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Intranasal delivery systems for traumatic brain injury: Advancements and perspectives
Shin Hyuk Yoo1,2, Soon Chul Heo2,3, Jun Sang Bae1
1Department of Otorhinolaryngology, Dankook University College of Medicine, Cheonan, Republic of Korea.
Journal of Tissue Engineering
|September 16, 2025
Summary
Intranasal delivery offers a promising route for treating traumatic brain injury (TBI) by directly accessing the brain. This review explores advancements in intranasal systems for TBI therapeutics.
Area of Science:
- Neuroscience
- Pharmacology
- Biomedical Engineering
Background:
- Traumatic brain injury (TBI) is a significant cause of death and disability, resulting in lasting cognitive, sensorimotor, and personality deficits.
- Current neuroprotective drugs show limited clinical success despite promising preclinical results.
- The blood-brain barrier restricts effective drug delivery to the brain.
Purpose of the Study:
- To review current advancements in intranasal delivery systems for treating traumatic brain injury (TBI).
- To highlight the potential of intranasal delivery as a safe and effective therapeutic strategy for TBI.
- To discuss future clinical perspectives and emerging trends in TBI treatment via intranasal routes.
Main Methods:
- Review of current literature on TBI and intranasal drug delivery systems.
- Analysis of preclinical studies (in vitro and in vivo animal models) on intranasal delivery of molecules and cells for TBI.
- Examination of clinical perspectives and future trends in TBI therapeutics.
Main Results:
- Intranasal delivery bypasses the blood-brain barrier, providing direct access to brain parenchyma.
- Recent developments show efficacy of intranasal delivery systems in preclinical TBI models.
- Various molecules and cell-based therapies are being investigated for intranasal administration.
Conclusions:
- Intranasal delivery presents a favorable and safe approach for TBI treatment.
- Further research and clinical translation of intranasal delivery systems are crucial for effective TBI therapeutics.
- Emerging trends suggest significant potential for intranasal delivery in managing TBI outcomes.

