Brain Uptake of Neurotherapeutics after Intranasal versus Intraperitoneal Delivery in Mice.

Mihir B Chauhan, Neelima B Chauhan
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Abstract

There is a growing global prevalence of neurodegenerative diseases such as Alzheimer's disease and dementia. Current treatment for neurodegenerative diseases is limited due to the blood brain barrier's ability to restrict the entry of therapeutics to the brain. In that context, direct delivery of drugs from nose to brain has gained emerging interest as an important alternative to oral and parenteral routes of administration. Although there are considerable reports showing promising results after intranasal drug delivery in various disease-models and investigatory human clinical trials, there are very few studies showing a detailed pharmacokinetics with regard to the uptake and retention of intranasally delivered material(s) within specific brain regions, which are critical determining factors for dosing conditions and optimal treatment regimen. This investigation compared a time-dependent brain uptake and resident time of various radiolabeled candidate neurotherapeutics after a single bolus intranasal or intraperitoneal administration in mice. Results indicate that the brain uptake of intranasally delivered therapeutic(s) is > 5 times greater than that after intraperitoneal delivery. The peak uptake and resident time of all intranasally delivered test therapeutics for all brain regions is observed to be between 30min-12h, depending upon the distance of brain region from the site of administration, followed by gradual fading of radioactive counts by 24h post intranasal administration. Current study confirms the usefulness of intranasal administration as a non- invasive and efficient means of delivering therapeutics to the brain to treat neurodegenerative diseases including Alzheimer's disease.

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小鼠鼻内与腹腔给药后神经治疗药物的脑摄取。
神经退行性疾病,如阿尔茨海默病和痴呆症,在全球的患病率不断上升。由于血脑屏障限制治疗药物进入大脑,目前对神经退行性疾病的治疗受到限制。在这种情况下,从鼻子到大脑的直接给药作为口服和非肠道给药途径的重要替代方案已经引起了人们的兴趣。尽管有相当多的报告显示,在各种疾病模型和研究性人体临床试验中,经鼻给药后取得了令人鼓舞的结果,但很少有研究显示,关于经鼻给药物质在特定大脑区域的摄取和保留的详细药代动力学,这是剂量条件和最佳治疗方案的关键决定因素。本研究比较了小鼠单次鼻内或腹腔内给药后各种放射性标记候选神经疗法的脑摄取和停留时间的时间依赖性。结果表明,经鼻给药的脑摄取比经腹腔给药的脑摄取大5倍以上。所有经鼻给药的试验治疗药物在所有脑区的峰值摄取和停留时间在30min-12h之间,这取决于脑区与给药部位的距离,随后在经鼻给药后24h放射性计数逐渐消退。目前的研究证实,鼻内给药作为一种非侵入性和有效的手段,将治疗药物输送到大脑,治疗包括阿尔茨海默病在内的神经退行性疾病。
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