded Lipid Nanoparticles Bypasses the Blood–Brain Barrier for Effective Brain Disease Therapy
  • Xiaolu Yu
  • Xiao-Meng Deng
  • Yi Lin
  • Hongyu Ren
  • Lu Jia
  • Yanan Meng
  • Fan Liu
  • Qiang Cheng*
  • Zhao-Qian Teng*
  • Tuo Wei*


Abstract

Abstract Image

mRNA-loaded lipid nanoparticles (mRNA-LNPs) show great therapeutic potential, but their use in central nervous system (CNS) disorders is limited by poor blood–brain barrier (BBB) penetration. Intranasal (IN) administration can bypass the BBB via olfactory/trigeminal pathways, enabling direct brain targeting and rapid screening of brain-specific lipid nanoparticles (LNPs). Using a peptide-based ionizable lipid platform, we systematically evaluated how LNP surface charge affects IN brain delivery and found that positively charged mRNA-LNPs produced superior brain transfection. Iterative in vivo screening yielded an intranasal brain-targeting LNP (INBT LNP) that efficiently traverses the olfactory and trigeminal nerves, drives brain-specific mRNA expression, and minimizes off-target expression in peripheral organs. Co-delivery of mRNAs encoding brain-derived neurotrophic factor (BDNF) and interleukin-10 (IL-10) using INBT LNPs significantly reduced neuroinflammation, inhibited neuronal death, and improved cognition in a repetitive mild traumatic brain injury (rmTBI) mouse model. Overall, this work establishes a noninvasive, patient-compliant, intranasal mRNA-LNP platform for brain delivery, offering a promising therapeutic strategy for TBI and other CNS disorders.

© 2026 American Chemical Society
  • Tuo Wei*

Thursday, July 24, 2025

Precision targeting of the CNS: recent progress in brain-directed nanodrug delivery

 Didn't your competent? doctor and hospital get directed drug delivery going a long time ago? Oh no, THEY DID NOTHING?

So you incompetently don't follow research at all?

If we had a complete database of stroke research this problem would be solved in no time. Getting thru the blood brain barrier, maybe one of these?

Overcoming the Blood–Brain Barrier: Successes and Challenges in Developing Nanoparticle-Mediated Drug Delivery Systems for the Treatment of Brain Tumours

May 2020

LIPOSOMES FOR BRAIN DRUG DELIVERY  February 2020 

Exosomes as drug delivery vehicles for therapeutic proteins to the brain February 2019 

Miniaturized system delivers drugs to the brain with pinpoint accuracy February 2018 

Nanowires could be potential drug delivery tools for neurodegenerative diseases

 November 2017

Nose2Brain – Better Therapy for Multiple Sclerosis April 2017 

Novel Alzheimer's treatment uses microscopic droplets of fat to carry drugs into the brain October 2016 

New Technology Shows Promise for Delivery of Therapeutics to the Brain 

 October 2014

Nose-to-Brain Drug Delivery by Nanoparticles in the Treatment of Neurological Disorders July 2014 

Brain Targetting through Intranasal Route November 2013 

exosomes delivering drugs to brain March 2011

 And that is as far as I go back, so there are probably lots more.

 The latest here:

Precision targeting of the CNS: recent progress in brain-directed nanodrug delivery


Dinithi SenanayakePiumika YapaSanduni Dabare and Imalka Munaweera*
Department of Chemistry, Faculty of Applied Sciences, University of Sri Jayewardenepura, Nugegoda, 10250, Sri Lanka. E-mail: imalka@sjp.ac.lkdinithisenanayake3@gmail.compiumikayapa@gmail.comdabaresanduni@gmail.com

Received 21st May 2025 , Accepted 5th July 2025

First published on 21st July 2025


Abstract

The therapeutic drug penetration into brain tissues meets limitations through the restrictive function of the blood–brain barrier (BBB) within the central nervous system (CNS). The advancement of nanocarrier engineering techniques allows scientists to develop nanoscale delivery vehicles that successfully cross the BBB. This review analyses modern brain-delivery nanodrug delivery platforms by examining the properties and distribution of liposomes and polymeric nanoparticles, dendrimers, solid lipid nanoparticles, and exosomes. Organizations use specific physicochemical approaches designed for each platform to boost brain penetration and enhance therapeutic drug distribution for improving drug effectiveness. An analysis is presented of the various procedures to cross or bypass the BBB where receptor-mediated transcytosis joins focused ultrasound, as well as magnetic targeting and chemical modifications. The article presents therapeutic developments regarding neurological treatment of Alzheimer's disease, alongside Parkinson's disease and glioblastoma. Early laboratory success has produced promising results, yet challenges persist during the translation of these findings for clinical use because of safety issues as well as compatibility problems and difficulties with scaling up manufacturing processes. Finally, it discusses regulatory advancements and describes active market trends in nanomedicine that focus on precise delivery techniques and combination treatment methods, and brain-targeted delivery systems. The innovations combined present an optimistic future for CNS drug development because they create substantial opportunities to reshape neurological disorder treatments.


1. Introduction

The blood–brain barrier (BBB) constitutes a select interface which operates between blood and brain tissue to manage molecular transfers and provides protection to the central nervous system (CNS).1,2 Complex cellular and molecular mechanisms drive the BBB development process until endothelial cells acquire their permeability-specific properties. Three primary functions are contained in the term “BBB”: brain protection from blood environment, transport (preferably selective), and metabolism or alteration of substances derived from blood or produced by the brain. The development of the BBB phenotype is dependent on some associated brain cells – mainly astrocytic glia – and is formed from complex tight junctions and various mechanisms of intracellular transport and enzymes responsible for controlling the flow of molecules across the cell membranes. The establishment of the BBB is developing, integrating characteristics of endothelial cells such as controllable permeability, high electrical resistance, and expression of certain transporters and metabolic pathways. The BBB operates using tight junctions alongside specific transport systems as well as metabolic pathways which act together to determine substance movement. The BBB maintains vital homeostasis of the brain tissue and helps nutritive substance uptake and functions as an essential defense against toxins and neuroactive substances.3,4 The functioning of the BBB depends on CNS microenvironment-induced regulatory procedures. BBB dysfunction produces different neuropathological problems while researchers currently study methods to manipulate the barrier for therapeutic applications. The development of CNS therapy requires fundamental knowledge about how BBB operates because it serves as a critical foundation for creating specific drug delivery methods.

Nanotechnology revolutionized drug delivery through solutions for therapeutic problems which include poor therapeutic specificity and undesirable effects. The drug protection capabilities of nanoparticles stretch from 5 to 200 nanometers while allowing precise drug delivery. The delivery method boosts treatment performance while minimizing adverse effects together with enhancing patient treatment experience. The use of nanotechnology in developing drugs can improve the effectiveness of drug delivery systems by increasing its accuracy towards the intended site. This would minimize the harmful effects of the drug to healthy cells. Furthermore, it can improve patient comfort, ease the fluctuations in drug plasma concentration, and lower the overall cost of the product due to high solubility and efficiency. The nanoparticle (NP) is of the utmost importance, since it serves as a carrier that can be conjugated with various drugs using different techniques so that medications can be delivered to the intended site. Specific ligands bound to the NP surface enhance cell targeting, while the co-polymers protect immunologically active cells. The drug-bioconjugate nanoparticle system will be able to reach the affected area, bind to the target cell membrane, and subsequently be internalized through receptor-mediated endocytosis. Afterward, the NPs can controllably supply the medication directly to the disease location. The drug carrier technology utilizes nanoparticles along with polymers and proteins and lipids to develop drug transport structures. These structures include nanoparticles, liposomes and micelles.5 A targeting ligand and programmed release system can be integrated into nanocarrier platforms during their design stage. Research conducted regarding nanotechnology reveals promising delivery results in cancer therapy and antiviral treatments as well as cell transplantation. The investment of pharmaceutical companies in this field will drive nanotechnology-based drug delivery systems towards improving outcomes for patients suffering from critical illnesses.6

Through nano-scale technology, researchers can provide successful drug delivery systems to CNS tissue through methods that bypass both the BBB and blood-cerebrospinal fluid barrier (BCSFB) restrictions.7,8 Nanoparticles of different types including polymeric nanoparticles and solid lipid nanoparticles and liposomes and micelles demonstrate the potential to cross the BBB through endocytic or transcytic pathways.9 The combination of nanotechnology methods has shown preclinical effectiveness for treating CNS ailments starting from Alzheimer's disease up to Parkinson's disease and brain tumors and stroke.7–9 Nanocarriers enhance drug body processing parameters while providing targeted brain tissue delivery systems. Optimal performance of drugs used to fight trafficking and increased specificity along with reduced neurotoxicity need additional development.7,10 Extra research is necessary to address nanomedicine toxicity and develop standardized procedures for enabling successful CNS drug delivery translations to clinical settings.

2. Challenges in CNS drug delivery

2.1 BBB permeability

The tight junctions of the blood–brain barrier along with its selective permeability function as a major obstacle for drug delivery to central nervous system disorders. Research groups have explored different methods to defeat the blood–brain barrier resistance through drug delivery vehicles combined with chemical and physical targeting methods and techniques that break down the barrier. Research indicates that nanoparticles along with colloidal carrier systems may serve as useful tools in CNS drug delivery systems.11,12 Scientists study mechanistic and technological methods to enhance brain disorder drug bioavailability.13 New in vitro models attempt to replicate BBB functions but there is a research challenge to maintain accurate BBB behavior while satisfying pharmaceutical industry requirements for high-volume testing.14

As an interface the BBB regulates substance exchange between bloodstream components and CNS materials to maintain brain environment stability. The BBB exists as a structural framework that consists of brain microvascular endothelial cells joined by tight junctions along with pericytes and astrocytic end-feet and basement membrane for a complete neurovascular unit (NVU).15 The barrier ensures constrained paracellular diffusion by having tight junctions that use claudins along with occluding and junctional adhesion molecules (JAMs) to selectively regulate molecular transport across the barrier.16 The BBB controls essential nutrient entry through carrier-mediated transport along with receptor-mediated transcytosis that also allows waste products to cross the barrier along with essential nutrients. The protective mechanisms of the BBB represent an obstacle to medicine delivery because the tight barrier function prevents penetration by large hydrophilic therapeutic agents. Knowledge of how the BBB functions and what structure it possesses becomes essential to develop effective approaches that let drugs pass through this boundary for neurological disorder care.17

2.2 Limited drug penetration and bioavailability

The ability to transfer drugs into the CNS is one of the key challenges mainly attributed to the inclusive nature of BBB. The BBB consists of tightly connected endothelial cells backed by astrocytes and pericytes creating a highly selective barrier permeable only to particular substances, usually small (<400 Da), lipophilic, and non-ionized molecules that can pass through the barrier through passive diffusion.11,18 Therefore, most drugs, particularly macromolecules and hydrophilic molecules cannot accumulate to therapeutic levels in the brain, thus greatly reducing their therapeutic application in the treatment of neurological diseases, including Alzheimer, Parkinson, and brain tumors.19 Active efflux processes serve to limit bioavailability of drugs in the CNS, on top of minimal permeability. Molecular pumps (efflux transporters) on the luminal surface of brain capillary endothelial cells (especially P-glycoprotein, or P-gp) recognize and transfer a broad assortment of xenobiotics and therapeutic agents back into the systemic circulation.20,21 This mechanism greatly decreases the concentration of many drugs in the brain even those that may succeed in getting across the BBB. Doan et al.22 provided evidence that marketed CNS drugs are likely to be both high passive permeability and low affinity to P-gp-mediated efflux, which indicated that transporter activity was critical in defining the success of CNS drugs. In addition, P-gp and additional transporters namely BCRP and MRPs act as added barriers to add to the poor penetration of most therapeutics.20

These two issues, limited penetration and active transportation out, require the inventions of new drug delivery methods. Strategies including nanoparticle-based delivery vehicles, drug chemical optimization, receptor-mediated transport and intranasal administration have demonstrated potential in evading or altering the BBB to increase CNS exposure.13 An in-depth knowledge of the structural characteristics of the BBB together with an understanding of the molecular actions of efflux transporters is inevitable in developing therapeutic agents that can easily bypass the BBB to exert their curing effects on the brain tissues.


More at link.

Monday, December 25, 2023

CNS Drug Delivery in Stroke: Improving Therapeutic Translation From the Bench to the Bedside

So you incompetently don't follow research at all?

If we had a complete database of stroke research this problem would be solved in no time. Getting thru the blood brain barrier, maybe one of these?

Overcoming the Blood–Brain Barrier: Successes and Challenges in Developing Nanoparticle-Mediated Drug Delivery Systems for the Treatment of Brain Tumours

May 2020

LIPOSOMES FOR BRAIN DRUG DELIVERY  February 2020 

Exosomes as drug delivery vehicles for therapeutic proteins to the brain February 2019 

Miniaturized system delivers drugs to the brain with pinpoint accuracy February 2018 

Nanowires could be potential drug delivery tools for neurodegenerative diseases

 November 2017

Nose2Brain – Better Therapy for Multiple Sclerosis April 2017 

Novel Alzheimer's treatment uses microscopic droplets of fat to carry drugs into the brain October 2016 

New Technology Shows Promise for Delivery of Therapeutics to the Brain 

 October 2014

Nose-to-Brain Drug Delivery by Nanoparticles in the Treatment of Neurological Disorders July 2014 

Brain Targetting through Intranasal Route November 2013 

exosomes delivering drugs to brain March 2011

 And that is as far as I go back, so there are probably lots more.

 The latest here:

CNS Drug Delivery The latest here:in Stroke: Improving Therapeutic Translation From the Bench to the Bedside

Originally publishedhttps://doi.org/10.1161/STROKEAHA.123.043764Stroke. 2024;55:190–202

Drug development for ischemic stroke is challenging as evidenced by the paucity of therapeutics that have advanced beyond a phase III trial. There are many reasons for this lack of clinical translation including factors related to the experimental design of preclinical studies. Often overlooked in therapeutic development for ischemic stroke is the requirement of effective drug delivery to the brain, which is critical for neuroprotective efficacy of several small and large molecule drugs. Advancing central nervous system drug delivery technologies implies a need for detailed comprehension of the blood-brain barrier (BBB) and neurovascular unit. Such knowledge will permit the innate biology of the BBB/neurovascular unit to be leveraged for improved bench-to-bedside translation of novel stroke therapeutics. In this review, we will highlight key aspects of BBB/neurovascular unit pathophysiology and describe state-of-the-art approaches for optimization of central nervous system drug delivery (ie, passive diffusion, mechanical opening of the BBB, liposomes/nanoparticles, transcytosis, intranasal drug administration). Additionally, we will discuss how endogenous BBB transporters represent the next frontier of drug delivery strategies for stroke. Overall, this review will provide cutting edge perspective on how central nervous system drug delivery must be considered for the advancement of new stroke drugs toward human trials.

Saturday, August 12, 2023

DNA nanobots deliver drugs in living cockroaches

With this the tPA bolus could be vastly reduced, almost eliminating the chances of a bleed, and for hemorrhages it could deliver clotting material.  But our fucking failures of stroke associations don't do a damn thing with stroke research so nothing ever gets better for stroke survivors. There is NO LEADERSHIP AND NO STRATEGY for anything to do with stroke. Prove me wrong.

DNA nanobots deliver drugs in living cockroaches

By Sarah Spickernell

8 April 2014New Scientist Default Image

As much computing power as a Commodore 64

(Image: Daly and Newton/Getty Images)

It’s a computer – inside a cockroach. Nano-sized entities made of DNA that are able to perform the same kind of logic operations as a silicon-based computer have been introduced into a living animal.

The DNA computers – known as origami robots because they work by folding and unfolding strands of DNA – travel around the insect’s body and interact with each other, as well as the insect’s cells. When they uncurl, they can dispense drugs carried in their folds.

“DNA nanorobots could potentially carry out complex programs that could one day be used to diagnose or treat diseases with unprecedented sophistication,” says Daniel Levner, a bioengineer at the Wyss Institute at Harvard University.

Levner was part of a team that made the nanobots by exploiting the binding properties of DNA. When it meets a certain kind of protein, DNA unravels into two complementary strands. By creating particular sequences, the strands can be made to unravel on contact with specific molecules – say, those on a diseased cell. When the molecule unravels, out drops the package wrapped inside.

A bug’s life

The team has now injected various kinds of nanobots into cockroaches. Because the nanobots are labelled with fluorescent markers, the researchers can follow them and analyse how different robot combinations affect where substances are delivered. The team says the accuracy of delivery and control of the nanobots is equivalent to a computer system.

“This is the first time that biological therapy has been able to match how a computer processor works,” says co-author Ido Bachelet of the Institute of Nanotechnology and Advanced Materials at Bar Ilan University.

“Unlike electronic devices, which are suitable for our watches, our cars or phones, we can use these robots in life domains, like a living cockroach,” says Ángel Goñi Moreno of the National Center for Biotechnology in Madrid, Spain. “This opens the door for environmental or health applications.”

DNA has already been used for storing large amounts of information and circuits for amplifying chemical signals, but these applications are rudimentary compared with the potential benefits of the origami robots.

Commodore cockroach

The number of nanobots in the study – more than in previous experiments – makes it particularly promising, says Bachelet. “The higher the number of robots present, the more complex the decisions and actions that can be achieved. If you reach a certain threshold of capability, you can perform any kind of computation. In this case, we have gone past that threshold,” he says.

The team says it should be possible to scale up the computing power in the cockroach to that of an 8-bit computer, equivalent to a Commodore 64 or Atari 800 from the 1980s. Goni-Moreno agrees that this is feasible. “The mechanism seems easy to scale up so the complexity of the computations will soon become higher,” he says.

An obvious benefit of this technology would be cancer treatments, because these must be cell-specific and current treatments are not well-targeted. But a treatment like this in mammals must overcome the immune response triggered when a foreign object enters the body.

Bachelet is confident that the team can enhance the robots’ stability so that they can survive in mammals. “There is no reason why preliminary trials on humans can’t start within five years,” he says.

Journal reference: Nature Nanotechnology, DOI: 10.1038/nnano.2014.58

Wednesday, July 7, 2021

Endovascular administration of magnetized nanocarriers targeting brain delivery after stroke

Sounds interesting but they don't tell us what is is for.

We should have been using magnetic nanoparticles to deliver tPA for years.

Or maybe this solution from March, 2015

Magnetic nanoparticles could stop blood clot-caused strokes

Or this from  May, 2012

Future of med devices: Nanorobots in your blood stream

 

The fucking answers are out there, they just need to be implemented.

The latest here:

Endovascular administration of magnetized nanocarriers targeting brain delivery after stroke

First Published July 6, 2021 Research Article Find in PubMed 

The increasing use of mechanical thrombectomy in stroke management has opened the window to local intraarterial brain delivery of therapeutic agents. In this context, the use of nanomedicine could further improve the delivery of new treatments for specific brain targeting, tracking and guidance. In this study we take advantage of this new endovascular approach to deliver biocompatible poly(D-L-lactic-co-glycolic acid) (PLGA) nanocapsules functionalized with superparamagnetic iron oxide nanoparticles and Cy7.5 for magnetic targeting, magnetic resonance and fluorescent molecular imaging. A complete biodistribution study in naïve (n = 59) and ischemic (n = 51) mice receiving intravenous or intraarterial nanocapsules, with two different magnet devices and imaged from 30 min to 48 h, showed an extraordinary advantage of the intraarterial route for brain delivery with a specific improvement in cortical targeting when using a magnetic device in both control and ischemic conditions. Safety was evaluated in ischemic mice (n = 69) showing no signs of systemic toxicity nor increasing mortality, infarct lesions or hemorrhages. In conclusion, the challenging brain delivery of therapeutic nanomaterials could be efficiently and safely overcome with a controlled endovascular administration and magnetic targeting, which could be considered in the context of endovascular interventions for the delivery of multiple treatments for stroke.

 

Friday, March 5, 2021

Are Bionauts™ a Vessel to the Final Frontier of CNS Diseases?

If we had any leadership at all in stroke, when these nanorobots were introduced we would have had drug delivery and roto-rooter abilities already accomplished. Nothing will done for this in stroke, you're screwed.

Remote-Controlled Nanospears Will Attack Cancer Cells June 2018 

Or maybe this solution from March, 2015

Magnetic nanoparticles could stop blood clot-caused strokes

Or this from  May, 2012

Future of med devices: Nanorobots in your blood stream

The latest here; nothing will occur in any reasonable amount of time.

Are Bionauts™ a Vessel to the Final Frontier of CNS Diseases? 

Bionaut

 Close-up of a Bionaut™/Photo courtesy of Jon McKee Photography​

Diseases of the brain are often considered the holy grail of the therapeutic landscape – and Bionaut Labs, who today emerged from stealth mode in a $20 million Series A, is sending its Bionauts™ off in search of it. 

Bionauts™, a novel treatment modality that uses remote-controlled microscale robots to deliver biologics, nucleic acids, or small molecule therapies to precise areas of the brain, have the potential to boldly go where no therapy has gone before, opening up new pathways in the fight against devastating CNS disorders like brainstem glioma and Huntington’s disease.

“There was this film called Fantastic Voyage that actually has a submarine going into the brain and treating an aneurysm I think. What used to be science fiction now is really science reality, because, over the last few decades, science has allowed us to effectively manufacture micro-scale objects, and scale rapid prototyping capabilities,” said Bionaut Labs’ co-founder and chief executive officer, Michael Shpigelmacher.

Khosla Ventures, which led this round of financing, clearly agreed.

“We are thrilled to bring Bionaut Labs out of stealth mode as it typifies the type of new impactful technology companies we like to help build,” said Khosla founder, Vinod Khosla. “Bionauts™ hold great promise as a new targeted treatment modality for severe brain disorders for which there are few, if any, effective treatment options. Moreover, the broad therapeutic potential of Bionauts™ extends to many diseases where conventional therapies are limited or lacking.”

Joining Khosla in the syndicate were Upfront Ventures, Revolution, BOLD Capital and Compound.

A significant part of the Bionauts™’ potential lies in augmenting the efficacy of gene therapies, CRISPR, anti-sense oligonucleotides (ASOs), and oncolytic viruses.

“We bring into the picture the anatomical precision, getting into the right anatomical target, and then once we release the payload, it provides the cellular, or biochemical precision, in the right spot. And that is oftentimes the gap, that anatomical precision,” Shpigelmacher said.

Bionaut’s inaugural pursuit is glioma – a deadly malignant tumor found within the glial tissue of the nervous system that continues to confound scientists and surgeons alike. Shpigelmacher explained how the right systemic delivery mechanism could revolutionize the CNS treatment space.   

“All of the brain conditions, largely all of the CNS conditions, suffer from the fact that the brain and CNS is uniquely designed to protect itself from the external world, and that means that the blood-brain barrier prevents effective systemic treatment. Which means that if one can build a gateway to the CNS, you can treat many conditions potentially with one tool. That’s what we’re aiming to do,” he said.

Thus far, in animal studies, Bionaut has successfully treated orthotopic glioma tumors in mice, eliminating toxicity with guided delivery of therapeutic payloads directly into the tumor.  The company plans to conduct Good Laboratory Practice (GLP) studies in 2022, with the hope of reaching the clinic in 2023.

Once Bionaut has established the modality in glioma, it plans to embark on riskier therapeutic pursuits, such as Huntington’s disease.

“For Huntington’s…there are promising payloads, but they’re not at the point where they are clinically approved or well-characterized,” Shpigelmacher said. “Our going hypothesis is that instead of treating the entire CSF [Cerebrospinal fluid] volume around the whole brain and spine, or instead of doing an invasive procedure, we could deliver those payloads in a targeted fashion toward a specific location around the basal ganglia.”

Shpigelmacher predicted that micro-robots have the potential to change the way therapeutics are developed.

“Most drugs fail the FDA approval because of dosage problems because they can’t get the efficacy on target to be good enough while not being toxic off-target,” he said. “If you have a technology like Bionaut™ that allows you to engineer the therapeutic index to release a payload only where you need it, not in other places, then you can actually reduce the cost of your drug R&D and duration of your clinical trials because you don’t spend as much effort and resources on dosage optimization.”

 

Tuesday, August 11, 2020

Researcher studies statins for stroke therapy

If we had a complete database of stroke research this problem would be solved in no time. Getting thru the blood brain barrier, maybe one of these?

Overcoming the Blood–Brain Barrier: Successes and Challenges in Developing Nanoparticle-Mediated Drug Delivery Systems for the Treatment of Brain Tumours

May 2020

LIPOSOMES FOR BRAIN DRUG DELIVERY  February 2020 

Exosomes as drug delivery vehicles for therapeutic proteins to the brain February 2019 

Miniaturized system delivers drugs to the brain with pinpoint accuracy February 2018 

Nanowires could be potential drug delivery tools for neurodegenerative diseases

 November 2017

Nose2Brain – Better Therapy for Multiple Sclerosis April 2017 

Novel Alzheimer's treatment uses microscopic droplets of fat to carry drugs into the brain October 2016 

New Technology Shows Promise for Delivery of Therapeutics to the Brain 

 October 2014

Nose-to-Brain Drug Delivery by Nanoparticles in the Treatment of Neurological Disorders July 2014 

Brain Targetting through Intranasal Route November 2013 

exosomes delivering drugs to brain March 2011

 And that is as far as I go back, so there are probably lots more.

 

 The latest here:

Researcher studies statins for stroke therapy

Every year in the United States, about 800,000 people experience a stroke. Many are left with neurological complications such as paralysis on one side of the body, speech and language problems, vision issues, behavioral changes and memory loss. University of Arizona Health Sciences researchers aim to reduce those devastating effects by developing therapeutic treatments for acute stroke using a commonly prescribed class of drugs – cholesterol-reducing statins.

Using a $2.79 million grant from the National Institute of Neurological Disorders and Stroke, a unit of the National Institutes of Health, Patrick T. Ronaldson hopes to solve one of the main challenges when it comes to post-stroke treatments – the effective delivery of neuroprotective drugs, specifically statins, into the brain.

An associate professor in the Department of Pharmacology at the College of Medicine – Tucson, Ronaldson studies ischemic stroke, which occurs when blood supplied to the brain is obstructed by a clot. Current treatments, which focus on removing the blockage, are limited by time and treatment options. Many patients don't arrive at the hospital in time to undergo surgery or receive the one drug that is approved by the U.S. Food and Drug Administration for the treatment of ischemic stroke.

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Research dating back to the mid-2000s offers clinical evidence that statins are effective in providing neuroprotection to stroke patients. When given to patients at high risk for stroke, statins reduce the incidence of stroke. In post-stroke patients, statins decrease risk of recurrent strokes and improve functional outcomes.

"If you can get statins to the brain at effective concentrations, they actually are protective in the setting of stroke," Ronaldson said.

For years, the development of therapeutic drugs to treat ischemic stroke has been stopped, literally, by the blood-brain barrier, which is a network of blood vessels that run through the brain and protect it from toxins. Because the blood-brain barrier plays a major role in preventing things from getting into the brain in the first place, Ronaldson said, it creates a challenge for doctors who need to get therapeutic drugs across the barrier to specific targets in the brain.

"There have been about 2,000 neuroprotective compounds that have been identified in pre-clinical studies over the past 20 years, and none of them have even made it to a phase 3 clinical trial," Ronaldson said. "Most of the research in drug discovery and stroke has focused on trying to identify something that works and then worrying about how to get it into the brain. We're taking something that we know works – statins – and figuring out exactly how to get it into the brain. If you appreciate that from day one, that's going to lead you toward more effective therapies for stroke."(The answers are already out there, just look for them.)

To that end, Ronaldson and his team are studying drug uptake transporters, which are proteins that carry drugs into tissues or organs, such as the brain, liver or kidneys. In prior research published in the journal Molecular Pharmacology, he identified the specific family of transporters – organic anion transporting polypeptides, known as Oatps – that can efficiently carry statins across the blood-brain barrier.

In the new study, Ronaldson's hypothesis is that Oatps can be targeted specifically for the purpose of delivering statins to the brain. He hopes to show that Oatp-mediated transport is the primary reason why statins work as a therapeutic treatment in stroke.

"This is the critical step in determining whether a statin works for stroke therapy," Ronaldson said, adding that some clinicians already give statins to stroke patients based on anecdotal evidence of improved outcomes. "Our research will be able to inform treatment options for stroke so that clinicians can use that knowledge to try to make those treatments and statins more effective."


The research team also will be investigating ways to regulate Oatp transporters by manipulating the signaling pathways that control them. If researchers can control how and when the transporters work, they might be able to extend the narrow window of time that doctors have to effectively administer stroke treatments.

Eventually, Ronaldson would like to formulate statins that could be administered intravenously, which would allow medical professionals to deliver these drugs even earlier. Currently, statins are only sold in tablet form for oral delivery. That can be problematic for stroke patients, many of whom cannot swallow in the 24 hours immediately following a stroke.

"Not only do we want to target a transporter and deliver the drug, but we want to control the playing field," Ronaldson said. "If we can extend that therapeutic window and give first responders or emergency room clinicians a safe and effective tool that can reliably protect the brain, that's one of the best ways that we can make a contribution in terms of improving stroke therapy."

The study is supported by the National Institute of Neurological Disorders and Stroke/National Institutes of Health under Award No. 2R01NS084941-06A1.

A version of this article originally appeared on the UArizona Health Sciences website.

To read more, click here

 

Friday, May 1, 2020

Overcoming the Blood–Brain Barrier: Successes and Challenges in Developing Nanoparticle-Mediated Drug Delivery Systems for the Treatment of Brain Tumours

Whenever we do get drugs that help stroke recovery; axon pathfinding, neurite outgrowth, neurogenesis migration to injury site, then our researchers will have a readily available delivery mechanism. Assuming of course that they keep up-to-date on relevant research.  Which we would be able to if we had a database of all stroke research and protocols. But we don't because we have fucking failures of stroke associations instead.

Overcoming the Blood–Brain Barrier: Successes and Challenges in Developing Nanoparticle-Mediated Drug Delivery Systems for the Treatment of Brain Tumours

Authors Ferraris C, Cavalli R, Panciani PP, Battaglia L
Received 23 February 2020
Accepted for publication 14 April 2020
Published 30 April 2020 Volume 2020:15 Pages 2999—3022
DOI https://doi.org/10.2147/IJN.S231479
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Professor Thomas J Webster

Chiara Ferraris,1 Roberta Cavalli,1 Pier Paolo Panciani,2 Luigi Battaglia1

1Department of Drug Science and Technology, University of Turin, Turin, Italy; 2Clinic of Neurosurgery, Spedali Civili and University of Brescia, Brescia, Italy

Correspondence: Luigi Battaglia Email luigi.battaglia@unito.it

Abstract: 

High-grade gliomas are still characterized by a poor prognosis, despite recent advances in surgical treatment. Chemotherapy is currently practiced after surgery, but its efficacy is limited by aspecific toxicity on healthy cells, tumour cell chemoresistance, poor selectivity, and especially by the blood–brain barrier (BBB). Thus, despite the large number of potential drug candidates, the choice of effective chemotherapeutics is still limited to few compounds. Malignant gliomas are characterized by high infiltration and neovascularization, and leaky BBB (the so-called blood–brain tumour barrier); surgical resection is often incomplete, leaving residual cells that are able to migrate and proliferate. Nanocarriers can favour delivery of chemotherapeutics to brain tumours owing to different strategies, including chemical stabilization of the drug in the bloodstream; passive targeting (because of the leaky vascularization at the tumour site); inhibition of drug efflux mechanisms in endothelial and cancer cells; and active targeting by exploiting carriers and receptors overexpressed at the blood–brain tumour barrier. Within this concern, a suitable nanomedicine based therapy for gliomas should not be limited to cytotoxic agents, but also target the most important pathogenetic mechanisms, including cell differentiation pathways and angiogenesis. Moreover, the combinatorial approach of cell therapy plus nanomedicine strategies can open new therapeutical opportunities. The major part of attempted preclinical approaches on animal models involves active targeting with protein ligands, but, despite encouraging results, a few number of nanomedicines reached clinical trials, and most of them include drug-loaded nanocarriers free of targeting ligands, also because of safety and scalability concerns.


Wednesday, February 5, 2020

LIPOSOMES FOR BRAIN DRUG DELIVERY

  You might want to make sure your doctor knows about this so when drugs are actually found to help stroke recovery there is a known way to deliver them.

LIPOSOMES FOR BRAIN DRUG DELIVERY 

Alzheimer’s disease, in spite of being the sixth main cause of death in the US, has only five drug treatments approved, due to the failure of drug development for central nervous system (CNS) diseases in clinical trials. This is caused by the selective permeability of the blood-brain-barrier (BBB).
The BBB plays a critical role in the protection of the CNS against toxins and other harmful compounds. However, the BBB also prevents drugs, especially large molecules, developed for CNS disorders (such as Alzheimer’s disease, dementia, Parkinson’s disease and amylotrophic lateral sclerosis) to reach their target.

Structurally, the BBB is composed by brain capillary endothelial cells, astrocytes, pericytes, neuronal cells and basement membrane. BBB’s unique selective permeability is caused by its distinct and continuous endothelial cell layer, which form tight junctions preventing the paracellular diffusion pathway between the cells.


Three main methods have been developed for treating CNS diseases. They consist on direct delivery of drugs into the brain, chemical modification of drugs making them permeable and using specific receptors expressed on the BBB surface to transport the drug into the brain. All of them have many disadvantages such as disruption of the BBB, toxicity, low rate of drug dissociation from the ligand or non-specific drug interactions.
In response to these insufficient methods a lot of research in nanotechnology is being done and a broad range of nanoparticles has been engineered for drug delivery through BBB. Liposomes are one of the most promising approaches. They are able to incorporate hydrophilic therapeutic agents in the aqueous core, and lipophilic and hydrophobic ones in the lipid bilayer. They also present good biodegradability and biocompatibility, low toxicity and controlled drug release. The phospholipid bilayer of liposomes facilitates the permeation of drug across different biological membranes. However, it does not allow crossing the BBB. Different strategies have been developed to enhance liposomes as brain vectors.
The most successful strategy for liposome delivery to the brain consists on binding over the liposomes’ surface a biologically active ligand (peptides, antibodies or small molecules) with receptors on the surface of BBB. In this way, liposomes can enter the CNS by receptor-mediated transcytosis. The addition of polyethylene glycol (PEG) improves the biodistribution and pharmacokinetics of liposomes into the brain, as it prolongs their circulation time by stabilization and protecting them from phagocytosis. The PEG itself does not allow liposomes to cross the BBB but it can be functionalized by covalently binding the previously mentioned ligands.
Transferrine (Tf) is a commonly used ligand for BBB targeting. It recognizes the Tf Receptor (TfR), a transmembrane glycoprotein overexpressed on brain endothelial cells. A drawback of Transferrine liposomes is that endogenous Tf inhibits binding to TfR. A possible solution would be using antibodies which bind at different sites avoiding ligand competition. Lactoferrin (Lf) is a mammalian iron-binding glycoprotein which binds to LfR, which is also present on the BBB. Another possibility would be using nutrients that are allowed to cross the barrier, like glucose or gluthatione, as they have selective transporters over expressed on the BBB. The combination of more than one type of ligand in bifunctional or multifunctional liposomes avoids the receptor or transporter saturation.
Another strategy is the design of cationic liposomes, which can cross the barrier by absorptive-mediated endocytosis due to electrostatic interactions between their positive charges and the BBB polyanions. Nonspecific uptake of these cationic particles by peripheral tissues and binging to serum proteins would be a limitation, being required high doses of NCs to reach therapeutic efficacy, which can cause toxicity.
Liposomes are not the only nanocarriers suitable for brain targeting, niosomes have also been successful in crossing the BBB. Niosomes are nanovesicles composed of non-ionic surfactants, while liposomes are formulated from phospholipids. Niosomes are also cheap and safe as nanocarriers in biomedicine for hydrophilic and hydrophobic drugs. When comparing these nanovesicles, niosomes have shown higher permeability for ions, but in terms of stability they are similar to liposomes, both being excellent drug delivery carriers. Niosomes derivatized with glutathione and solute carrier ligands or functionalized with the glucose derivative N-palmitoylglucosamine, for example, have been proved to enable brain delivery through the blood-brain barrier.



Lucía Rodríguez Martínez and Xana López Navas
Intership students at Nanovex Biotechnologies

References
  • Agrawal M., Ajazuddin, Tripathi D. K., Saraf S., Saraf S., Antimisiaris S. G., Mourtas S., Hammarlund-Udenaes M., Alexander A. . Recent advancements in liposomes targeting strategies to cross blood-brain barrier (BBB) for the treatment of Alzheimer’s disease. Journal of Controlled Release. 2017. 260. 61-77.

  • Vieira D. B., F. Gamarra L. . Getting into the brain: liposome-based strategies for effective drug delivery across the blood–brain barrier. International Journal of Nanomedicine. 2016. 5381-5414.

  • Patel, M.M., Patel, B.M., Crossing the Blood–Brain Barrier: Recent Advances in Drug Delivery to the Brain, CNS Drugs (2017); 31:109-133.

  • Abbott, N.J., Patabendige, A.A.K., Dolman, D.E.M., Yusof, S.R., Begley, D.J., Structure and function of the blood–brain barrier, Neurobiology of Disease (2010); 37: 13-25.

  • Bartelds, R., Nematollahi, M.H., Pols,T., Stuart, M.C.A., Pardakhty, A., Asadikaram, G., Poolman, B., Niosomes, an alternative for liposomal delivery, PLoS ONE (2018); 13(4)

  • Bragagni, M., Mennini, N., Furlanetto, S., Orlandini, S., Ghelardini, C., Mura, P., Development and characterization of functionalized niosomes for brain targeting of dynorphin-B, Eur. J. Pharm. Biopharm. (2014); 87(1): 73-79.

Sunday, February 3, 2019

Exosomes as drug delivery vehicles for therapeutic proteins to the brain

If we ever get a drug that helps recovery then our researchers have a ready made way to get it into the brain. Assuming of course that our researchers are up-to-date in their field of research. Fat chance of that being true. 

Exosomes as drug delivery vehicles for therapeutic proteins to the brain