Nasal-to-brain delivery of CCR5 antagonist for reshaping the dysregulated microglia-neuron axis and enhancing

Pengcheng Zhang1, Yaxin Wang1, Yigang Xu2

  • 1Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China; Department of Anesthesiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100070, China.

Biomaterials
|June 11, 2025
PubMed

Insights

A novel nanoplatform delivers a CCR5 antagonist via the nose to the brain, effectively reducing neuroinflammation and improving cognitive function after traumatic brain injury (TBI). This approach overcomes blood-brain barrier challenges for TBI treatment.

Area of Science:

  • Neuroscience
  • Biomaterials Science
  • Pharmacology

Background:

  • Traumatic brain injury (TBI) causes cognitive dysfunction through microglia-neuron axis dysregulation.
  • C-C chemokine receptor 5 (CCR5) is upregulated post-TBI, mediating neuroinflammation and deficits.
  • Existing CCR5 antagonists face blood-brain barrier (BBB) and neuron-targeting delivery challenges.

Purpose of the Study:

  • To develop a novel nasal-to-brain nanodelivery system for DAPTA, a CCR5 antagonist.
  • To enhance brain delivery of DAPTA for inhibiting CCR5 signaling and improving TBI outcomes.
  • To evaluate the efficacy of dual-engineered nanodrugs (DA@LT NPs) in a TBI mouse model.

Main Methods:

  • Fabrication of chitosan nanocarriers grafted with cell-penetrating peptide (TAT) and lactoferrin (Lf).
  • Intranasal administration of dual-engineered nanodrugs (DA@LT NPs) in a TBI mouse model.
  • Assessment of neuroinflammation, microglia polarization, neuronal pyroptosis, and motor/cognitive functions.

Main Results:

  • DA@LT NPs demonstrated high DAPTA loading, active mucosal/neural transport, and enhanced neuron targeting.
  • Nanodrugs effectively utilized trigeminal and olfactory nerves for enhanced brain transport.
  • Treatment significantly reduced neuroinflammation, promoted M2 microglia polarization, protected neurons, and improved cognitive and motor functions in TBI mice.

Conclusions:

  • Non-invasive intranasal delivery of CCR5 antagonist via mucus-penetrating, neuron-targeting nanoformulations is effective.
  • This approach offers a promising intervention for neurological inflammation and cognitive impairments post-TBI.
  • The developed nanoplatform overcomes BBB limitations for TBI therapeutics.