Nanotechnology for Delivery of Drugs to the Brain for Epilepsy

被引:119
作者
Bennewitz, Margaret F. [1 ]
Saltzman, W. Mark [1 ]
机构
[1] Yale Univ, Dept Biomed Engn, New Haven, CT 06520 USA
关键词
Epilepsy; seizures; antiepileptic drugs; blood-brain barrier; CNS delivery; drug delivery systems; CONVECTION-ENHANCED DELIVERY; AMINOMETHYL)-1-CYCLOHEXANE ACETIC-ACID; CANCER RESISTANCE PROTEIN; SOLID LIPID NANOPARTICLES; TISSUE DISTRIBUTION; TEMPORAL-LOBE; P-GLYCOPROTEIN; BREAST-CANCER; MULTIDRUG TRANSPORTERS; CELLULAR-DISTRIBUTION;
D O I
10.1016/j.nurt.2009.01.018
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Epilepsy results from aberrant electrical activity that can affect either a focal area or the entire brain. In treating epilepsy with drugs, the aim is to decrease seizure frequency and severity while minimizing toxicity to the brain and other tissues. Antiepileptic drugs (AEDs) are usually administered by oral and intravenous routes, but these drug treatments are not always effective. Drug access to the brain is severely limited by a number of biological factors, particularly the blood-brain barrier, which impedes the ability of AEDs to enter and remain in the brain. To improve the efficacy of AEDs, new drug delivery strategies are being developed; these methods fall into the three main categories: drug modification, blood-brain barrier modification, and direct drug delivery. Recently, all three methods have been improved through the use of drug-loaded nanoparticles.
引用
收藏
页码:323 / 336
页数:14
相关论文
共 116 条
[1]   Astrocyte-endothelial interactions at the blood-brain barrier [J].
Abbott, NJ ;
Rönnbäck, L ;
Hansson, E .
NATURE REVIEWS NEUROSCIENCE, 2006, 7 (01) :41-53
[2]   A STUDY OF INTRATHECAL, CEREBROSPINAL FLUID-TO-BRAIN EXCHANGE [J].
AIRD, RB .
EXPERIMENTAL NEUROLOGY, 1984, 86 (02) :342-358
[3]   Development and brain delivery of chitosan-PEG nanoparticles functionalized with the monoclonal antibody OX26 [J].
Aktas, Y ;
Yemisci, M ;
Andrieux, K ;
Gürsoy, RN ;
Alonso, MJ ;
Fernandez-Megia, E ;
Novoa-Carballal, R ;
Quiñoá, E ;
Riguera, R ;
Sargon, MF ;
Çelik, HH ;
Demir, AS ;
Hincal, AA ;
Dalkara, T ;
Çapan, Y ;
Couvreur, P .
BIOCONJUGATE CHEMISTRY, 2005, 16 (06) :1503-1511
[4]   Factors affecting the clearance and biodistribution of polymeric nanoparticles [J].
Alexis, Frank ;
Pridgen, Eric ;
Molnar, Linda K. ;
Farokhzad, Omid C. .
MOLECULAR PHARMACEUTICS, 2008, 5 (04) :505-515
[5]   The blood-brain barrier choline transporter as a brain drug delivery vector [J].
Allen, DD ;
Lockman, PR .
LIFE SCIENCES, 2003, 73 (13) :1609-1615
[6]   Focally injected adenosine prevents seizures in the rat [J].
Anschel, DJ ;
Ortega, EL ;
Kraus, AC ;
Fisher, RS .
EXPERIMENTAL NEUROLOGY, 2004, 190 (02) :544-547
[7]   Expression and cellular distribution of multidrug resistance-related proteins in the hippocampus of patients with mesial temporal lobe epilepsy [J].
Aronica, E ;
Gorter, JA ;
Ramkema, M ;
Redeker, S ;
Özbas-Gerçeker, F ;
van Vliet, EA ;
Scheffer, GL ;
Scheper, RJ ;
van der Valk, P ;
Baayen, JC ;
Troost, D .
EPILEPSIA, 2004, 45 (05) :441-451
[8]   Expression and cellular distribution of multidrug transporter proteins in two major causes of medically intractable epilepsy: Focal cortical dysplasia and glioneuronal tumors [J].
Aronica, E ;
Gorter, JA ;
Jansen, GH ;
Van Veelen, CWM ;
Van Rijen, PC ;
Leenstra, S ;
Ramkema, M ;
Scheffer, GL ;
Scheper, RJ ;
Troost, D .
NEUROSCIENCE, 2003, 118 (02) :417-429
[9]   Implantable pumps for drug delivery to the brain [J].
Bakhshi, S ;
North, RB .
JOURNAL OF NEURO-ONCOLOGY, 1995, 26 (02) :133-139
[10]   Differences in the transport of the antiepileptic drugs phenytoin, levetiracetarn and carbamazepine by human and mouse P-glycoprotein [J].
Baltes, Steffen ;
Gastens, Alexandra M. ;
Fedrowitz, Maren ;
Potschka, Heidrun ;
Kaever, Volkhard ;
Loescher, Wolfgang .
NEUROPHARMACOLOGY, 2007, 52 (02) :333-346