Table 4.
Example therapeutic agents that have been delivered across the BBB or BTB
| Therapeutic Agent | Size | Use | Delivered to |
|---|---|---|---|
| Temozolomide | 194 Da | Chemotherapy | Glioma model (9L)1 [141] |
| 1,3-bis(2-choroethyl-1-nitrosourea (BCNU)2 | 214 Da | Chemotherapy | Glioma model (C6)1 [138,152] |
| Cytarabine | 243 Da | Chemotherapy | Normal brain [140] |
| Boronophenylalanine | 330 Da | Agent for boron neutron capture therapy | Glioma models (GBM 8401 [149]; 9L [150]) |
| Doxorubicin | 540 Da | Chemotherapy | Normal brain [96] |
| Methotrexate | 545 Da | Chemotherapy | Normal brain [139] |
| siRNA | ~13 kDa | Huntington's disease therapy | Normal brain [135] |
| Glial cell line-derived neurotropic factor (GDNF)2 | 24kDa | Neuroprotective agent | Normal brain [153] |
| Brain-derived neurotropic factor (BDNF) | 27 kDa | Neuroprotective agent | Normal brain3 [156] |
| Herceptin (Trastuzumab) | 148 kDa | Anti-cancer antibody | Normal brain [147]; Breast cancer brain met. model (BT474)1 [148] |
| BAM-10 Aβ targeted antibodies | ~150 kDa | Therapeutic antibody for Alzheimer's Disease | TgCcrND8 Alzheimer's model mice1 [158] |
| BCNU-VEGF2 | ~150 kDa | Antiangiogenic-targeted chemotherapy | Glioma model (C6)1 [155] |
| Plasmid DNA (pBDNF-EGFP)2 | ~3600 kDa4 | Gene therapy | Normal brain [154] |
| Epirubicin in Magnetic nanoparticles | ~12 nm | Magnetic targeted chemotherapy | Glioma model (C6)1 [144] |
| Doxorubicin in magnetic nanoparticles2 | ~6–10 nm | Magnetic targeted chemotherapy | Glioma model (C6) [146] |
| BCNU in magnetic nanoparticles | ~10–20 nm | Magnetic targeted chemotherapy | Glioma model (C6)1 [145] |
| Adeno-associated Virus (AAV) | ~25 nm | Gene therapy vector | Normal brain [160–162] |
| Liposomal doxorubicin (Lipo-DOX) | 90 nm | Chemotherapy | Normal brain [83]; Glioma model (9L)1 [142,163] |
| Interleukin-4 receptor targeted Lipo-DOX | 100–120 nn | l Chemotherapy | Glioma model (8401) [143] |
| Neural progenitor cells | 7–10 μm | Stem cell | Normal brain [159] |
| Natural killer cells (NK-92) | ~10 μm | Cell therapy for brain tumor | Breast cancer brain met. model (MDA-MB-231-HER2) [151] |
Also showed improved outcomes with FUS-induced BBB disruption
Used drug-loaded microbubbles
Also showed drug activity after delivery
Assumed 660 Da per base pair (bp), 760 bp for BDNF, and 4700 bp for pEGFP-N1