Abstract
Delivery of the pharmaceutically active agents towards the central nervous system (CNS) is usually challenging due to the presence of the blood-brain barrier (BBB). Brain tumors, compared to other types of CNS diseases and other types of tumors, remain difficult to treat with very little improvement in the survival rate in the last decades (Huse JT, Holland EC, Nat Rev Cancer 10:319, 2010). In this case, it is not only required to deliver a chemotherapeutic through the BBB to the brain but also to deliver it selectively to the tumor site rather than the healthy brain tissues. Nonselective distribution of the chemotherapeutics usually causes severe side effects that limit the efficiency of the treatment. This chapter summarizes some selected recent methods to prepare carrier systems capable of both efficient delivery through the BBB and active or passive targeting of the tumors within the brain tissues. This includes the description of methods to prepare the carrier systems along with the needed characterization techniques as well as in vitro and in vivo testing of its efficiency. Additional aim of this chapter is to provide the basic knowledge and skills needed for preparation of such systems and discusses the potentials or limitations of the described systems.
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References
Behin A, Hoang-Xuan K, Carpentier AF, Delattre J-Y (2003) Primary brain tumours in adults. Lancet 361:323–331
Huse JT, Holland EC (2010) Targeting brain cancer: advances in the molecular pathology of malignant glioma and medulloblastoma. Nat Rev Cancer 10:319
Stupp R, Mason WP, Van Den Bent MJ et al (2005) Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 352:987–996
Libermann TA, Nusbaum HR, Razon N et al (1985) Amplification, enhanced expression and possible rearrangement of EGF receptor gene in primary human brain tumours of glial origin. Nature 313:144
Henson JW, Schnitker BL, Correa KM et al (1994) The retinoblastoma gene is involved in malignant progression of astrocytomas. Ann Neurol 36:714–721
Clarke ID, Dirks PB (2003) A human brain tumor-derived PDGFR-α deletion mutant is transforming. Oncogene 22:722
Abounader R, Laterra J (2005) Scatter factor/hepatocyte growth factor in brain tumor growth and angiogenesis. Neuro-Oncology 7:436–451
Brightman MW, Reese TS (1969) Junctions between intimately apposed cell membranes in the vertebrate brain. J Cell Biol 40:648–677
Reese TS, Karnovsky MJ (1967) Fine structural localization of a blood-brain barrier to exogenous peroxidase. J Cell Biol 34:207–217
Golden PL, Pollack GM (2003) Blood–brain barrier efflux transport. J Pharm Sci 92:1739–1753
Abraham MH, Chadha HS, Mitchell RC, Bonding H (1994) Hydrogen bonding. 33. Factors that influence the distribution of solutes between blood and brain. J Pharm Sci 83:1257–1268
Wahl M, Schilling L, Unterberg A, Baethmann A (1993) Mediators of vascular and parenchymal mechanisms in secondary brain damage. In: Mechanisms of Secondary Brain Damage. Springer, New York, pp 64–72
Gururangan S, Friedman HS (2002) Innovations in design and delivery of chemotherapy for brain tumors. Neuroimaging Clin N Am 12:583–597
Menei P, Capelle L, Guyotat J et al (2005) Local and sustained delivery of 5-fluorouracil from biodegradable microspheres for the radiosensitization of malignant glioma: a randomized phase II trial. Neurosurgery 56:242–248
DiMeco F, Li KW, Tyler BM et al (2002) Local delivery of mitoxantrone for the treatment of malignant brain tumors in rats. J Neurosurg 97:1173–1178
Westphal M, Ram Z, Riddle V et al (2006) Gliadel® wafer in initial surgery for malignant glioma: long-term follow-up of a multicenter controlled trial. Acta Neurochir 148:269–275
Cosolo WC, Martinello P, Louis WJ, Christophidis N (1989) Blood-brain barrier disruption using mannitol: time course and electron microscopy studies. Am J Phys Regul Integr Comp Phys 256:R443–R447
Cloughesy TF, Black KL (1995) Pharmacological blood-brain barrier modification for selective drug delivery. J Neuro-Oncol 26:125–132
Greig NH, Genka S, Daly EM et al (1990) Physicochemical and pharmacokinetic parameters of seven lipophilic chlorambucil esters designed for brain penetration. Cancer Chemother Pharmacol 25:311–319
Hanson LR, Frey WH (2008) Intranasal delivery bypasses the blood-brain barrier to target therapeutic agents to the central nervous system and treat neurodegenerative disease. BMC Neurosci 9:S5
Zhao Y, Yue P, Tao T, CHEN Q (2007) Drug brain distribution following intranasal administration of Huperzine a in situ gel in rats 3. Acta Pharmacol Sin 28:273–278
Sukriti S, Tauseef M, Yazbeck P, Mehta D (2014) Mechanisms regulating endothelial permeability. Pulm Circ 4:535–551
Hashizume H, Baluk P, Morikawa S et al (2000) Openings between defective endothelial cells explain tumor vessel leakiness. Am J Pathol 156:1363–1380
Matsumura Y, Maeda H (1986) A new concept for macromolecular therapeutics in cancer chemotherapy: mechanism of tumoritropic accumulation of proteins and the antitumor agent smancs. Cancer Res 46:6387–6392. https://doi.org/10.1021/bc100070g
Brigger I, Morizet J, Aubert G et al (2002) Poly (ethylene glycol)-coated hexadecylcyanoacrylate nanospheres display a combined effect for brain tumor targeting. J Pharmacol Exp Ther 303:928–936
Recht L, Torres CO, Smith TW et al (1990) Transferrin receptor in normal and neoplastic brain tissue: implications for brain-tumor immunotherapy. J Neurosurg 72:941–945
Dixit S, Novak T, Miller K et al (2015) Transferrin receptor-targeted theranostic gold nanoparticles for photosensitizer delivery in brain tumors. Nanoscale 7:1782–1790
Lu F, Pang Z, Zhao J et al (2017) Angiopep-2-conjugated poly (ethylene glycol)-co-poly (ε-caprolactone) polymersomes for dual-targeting drug delivery to glioma in rats. Int J Nanomedicine 12:2117
Hefnawy A, Khalil IA, El-Sherbiny IM (2017) Facile development of nanocomplex-in-nanoparticles for enhanced loading and selective delivery of doxorubicin to brain. Nanomedicine 12:2737–2761
Roque ACA, Bicho A, Batalha IL et al (2009) Biocompatible and bioactive gum Arabic coated iron oxide magnetic nanoparticles. J Biotechnol 144:313–320
Chertok B, David AE, Yang VC (2010) Polyethyleneimine-modified iron oxide nanoparticles for brain tumor drug delivery using magnetic targeting and intra-carotid administration. Biomaterials 31:6317–6324
Roque ACA, Wilson OC Jr (2008) Adsorption of gum Arabic on bioceramic nanoparticles. Mater Sci Eng C 28:443–447
McNeeley KM, Karathanasis E, Annapragada AV, Bellamkonda RV (2009) Masking and triggered unmasking of targeting ligands on nanocarriers to improve drug delivery to brain tumors. Biomaterials 30:3986–3995
Saul JM, Annapragada A, Natarajan JV, Bellamkonda RV (2003) Controlled targeting of liposomal doxorubicin via the folate receptor in vitro. J Control Release 92:49–67
Bolotin EM, Cohen R, Bar LK et al (1994) Ammonium sulfate gradients for efficient and stable remote loading of amphipathic weak bases into liposomes and ligandoliposomes. J Liposome Res 4:455–479
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Hefnawy, A., El-Sherbiny, I.M. (2021). Passive and Active Targeting of Brain Tumors. In: Agrahari, V., Kim, A., Agrahari, V. (eds) Nanotherapy for Brain Tumor Drug Delivery. Neuromethods, vol 163. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-1052-7_2
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DOI: https://doi.org/10.1007/978-1-0716-1052-7_2
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