Post-capillary venules are the key locus for transcytosis-mediated brain delivery of therapeutic nanoparticles

Nat Commun. 2021 Jul 5;12(1):4121. doi: 10.1038/s41467-021-24323-1.

Abstract

Effective treatments of neurodegenerative diseases require drugs to be actively transported across the blood-brain barrier (BBB). However, nanoparticle drug carriers explored for this purpose show negligible brain uptake, and the lack of basic understanding of nanoparticle-BBB interactions underlies many translational failures. Here, using two-photon microscopy in mice, we characterize the receptor-mediated transcytosis of nanoparticles at all steps of delivery to the brain in vivo. We show that transferrin receptor-targeted liposome nanoparticles are sequestered by the endothelium at capillaries and venules, but not at arterioles. The nanoparticles move unobstructed within endothelium, but transcytosis-mediated brain entry occurs mainly at post-capillary venules, and is negligible in capillaries. The vascular location of nanoparticle brain entry corresponds to the presence of perivascular space, which facilitates nanoparticle movement after transcytosis. Thus, post-capillary venules are the point-of-least resistance at the BBB, and compared to capillaries, provide a more feasible route for nanoparticle drug carriers into the brain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arterioles
  • Biological Transport
  • Blood-Brain Barrier
  • Brain / metabolism*
  • Capillaries / metabolism*
  • Capillaries / pathology
  • Drug Carriers*
  • Endothelium / diagnostic imaging
  • Endothelium / pathology
  • Kinetics
  • Liposomes / metabolism
  • Mice
  • Nanoparticles / therapeutic use*
  • Receptors, Transferrin / metabolism
  • Transcytosis / physiology*
  • Venules / metabolism*
  • Venules / pathology

Substances

  • Drug Carriers
  • Liposomes
  • Receptors, Transferrin