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The blood-brain barrier (BBB) represents an insurmountable obstacle for the delivery of a large number of drugs to the central
nervous system (CNS). One of the possibilities to overcome this barrier is drug delivery to the brain using nanoparticles. Drugs
that have been transported into the brain and led to a pharmacological effect after intravenous injection using this carrier include
the hexapeptide dalargin, the dipeptide kyotorphin, loperamide, tubocurarine, doxorubicin, and the NMDA receptor antagonists
MRZ 2/576 and MRZ 2/596. To achieve a significant transport across the blood-brain barrier, the coating of the nanoparticles
with polysorbate 80 (Tween�® 80) was a key factor. Experiments with the extremely aggressive glioblastoma 101/8 transplanted
intracranially showed a long term survival for 6 months of up to 40% of the rats after intravenous injection of the polysorbate
80-coated nanoparticle preparation. The surviving animals showed a total remission by histological investigation. Untreated
controls died within 10-20 days, doxorubicin controls and uncoated doxorubicin nanoparticle groups died between 10-50 days.
The cardiac, and testicular toxicity of doxorubicin was very significantly reduced by binding the drug to poly(butyl cyanoacrylate)
and even more considerably by binding to human serum albumin nanoparticles. Indication of short-term neurotoxicity, such as
increased apoptosis in areas distant from the tumor, increased expression of GFAP or ezrin on distant astrocytes or degenerative
morphological changes of neurons were entirely absent. The mechanism of the drug transport across the blood-brain barrier with
the nanoparticles appears to be endocytotic uptake by the brain capillary endothelial cells. After injection of the nanoparticles,
apolipoproteins A-I or E adsorb on the particles surface promoting the interaction with receptors on the endothelial cells followed
by transcytosis.