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Focused Ultrasound Mediated Opening of the Blood-Brain Barrier for Neurodegenerative Diseases

Title: Focused Ultrasound Mediated Opening of the Blood-Brain Barrier for Neurodegenerative Diseases
Authors: Paul S. Fishman; Jonathan M. Fischell
Source: Frontiers in Neurology, Vol 12 (2021)
Publisher Information: Frontiers Media S.A.
Publication Year: 2021
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: FUS; blood-brain barrier; Alzheimer's disease; Parkinson's disease; focused ultrasound (MRgFUS); Neurology. Diseases of the nervous system; RC346-429
Description: The blood brain barrier (BBB) is an obstacle for the delivery of potential molecular therapies for neurodegenerative diseases such as Parkinson's disease (PD), Alzheimer's disease (AD), and amyotrophic lateral sclerosis (ALS). Although there has been a proliferation of potential disease modifying therapies for these progressive conditions, strategies to deliver these large agents remain limited. High intensity MRI guided focused ultrasound has already been FDA approved to lesion brain targets to treat movement disorders, while lower intensity pulsed ultrasound coupled with microbubbles commonly used as contrast agents can create transient safe opening of the BBB. Pre-clinical studies have successfully delivered growth factors, antibodies, genes, viral vectors, and nanoparticles in rodent models of AD and PD. Recent small clinical trials support the safety and feasibility of this strategy in these vulnerable patients. Further study is needed to establish safety as MRI guided BBB opening is used to enhance the delivery of newly developed molecular therapies.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.frontiersin.org/articles/10.3389/fneur.2021.749047/full; https://doaj.org/toc/1664-2295; https://doaj.org/article/0e5158b818394293a24b3466b87aae1d
DOI: 10.3389/fneur.2021.749047
Availability: https://doi.org/10.3389/fneur.2021.749047; https://doaj.org/article/0e5158b818394293a24b3466b87aae1d
Accession Number: edsbas.A216FE8
Database: BASE