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Bloodâbrain barrier structure and function and the challenges for CNS drug delivery | Journal of Inherited Metabolic Disease
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The neurons of the central nervous system (CNS) require precise control of their bathing microenvironment for optimal function, and an important element in this control is the bloodâbrain barrier (BBB). The BBB is formed by the endothelial cells lining the brain microvessels, under the inductive influence of neighbouring cell types within the âneurovascular unitâ (NVU) including astrocytes and pericytes. The endothelium forms the major interface between the blood and the CNS, and by a combination of low passive permeability and presence of specific transport systems, enzymes and receptors regulates molecular and cellular traffic across the barrier layer. A number of methods and models are available for examining BBB permeation in vivo and in vitro, and can give valuable information on the mechanisms by which therapeutic agents and constructs permeate, ways to optimize permeation, and implications for drug discovery, delivery and toxicity. For treating lysosomal storage diseases (LSDs), models can be included that mimic aspects of the disease, including genetically-modified animals, and in vitro models can be used to examine the effects of cells of the NVU on the BBB under pathological conditions. For testing CNS drug delivery, several in vitro models now provide reliable prediction of penetration of drugs including large molecules and artificial constructs with promising potential in treating LSDs. For many of these diseases it is still not clear how best to deliver appropriate drugs to the CNS, and a concerted approach using a variety of models and methods can give critical insights and indicate practical solutions.
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Keywords {đ}
google, scholar, article, pubmed, cas, barrier, bloodbrain, brain, drug, disease, vitro, mol, cells, model, cell, cns, storage, endothelial, permeability, lysosomal, transport, models, mouse, metab, pharm, abbott, nervous, system, therapy, res, delivery, enzyme, human, central, nat, sci, neurovascular, diseases, function, pericytes, replacement, mucopolysaccharidosis, bbb, transporters, transcytosis, curr, biol, unit, blood, resistance,
Topics {âď¸}
month download article/chapter wnt/beta-catenin signaling hcmec/d3 cell line advanced glycation end-products bloodâbrain barrier integrity including genetically-modified animals human bloodâbrain barrier bloodâbrain barrier permeation bloodâbrain barrier cells bloodâbrain barrier impairment bloodâbrain barrier disruption enzyme replacement therapy bloodâbrain barrier studies bloodâbrain barrier structure platelet-derived growth factor carrier-mediated transport systems bloodâbrain barrier transport structure-activity relationship study related subjects bloodâbrain barrier model brain-cerebrospinal fluid barrier poly-specific drug binding blood-cerebrospinal fluid barriers bloodâbrain barrier penetration long-term aspirin treatment brain barrier biology inherited metabolic disease predict drug permeation central nervous system p-glycoprotein deficient mouse full article pdf low passive permeability mannose-6-phosphate receptor print] pubmed pmid brain endothelial cells brain gene therapy bloodâbrain barrier blood brain barrier blood-brain barrier bloodâbrain barriers endothelial cells lining cerebromicrovascular endothelial cells gene therapy augments hcmec/d3 cells privacy choices/manage cookies improved low-permeability increased capillary permeability examining bbb permeation peptide-modified aavs langford-smith kj
Questions {â}
- Avdeef A (2011) How well can in vitro brain microcapillary endothelial cell models predict rodent in vivo bloodâbrain barrier permeability?
- Costantino L, Boraschi D (2012) Is there a clinical future for polymeric nanoparticles as brain-targeting drug delivery agents?
- Martin I (2004) Prediction of bloodâbrain barrier penetration: are we missing the point?
- Stanimirovic DB, Friedman A (2012) Pathophysiology of the neurovascular unit: disease cause or consequence?
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headline:Bloodâbrain barrier structure and function and the challenges for CNS drug delivery
description:The neurons of the central nervous system (CNS) require precise control of their bathing microenvironment for optimal function, and an important element in this control is the bloodâbrain barrier (BBB). The BBB is formed by the endothelial cells lining the brain microvessels, under the inductive influence of neighbouring cell types within the âneurovascular unitâ (NVU) including astrocytes and pericytes. The endothelium forms the major interface between the blood and the CNS, and by a combination of low passive permeability and presence of specific transport systems, enzymes and receptors regulates molecular and cellular traffic across the barrier layer. A number of methods and models are available for examining BBB permeation in vivo and in vitro, and can give valuable information on the mechanisms by which therapeutic agents and constructs permeate, ways to optimize permeation, and implications for drug discovery, delivery and toxicity. For treating lysosomal storage diseases (LSDs), models can be included that mimic aspects of the disease, including genetically-modified animals, and in vitro models can be used to examine the effects of cells of the NVU on the BBB under pathological conditions. For testing CNS drug delivery, several in vitro models now provide reliable prediction of penetration of drugs including large molecules and artificial constructs with promising potential in treating LSDs. For many of these diseases it is still not clear how best to deliver appropriate drugs to the CNS, and a concerted approach using a variety of models and methods can give critical insights and indicate practical solutions.
datePublished:2013-04-23T00:00:00Z
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Enzyme Replacement Therapy
Gauche Disease
Miglustat
Brain Endothelium
Parallel Artificial Membrane Permeability Assay
Metabolic Diseases
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description:The neurons of the central nervous system (CNS) require precise control of their bathing microenvironment for optimal function, and an important element in this control is the bloodâbrain barrier (BBB). The BBB is formed by the endothelial cells lining the brain microvessels, under the inductive influence of neighbouring cell types within the âneurovascular unitâ (NVU) including astrocytes and pericytes. The endothelium forms the major interface between the blood and the CNS, and by a combination of low passive permeability and presence of specific transport systems, enzymes and receptors regulates molecular and cellular traffic across the barrier layer. A number of methods and models are available for examining BBB permeation in vivo and in vitro, and can give valuable information on the mechanisms by which therapeutic agents and constructs permeate, ways to optimize permeation, and implications for drug discovery, delivery and toxicity. For treating lysosomal storage diseases (LSDs), models can be included that mimic aspects of the disease, including genetically-modified animals, and in vitro models can be used to examine the effects of cells of the NVU on the BBB under pathological conditions. For testing CNS drug delivery, several in vitro models now provide reliable prediction of penetration of drugs including large molecules and artificial constructs with promising potential in treating LSDs. For many of these diseases it is still not clear how best to deliver appropriate drugs to the CNS, and a concerted approach using a variety of models and methods can give critical insights and indicate practical solutions.
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Enzyme Replacement Therapy
Gauche Disease
Miglustat
Brain Endothelium
Parallel Artificial Membrane Permeability Assay
Metabolic Diseases
Human Genetics
Pediatrics
Internal Medicine
Biochemistry
general
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