2018
DOI: 10.3390/cells7040024
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Towards Improvements for Penetrating the Blood–Brain Barrier—Recent Progress from a Material and Pharmaceutical Perspective

Abstract: The blood–brain barrier (BBB) is a critical biological structure that prevents damage to the brain and maintains its bathing microenvironment. However, this barrier is also the obstacle to deliver beneficial drugs to treat CNS (central nervous system) diseases. Many efforts have been made for improvement of delivering drugs across the BBB in recent years to treat CNS diseases. In this review, the anatomical and functional structure of the BBB is comprehensively discussed. The mechanisms of BBB penetration are … Show more

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Cited by 237 publications
(137 citation statements)
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“…The BBB also serves to regulate the transport of different molecules through the CNS, maintaining control of the environment and homeostasis of the brain required for correct neuronal functioning. However, at the same time the BBB represents an obstacle for drug delivery to the CNS, and thus major efforts have been made to generate methods to bypass the BBB for the delivery of therapeutic compounds and drugs …”
Section: The Bbbmentioning
confidence: 99%
See 1 more Smart Citation
“…The BBB also serves to regulate the transport of different molecules through the CNS, maintaining control of the environment and homeostasis of the brain required for correct neuronal functioning. However, at the same time the BBB represents an obstacle for drug delivery to the CNS, and thus major efforts have been made to generate methods to bypass the BBB for the delivery of therapeutic compounds and drugs …”
Section: The Bbbmentioning
confidence: 99%
“…However, at the same time the BBB represents an obstacle for drug delivery to the CNS, and thus major efforts have been made to generate methods to bypass the BBB for the delivery of therapeutic compounds and drugs. 8 The BBB Opening With FUS The treatment of CNS diseases involves the synergistic action of the BBB to transport therapeutic agents. The BBB hinders the transcellular diffusion path, which is confined only to lipid soluble compounds smaller than 400 Da with fewer than 9 hydrogen bonds crossing via lipid-mediated transport.…”
Section: The Bbbmentioning
confidence: 99%
“…Infusion with tariquidar (a third generation Pgp inhibitor) has been shown to induce near complete inhibition of Pgp and increases the total distribution volume of (R)‐[11C]verapamil in the CNS by 273 ± 78% . However, other third generation Pgp inhibitors have been successful in preclinical investigations, but have not enhanced the clinical effectiveness of antidepressant drugs and even if there is a great therapeutic gain, the practicalities of infusion medication are difficult to implement in clinical practice. Given that Pgp inhibition weakens the blood–brain barrier, the risk of central adverse events may be increased.…”
Section: Side Effects and Safetymentioning
confidence: 99%
“…An abnormal level of dopamine may cause several central nervous system diseases such as depression, anxiety, schizophrenia, and Parkinson's disease [2][3][4][5]. Therefore, it is of great significance to detect dopamine accurately at a physiological level in the earlier prevention and clinical diagnosis of these neurological diseases.…”
Section: Introductionmentioning
confidence: 99%