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Strategies for Targeted Delivery to the Peripheral Nerve
Kelly A Langert1,2, Eric M Brey3,4
1Department of Veterans Affairs, Research Service, Edward Hines, Jr. VA Hospital, Hines, IL, United States.
Targeting the peripheral nervous system (PNS) offers treatments for nerve pain and injury. Bioengineering strategies help overcome the blood-nerve barrier for effective compound delivery to the PNS.
Area of Science:
- Neuroscience
- Biomedical Engineering
- Pharmacology
Background:
- Peripheral nervous system (PNS) drug delivery is crucial for treating neuropathic pain, anesthesia, and nerve injuries.
- Challenges include peripheral neuroanatomy and the restrictive blood-nerve barrier (BNB), hindering therapeutic agent access.
Purpose of the Study:
- To review applications requiring targeted PNS delivery.
- To discuss BNB challenges in these applications.
- To present bioengineering strategies for overcoming these delivery obstacles.
Main Methods:
- Literature review of existing studies on PNS drug delivery.
- Analysis of BNB integrity in various neuropathic conditions.
- Categorization of bioengineering approaches for enhanced PNS targeting.
Main Results:
- Identified key applications for PNS drug delivery, including pain management and nerve repair.
- Detailed the specific barriers posed by the BNB in different pathological states.
- Highlighted diverse bioengineering strategies, such as nanotechnology and focused ultrasound, to improve delivery.
Conclusions:
- Targeted PNS delivery holds significant therapeutic potential.
- Overcoming BNB restrictions via bioengineering is essential for successful treatment.
- This review provides a framework for developing advanced PNS delivery systems.
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