Modulation of the blood-tumor barrier to enhance drug delivery and efficacy for brain metastases
Abstract The blood-brain barrier is the selectively permeable vasculature of the brain vital for maintaining homeostasis and neurological function. Low permeability is beneficial in the presence of toxins and pathogens in the blood. However, in the presence of metastatic brain tumors, it is a challe...
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Published in: | Neuro-oncology advances Vol. 3; no. Supplement_5; pp. v133 - v143 |
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Main Authors: | , , , , , , , , , , , , |
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Language: | English |
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01-11-2021
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Abstract | Abstract
The blood-brain barrier is the selectively permeable vasculature of the brain vital for maintaining homeostasis and neurological function. Low permeability is beneficial in the presence of toxins and pathogens in the blood. However, in the presence of metastatic brain tumors, it is a challenge for drug delivery. Although the blood-tumor barrier is slightly leaky, it still is not permissive enough to allow the accumulation of therapeutic drug concentrations in brain metastases. Herein, we discuss the differences between primary brain tumors and metastatic brain tumors vasculature, effects of therapeutics on the blood-tumor barrier, and characteristics to be manipulated for more effective drug delivery. |
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AbstractList | Abstract
The blood-brain barrier is the selectively permeable vasculature of the brain vital for maintaining homeostasis and neurological function. Low permeability is beneficial in the presence of toxins and pathogens in the blood. However, in the presence of metastatic brain tumors, it is a challenge for drug delivery. Although the blood-tumor barrier is slightly leaky, it still is not permissive enough to allow the accumulation of therapeutic drug concentrations in brain metastases. Herein, we discuss the differences between primary brain tumors and metastatic brain tumors vasculature, effects of therapeutics on the blood-tumor barrier, and characteristics to be manipulated for more effective drug delivery. The blood-brain barrier is the selectively permeable vasculature of the brain vital for maintaining homeostasis and neurological function. Low permeability is beneficial in the presence of toxins and pathogens in the blood. However, in the presence of metastatic brain tumors, it is a challenge for drug delivery. Although the blood-tumor barrier is slightly leaky, it still is not permissive enough to allow the accumulation of therapeutic drug concentrations in brain metastases. Herein, we discuss the differences between primary brain tumors and metastatic brain tumors vasculature, effects of therapeutics on the blood-tumor barrier, and characteristics to be manipulated for more effective drug delivery. |
Author | Glass, Morgan J Panchal, Dhruvi M Pritt, Trenton A Fladeland, Ross A Blethen, Kathryn E Arsiwala, Tasneem A Sprowls, Samuel A Adkins, Chris E Cabuyao, Yssabela M Kielkowski, Brooke N Lockman, Paul R Earp, Leland E Aulakh, Sonikpreet |
AuthorAffiliation | 2 Department of Chemical and Biomedical Engineering, Benjamin M. Statler College of Engineering and Mineral Resources, West Virginia University , Morgantown, West Virginia , USA 4 Department of Pharmaceutical Sciences, School of Pharmacy, South University , Savannah, Georgia , USA 3 Department of Cancer Cell Biology, School of Medicine, West Virginia University , Morgantown, West Virginia , USA 1 Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University , Morgantown, West Virginia , USA |
AuthorAffiliation_xml | – name: 3 Department of Cancer Cell Biology, School of Medicine, West Virginia University , Morgantown, West Virginia , USA – name: 1 Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University , Morgantown, West Virginia , USA – name: 2 Department of Chemical and Biomedical Engineering, Benjamin M. Statler College of Engineering and Mineral Resources, West Virginia University , Morgantown, West Virginia , USA – name: 4 Department of Pharmaceutical Sciences, School of Pharmacy, South University , Savannah, Georgia , USA |
Author_xml | – sequence: 1 givenname: Kathryn E orcidid: 0000-0003-4602-9514 surname: Blethen fullname: Blethen, Kathryn E organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 2 givenname: Tasneem A surname: Arsiwala fullname: Arsiwala, Tasneem A organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 3 givenname: Ross A surname: Fladeland fullname: Fladeland, Ross A organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 4 givenname: Samuel A surname: Sprowls fullname: Sprowls, Samuel A organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 5 givenname: Dhruvi M surname: Panchal fullname: Panchal, Dhruvi M organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 6 givenname: Chris E surname: Adkins fullname: Adkins, Chris E organization: Department of Pharmaceutical Sciences, School of Pharmacy, South University, Savannah, Georgia, USA – sequence: 7 givenname: Brooke N surname: Kielkowski fullname: Kielkowski, Brooke N organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 8 givenname: Leland E surname: Earp fullname: Earp, Leland E organization: Department of Cancer Cell Biology, School of Medicine, West Virginia University, Morgantown, West Virginia, USA – sequence: 9 givenname: Morgan J surname: Glass fullname: Glass, Morgan J organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 10 givenname: Trenton A surname: Pritt fullname: Pritt, Trenton A organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 11 givenname: Yssabela M surname: Cabuyao fullname: Cabuyao, Yssabela M organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA – sequence: 12 givenname: Sonikpreet surname: Aulakh fullname: Aulakh, Sonikpreet organization: Department of Cancer Cell Biology, School of Medicine, West Virginia University, Morgantown, West Virginia, USA – sequence: 13 givenname: Paul R surname: Lockman fullname: Lockman, Paul R email: prlockman@hsc.wvu.edu organization: Department of Basic Pharmaceutical Sciences, School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA |
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ContentType | Journal Article |
Copyright | The Author(s) 2021. Published by Oxford University Press, the Society for Neuro-Oncology and the European Association of Neuro-Oncology. 2021 |
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Keywords | blood-brain barrier breast cancer drug delivery brain metastases |
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The blood-brain barrier is the selectively permeable vasculature of the brain vital for maintaining homeostasis and neurological function. Low... The blood-brain barrier is the selectively permeable vasculature of the brain vital for maintaining homeostasis and neurological function. Low permeability is... |
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