<span>The development of new CNS drugs is notoriously difficult. Drugs must reach CNS target sites for action and these sites are protected by a number of barriers, the most important being the bloodโbrain barrier (BBB). Many factors are therefore critical to consider for CNS drug delivery, e.g. act
Drug Delivery to the Brain: Physiological Concepts, Methodologies and Approaches
โ Scribed by N. Joan Abbott (auth.), Margareta Hammarlund-Udenaes, Elizabeth C.M. de Lange, Robert G. Thorne (eds.)
- Publisher
- Springer-Verlag New York
- Year
- 2014
- Tongue
- English
- Leaves
- 737
- Series
- AAPS Advances in the Pharmaceutical Sciences Series 10
- Edition
- 1
- Category
- Library
No coin nor oath required. For personal study only.
โฆ Synopsis
The development of new CNS drugs is notoriously difficult. Drugs must reach CNS target sites for action and these sites are protected by a number of barriers, the most important being the blood โbrain barrier (BBB). Many factors are therefore critical to consider for CNS drug delivery, e.g. active/passive transport across the BBB, intra-brain distribution, and central/systemic pharmacokinetics, to name a few. Neurological disease and trauma conditions add further complexity because CNS barriers, drug distribution and pharmacokinetics are dynamic and often changed by disease/trauma. Knowledge of all these factors and their interplay in different conditions is of utmost importance for proper CNS drug development and disease treatment. In recent years much information has become available for a better understanding of the many factors important for CNS drug delivery and how they interact to affect drug action. This book describes small and large drug delivery to the brain with an emphasis on the physiology of the BBB and the principles and concepts for drug delivery across the BBB and distribution within the brain. It contains methods descriptions for studying drug delivery, routes and approaches of administering drugs into the brain, the influence of disease, and drug industry perspectives. Therewith, it contributes to an in-depth understanding of the interplay between brain (patho)-physiology and drug characteristics. Furthermore, the content is designed to be both cutting-edge and educational, so that the book can be used in high-level training of academic and industry scientists with full references to original publications. โ
โฆ Table of Contents
Front Matter....Pages i-xx
Front Matter....Pages 1-1
Anatomy and Physiology of the BloodโBrain Barriers....Pages 3-21
Recent Progress in BloodโBrain Barrier and BloodโCSF Barrier Transport Research: Pharmaceutical Relevance for Drug Delivery to the Brain....Pages 23-62
BloodโBrain Barrier (BBB) Pharmacoproteomics: A New Research Field Opened Up by Quantitative Targeted Absolute Proteomics (QTAP)....Pages 63-100
Drug Metabolism at the BloodโBrain and BloodโCSF Barriers....Pages 101-124
Front Matter....Pages 125-125
Pharmacokinetic Concepts in Brain Drug Delivery....Pages 127-161
In Vitro Models of CNS Barriers....Pages 163-197
In Situ and In Vivo Animal Models....Pages 199-211
Principles of PET and Its Role in Understanding Drug Delivery to the Brain....Pages 213-232
PKPD Aspects of Brain Drug Delivery in a Translational Perspective....Pages 233-268
Front Matter....Pages 269-269
Drug Discovery Methods for Studying Brain Drug Delivery and Distribution....Pages 271-316
Prediction of Drug Exposure in the Brain from the Chemical Structure....Pages 317-338
Integrated Approach to Optimizing CNS Penetration in Drug Discovery: From the Old to the New Paradigm and Assessment of DrugโTransporter Interactions....Pages 339-374
Pharmacoeconomic Considerations in CNS Drug Development....Pages 375-397
Front Matter....Pages 399-399
Intranasal Drug Delivery to the Brain....Pages 401-431
Blood-to-Brain Drug Delivery Using Nanocarriers....Pages 433-454
Development of New Protein Vectors for the Physiologic Delivery of Large Therapeutic Compounds to the CNS....Pages 455-484
CNS Gene Therapy Utilizing Intravenously Administered Viral Vectors....Pages 485-499
Neurosurgical Approaches: Drug Infusion Directly into the Parenchyma or the Cerebrospinal Fluid....Pages 501-518
Osmotic Opening of the BBB for Drug Treatment of Brain Tumors (Focus on Methodological Issues)....Pages 519-543
Emerging Engineering Technologies for Opening the BBB....Pages 545-570
Front Matter....Pages 571-571
Disease Influence on BBB Transport in Inflammatory Disorders....Pages 573-589
Disease Influence on BBB Transport in Neurodegenerative Disorders....Pages 591-634
Drug Delivery in the Context of Stroke and Brain Trauma....Pages 635-656
Which Drug or Drug Delivery Method Can Change Clinical Practice for Brain Tumor Therapy?....Pages 657-682
Back Matter....Pages 683-731
โฆ Subjects
Pharmaceutical Sciences/Technology; Biomedicine general
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