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Published on: June 15, 2019
Drop to Gate Nasal Drops Attenuates Sepsis-Induced Cognitive Dysfunction.
Yaping Zhuang1, Xiyu Du2, Li Yang3
1Department of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin 2nd Road, Huangpu, Shanghai, 200025, P. R. China.
A novel nasal drop system (DGND) effectively delivers drugs to the brain, bypassing the blood-brain barrier. This non-invasive method improves cognitive function in sepsis by reducing neuroinflammation.
Area of Science:
- Biomedical Engineering
- Neuroscience
- Pharmacology
Background:
- Nasal drug delivery offers a non-invasive route to the central nervous system (CNS), bypassing the blood-brain barrier.
- Developing effective strategies to enhance drug concentration and residence time in the nasal cavity is crucial for CNS disease treatment.
- Sepsis-induced cognitive dysfunction involves neuroinflammation mediated by microglia.
Purpose of the Study:
- To design and evaluate a novel Drop to Gate nasal drop (DGND) system for efficient brain drug delivery.
- To investigate the potential of DGND in treating sepsis-induced cognitive dysfunction by targeting neuroinflammation.
- To enhance drug delivery to the brain via nasal administration, improving therapeutic outcomes for CNS disorders.
Main Methods:
- Development of a thermogel-based DGND system incorporating C8-GelMA and SRT1720 (SA) nanogel.
- Utilizing hydrophobic interactions and UV cross-linking to form drug-loaded nanogels responsive to matrix metalloproteinases (MMPs).
- In vitro assessment of DGND's anti-inflammatory effects on lipopolysaccharide (LPS)-induced BV2 cells and in vivo evaluation in a mouse model of sepsis-induced cognitive dysfunction.
Main Results:
- The DGND system successfully formed an in situ gel in the nasal cavity, increasing drug residence time and delivery efficiency.
- In vitro studies showed DGND effectively alleviated LPS-induced BV2 inflammation.
- In vivo studies demonstrated that DGND targeted the nasal mucosa, delivered drugs to the brain, activated Sirt1, reduced microglial inflammation, and improved cognitive deficits in sepsis mice.
Conclusions:
- The DGND system provides an efficient and non-invasive strategy for delivering drugs to the brain via nasal administration.
- DGND shows significant potential for treating CNS diseases, particularly sepsis-induced cognitive dysfunction, by modulating neuroinflammation.
- The developed thermogel-based nanocarrier system offers a promising platform for enhanced brain drug delivery and therapeutic intervention.
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Epistaxis
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...

