Overcoming the Brain Barriers: From Immune Cells to Nanoparticles

Trends Pharmacol Sci. 2020 Jan;41(1):42-54. doi: 10.1016/j.tips.2019.11.001. Epub 2019 Dec 12.

Abstract

Nanoparticulate carriers, often referred to as nanoparticles (NPs), represent an important pharmacological advance for drug protection and tissue-specific drug delivery. Accessing the central nervous system (CNS), however, is a complex process regulated by mainly three brain barriers. While some leukocyte (i.e., immune cell) subsets are equipped with the adequate molecular machinery to infiltrate the CNS in physiological and/or pathological contexts, the successful delivery of NPs into the CNS remains hindered by the tightness of the brain barriers. Here, we present an overview of the three major brain barriers and the mechanisms allowing leukocytes to migrate across each of them. We subsequently review different immune-inspired and -mediated strategies to deliver NPs into the CNS. Finally, we discuss the prospect of exploiting leukocyte trafficking mechanisms for further progress.

Keywords: CNS drug delivery; blood–brain barrier; blood–cerebrospinal barrier; blood–leptomeningeal barrier; immune cell migration; leukocyte migration.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Blood-Brain Barrier / immunology
  • Blood-Brain Barrier / metabolism*
  • Brain / blood supply
  • Brain / metabolism
  • Cell Movement
  • Central Nervous System / metabolism
  • Drug Delivery Systems / methods*
  • Humans
  • Leukocytes / chemistry
  • Leukocytes / cytology
  • Macrophages / immunology
  • Macrophages / transplantation*
  • Monocytes / immunology
  • Monocytes / transplantation*
  • Nanoparticles / administration & dosage*
  • Nanoparticles / chemistry
  • Nanoparticles / metabolism