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Published on: June 16, 2023
Targeting the Choroid Plexuses for Protein Drug Delivery
Mark A Bryniarski1, Tianjing Ren1, Abbas R Rizvi1
1Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo: 304 Pharmacy Building, Buffalo, NY 14214, USA.
Targeting the choroid plexus offers a new strategy for delivering protein therapeutics to the central nervous system, bypassing the blood-brain barrier. This approach may unlock novel treatments for brain diseases.
Area of Science:
- Neuroscience
- Pharmacology
- Biomedical Engineering
Background:
- Central nervous system drug delivery faces significant challenges due to protective brain barriers.
- Protein therapeutics are particularly difficult to deliver across these barriers, including the blood-brain barrier.
- The choroid plexus acts as a critical interface between the systemic circulation and the brain's ventricular system.
Purpose of the Study:
- To review the role of the choroid plexus and ventricular system in central nervous system drug delivery.
- To explore the potential of targeting the choroid plexus as a strategy for delivering protein therapeutics.
- To discuss methods for evaluating protein transport across the choroid plexus.
Main Methods:
- Review of preclinical methods for assessing protein transport across the choroid plexus.
- Analysis of imaging strategies, ventriculocisternal perfusions, and cell models.
- Consideration of cerebrospinal fluid dynamics in drug disposition.
Main Results:
- The choroid plexus presents a potential surrogate target to circumvent the blood-brain barrier for drug delivery.
- Receptor-mediated transcytosis is a promising mechanism for protein therapeutic delivery across choroid plexus epithelial cells.
- Cerebrospinal fluid flow and other barriers necessitate careful evaluation for effective drug disposition.
Conclusions:
- The choroid plexus and ventricular system are crucial barriers and potential delivery routes for central nervous system therapeutics.
- Targeting the ventricular system with protein therapeutics offers novel therapeutic avenues for central nervous system diseases.
- Further research into choroid plexus transport mechanisms is vital for advancing brain drug delivery.
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