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Updated: Oct 9, 2025

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Delivery of Antibodies into the Brain Using Focused Scanning Ultrasound
Published on: July 18, 2020
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Next-generation antibody-based therapies in neurology
Tobias Ruck1,2, Falk Nimmerjahn3, Heinz Wiendl1
1Department of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149 Münster, Germany.
Brain : a Journal of Neurology
|December 20, 2021
Summary
Antibody therapies are advancing for neuroinflammatory diseases, with engineered antibody fragments improving drug delivery and efficacy for brain conditions. These treatments are increasingly successful in clinical settings.
Area of Science:
- Neuroimmunology
- Pharmacology
- Biotechnology
Background:
- Antibody-based therapeutics are established treatments for neuroinflammatory diseases.
- Antibody efficacy depends on the antigen-binding fragment (Fab) and the Fc region, which dictates immune interactions and serum half-life.
Purpose of the Study:
- To review recent advancements in antibody-based treatment modalities for neurological diseases.
- To highlight the development of technologies enhancing central nervous system (CNS) drug delivery.
Main Methods:
- Review of current literature on antibody engineering and CNS drug delivery technologies.
- Analysis of clinical trial data and successful therapeutic translations.
Main Results:
- Engineering of Fc functions allows modulation of effector functions and antibody serum half-lives.
- New technologies are improving antibody bioavailability within the CNS parenchyma.
- Several antibody-based approaches are in clinical trials or have reached clinical application.
Conclusions:
- Engineered antibody therapeutics offer significant potential for treating neurological diseases.
- Improved CNS bioavailability could expand treatment options for currently intractable brain disorders.
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