The presence of the BBB makes difficult the development of new treatments of brain diseases, or new radiopharmaceuticals for neuroimaging of brain. The blood–brain barrier (BBB) prevents entry into the brain of most drugs from the blood. Knowledge on the endogenous CMT and RMT systems expressed at the BBB enable new solutions to the problem of BBB drug transport. Peptide and antisense radiopharmaceuticals are made brain-penetrating with the combined use of RMT-based delivery systems and avidin–biotin technology. Large molecule drugs can be reengineered with molecular Trojan horse delivery systems to access receptor-mediated transport (RMT) systems within the BBB. Small molecule drugs can be synthesized that access carrier-mediated transport (CMT) systems within the BBB. Nevertheless, drugs can be reengineered for BBB transport, based on the knowledge of the endogenous transport systems within the BBB. These chemical properties are lacking in the majority of small molecule drugs, and all large molecule drugs.
GET IT DONE TRANSPORTATION BBB FREE
Certain small molecule drugs may cross the BBB via lipid-mediated free diffusion, providing the drug has a molecular weight <400 Da and forms <8 hydrogen bonds. The BBB is anatomically and functionally distinct from the blood–cerebrospinal fluid barrier at the choroid plexus. This property arises from the epithelial-like tight junctions within the brain capillary endothelium. The blood–brain barrier (BBB) prevents the brain uptake of most pharmaceuticals.
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