Targeted drug delivery across the blood-brain barrier using ultrasound technique.
Authors: Deng CX
Effective delivery of therapeutic agents into the brain can greatly improve the treatments of neurological and neurodegenerative diseases. Application of focused ultrasound facilitated by microbubbles has shown the potential to deliver drugs across the blood-brain barrier into targeted sites within the brain noninvasively. This review provides a summary of the technological background and principle, highlights of recent significant developments and research progress, as well as a critical commentary on the challenges and future directions in the field. This review also outlines and discusses the tasks that researchers face in order to successfully translate the technology into a clinical reality, including obtaining improved understanding of the mechanisms, demonstration of therapeutic efficacy and safety for specific applications, and development of methodology for rational design to achieve optimized and consistent outcomes.
Introduction
Purpose
Drug delivery with BBB opening
Study Objective
To review and summarize the technological background, recent advances, challenges, and future directions of focused ultrasound–microbubble–mediated drug delivery across the blood–brain barrier to facilitate clinical translation.
Outcomes and Safety
Summary of Outcomes
Focused ultrasound combined with microbubbles transiently opens the blood–brain barrier to enable noninvasive, targeted delivery of therapeutic agents to the brain, potentially improving treatment of neurological and neurodegenerative diseases. The review does not report specific successful ultrasound parameter sets, instead emphasizing the need for mechanistic understanding, safety/efficacy demonstration, and rational parameter design to achieve optimized and consistent outcomes.
Safety-related matter
The review states that demonstration of therapeutic safety for specific applications is required for clinical translation but does not report any specific adverse effects.
Brain Region
Ultrasound Parameters
Focal Characteristics
Focal depth: None; Focal length: None; Aperture size: None
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