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Strategies for Structural Modification of Small Molecules to Improve Blood–Brain Barrier Penetration: A Recent Perspective
Abstract
In the development of central nervous system (CNS) drugs, the blood-brain barrier (BBB) restricts many drugs from entering the brain to exert therapeutic effects. Although many novel delivery methods of large molecule drugs have been designed to assist transport, small molecule drugs account for the vast majority of the CNS drugs used clinically. From this perspective, we review studies from the past five years that have sought to modify small molecules to increase brain exposure. Medicinal chemists make it easier for small molecules to cross the BBB by improving diffusion, reducing efflux, and activating carrier transporters. On the basis of their excellent work, we summarize strategies for structural modification of small molecules to improve BBB penetration. These strategies are expected to provide a reference for the future development of small molecule CNS drugs.
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“However, the delivery of mRNA to the brain remains a formidable challenge due to the blood–brain barrier (BBB)18,19.”
From Blood–brain-barrier-crossing lipid nanoparticles for mRNA delivery to the central nervous system (2025) · cites this paper as [18]
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Metadata
- Authors
- Xiong, B., Wang, Y., Chen, Y., Xing, S., Liao, Q., Chen, Y., Li, Q., Li, W., & Sun, H.
- Affiliations
- China Pharmaceutical University (CN)
- Nanjing University of Chinese Medicine (CN)
- Qingdao University (CN)
- Corresponding author
- Li, Qi
- Li, Wei
- Sun, Haopeng
- Venue
- Journal of Medicinal Chemistry
- Publisher
- American Chemical Society (ACS)
- Published
- 2021-09-10
- Volume
- 64
- Issue
- 18
- Pages
- 13152-13173
- ISSN
- 0022-2623 (ISSN-L)
- 1520-4804
- OpenAlex
- W3196964953
- Cited by
- 232
- References
- 135
- Citations by year
- 2026: 49 · 2025: 66 · 2024: 58 · 2023: 44 · 2022: 13 · 2021: 2
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Medicinal Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- China Pharmaceutical University (CPU2018GF11, CPU2018GY34)
- Natural Science Foundation of Jiangsu Province (BK20191411)
- National Natural Science Foundation of China (81573281, 81872728, 81973207)
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Drug Discovery › Computational Drug Discovery Methods
- Keywords
- blood-brain barrier, blood-brain barrier penetration, structural modification, brain drug delivery, passive diffusion, efflux pumps, carrier-mediated transport, CNS drug development
- MeSH terms
- Animals, Blood-Brain Barrier, Central Nervous System Agents, Humans, Hydrogen Bonding, Permeability, Molecular Structure, Transcytosis, Hydrophobic and Hydrophilic Interactions
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