Cited by 83Nanoparticle-Based Drug DeliveryAdvanced Drug Delivery SystemsCerebrospinal fluid and hydrocephalus

Fate of nanoparticles in the central nervous system after intrathecal injection in healthy mice

Open access
Householder, K. T., Dharmaraj, S., Sandberg, D. I., Wechsler-Reya, R. J., Sirianni, R. W.·2019·Scientific Reports

Abstract

Cerebrospinal fluid (CSF) is produced in the cerebral ventricles and circulates within the subarachnoid space (SAS) of the brain and spinal cord, where it exchanges with interstitial fluid of the parenchyma. The access of CSF to the entire central nervous system (CNS) makes it an attractive medium for drug delivery. However, few intrathecal (IT) therapies have reached the clinic due, in part, to limited distribution and rapid clearance. Given the success of nanoparticle (NP) carriers in prolonging circulation and improving delivery of systemically administered agents, we sought to evaluate the distribution of IT injected NPs within the CNS. We administered fluorescent, 100 nm PEGylated-NPs into the cisterna magna of healthy mice and studied their distribution along the brain and spinal cord. Our data demonstrate that NPs are capable of distributing rapidly through the SAS along the entire neuraxis with reproducible, anatomically defined patterns of delivery. NPs were well retained within the leptomeninges for over 3 weeks, showing preference for ventral surfaces and minimal penetration into the CNS parenchyma. Clearance of NPs occurred across the cribriform plate into the nasal mucosa, with a small fraction of NPs localizing with nerve roots exiting the spinal column. Larger 10 µm particles were also capable of moving through the SAS but did not achieve as widespread distribution. These studies demonstrate the ability of NPs to achieve widespread delivery along the neuraxis and highlight IT administration as a potentially significant route of administration for delivery of nanomedicine to the subarachnoid space.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/s41598-019-49028-w

Cites

7 of 7 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • CSF reaches the entire CNS by exchanging with the interstitial fluid of the CNS parenchyma.

    “By exchanging with the interstitial fluid of the CNS’s parenchyma, CSF reaches the entire CNS, making it an effective route for drug delivery.”

    From Lipid Nanoparticles Enhance mRNA Delivery to the Central Nervous System Upon Intrathecal Injection (2025) · cites this paper as [21]

    The Discussion (page not provided) says CSF moves around the brain and down the spinal cord, supporting its broad access to the CNS. The non-abstract passages do not establish the claimed exchange with parenchymal interstitial fluid as the means by which it reaches the entire CNS. (LLM, conf=0.78)

    Experimental — accuracy not yet measured
  • Intrathecal injection provides direct access to the cerebrospinal fluid (CSF).

    “It provides direct access to the cerebrospinal fluid (CSF), which is generated in the brain ventricles and flows through the subarachnoid space (SAS) surrounding the brain and spinal cord.[21]”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 55

  1. [1]Berg SL Poplack DG Treatment of Meningeal Malignancy The Oncologist 1996 1 56 61 10387969
  2. [2]Bottros MM Christo PJ Current perspectives on intrathecal drug delivery J. Pain Res. 2014 7 615 626 25395870 PMC4227625
  3. [3]Sandberg DI Methotrexate administration directly into the fourth ventricle in children with malignant fourth ventricular brain tumors: a pilot clinical trial J. Neurooncol. 2015 125 133 141 10.1007/s11060-015-1878-y 26255071 PMC4592494 · DOI
  4. [4]Sandberg DI Chemotherapy administration directly into the fourth ventricle in a nonhuman primate model J. Neurosurg. Pediatr. 2012 9 530 541 10.3171/2012.1.PEDS11410 22546032 · DOI
  5. [5]Sandberg DI Pharmacokinetic analysis of etoposide distribution after administration directly into the fourth ventricle in a piglet model J. Neurooncol. 2010 97 25 32 10.1007/s11060-009-9998-x 19688296 · DOI
  6. [6]Sandberg DI Safety and pharmacokinetic analysis of methotrexate administered directly into the fourth ventricle in a piglet model J. Neurooncol. 2010 100 397 406 10.1007/s11060-010-0210-0 20440538 · DOI
  7. [7]Beck M Autonomic dysfunction in ALS: A preliminary study on the effects of intrathecal BDNF Amyotroph. Lateral Scler. Other Motor Neuron Disord. 2005 6 100 103 10.1080/14660820510028412 16036433 · DOI
  8. [9]Nutt JG Randomized, double-blind trial of glial cell line-derived neurotrophic factor (GDNF) in PD Neurology 2003 60 69 73 10.1212/WNL.60.1.69 12525720 · DOI
  9. [10]Kalra S Genge A Arnold DL A prospective, randomized, placebo-controlled evaluation of corticoneuronal response to intrathecal BDNF therapy in ALS using magnetic resonance spectroscopy: feasibility and results Amyotroph. Lateral Scler. Mot. Neuron Disord. Off. Publ. World Fed. Neurol. Res. Group Mot. Neuron Dis. 2003 4 22 26 12745614
  10. [11]Pardridge WM Drug transport in brain via the cerebrospinal fluid Fluids Barriers CNS 2011 8 7 10.1186/2045-8118-8-7 21349155 PMC3042981 · DOI · Paper page
  11. [12]Shapiro WR Schmid M Glantz M Miller JJ A randomized phase III/IV study to determine benefit and safety of cytarabine liposome injection for treatment of neoplastic meningitis J. Clin. Oncol. 2006 24 1528 1528 10.1200/JCO.2005.03.7689 · DOI · Paper page
  12. [13]Glantz MJ Randomized Trial of a Slow-Release Versus a Standard Formulation of Cytarabine for the Intrathecal Treatment of Lymphomatous Meningitis J. Clin. Oncol. 1999 17 3110 3116 10.1200/JCO.1999.17.10.3110 10506606 · DOI
  13. [14]Papisov MI Delivery of proteins to CNS as seen and measured by positron emission tomography Drug Deliv. Transl. Res. 2012 2 201 209 10.1007/s13346-012-0073-3 25786867 PMC4417608 · DOI
  14. [15]Wolf, D. A. et al. Dynamic dual-isotope molecular imaging elucidates principles for optimizing intrathecal drug delivery. JCI Insight1 (2016). PMC5033865 27699254
  15. [16]Kwong Y-L Yeung DYM Chan JCW Intrathecal chemotherapy for hematologic malignancies: drugs and toxicities Ann. Hematol. 2009 88 193 201 10.1007/s00277-008-0645-y 19050889 · DOI
  16. [17]Zimm S Collins JM Miser J Chatterji D Poplack DG Cytosine arabinoside cerebrospinal fluid kinetics Clin. Pharmacol. Ther. 1984 35 826 830 10.1038/clpt.1984.120 6587957 · DOI
  17. [18]Flack SH Bernards CM Cerebrospinal Fluid and Spinal Cord Distribution of Hyperbaric Bupivacaine and Baclofen during Slow Intrathecal Infusion in Pigs J. Am. Soc. Anesthesiol. 2010 112 165 173 10.1097/ALN.0b013e3181c38da5 19996952 · DOI
  18. [19]Ummenhofer WC Arends RH Shen DD Bernards CM Comparative Spinal Distribution and Clearance Kinetics of Intrathecally Administered Morphine, Fentanyl, Alfentanil, and Sufentanil J. Am. Soc. Anesthesiol. 2000 92 739 753 10.1097/00000542-200003000-00018 10719953 · DOI
  19. [20]Kitamura I Intrathecal chemotherapy with 1,3-bis(2-chloroethyl)-1-nitrosourea encapsulated into hybrid liposomes for meningeal gliomatosis: an experimental study Cancer Res. 1996 56 3986 3992 8752168
  20. [21]Bawa, R., Audette, G. F. & Rubinstein, I. Handbook of Clinical Nanomedicine: Nanoparticles, Imaging, Therapy, and Clinical Applications. (CRC Press, 2016).
  21. [22]Anselmo AC Mitragotri S Nanoparticles in the clinic Bioeng. Transl. Med. 2016 1 10 29 10.1002/btm2.10003 29313004 PMC5689513 · DOI · Paper page
  22. [23]Swami, A. et al. Nanoparticles for Targeted and Temporally Controlled Drug Delivery. in Multifunctional Nanoparticles for Drug Delivery Applications (eds Svenson, S. & Prud’homme, R. K.) 9–29 (Springer US, 2012).
  23. [24]Tosi G Potential use of polymeric nanoparticles for drug delivery across the blood-brain barrier Curr. Med. Chem. 2013 20 2212 2225 10.2174/0929867311320170006 23458620 · DOI
  24. [25]Householder KT Intravenous delivery of camptothecin-loaded PLGA nanoparticles for the treatment of intracranial glioma Int. J. Pharm. 2015 479 374 380 10.1016/j.ijpharm.2015.01.002 25562639 · DOI
  25. [26]Householder KT pH driven precipitation of quisinostat onto PLA-PEG nanoparticles enables treatment of intracranial glioblastoma Colloids Surf. B Biointerfaces 2018 166 37 44 10.1016/j.colsurfb.2018.02.048 29533842 PMC6581030 · DOI
  26. [27]Sakka L Coll G Chazal J Anatomy and physiology of cerebrospinal fluid Eur. Ann. Otorhinolaryngol. Head Neck Dis. 2011 128 309 316 10.1016/j.anorl.2011.03.002 22100360 · DOI
  27. [28]Kelly EJ Yamada S Cerebrospinal Fluid Flow Studies and Recent Advancements Semin. Ultrasound CT MRI 2016 37 92 99 10.1053/j.sult.2016.01.002 27063659 · DOI
  28. [29]Tangen KM Hsu Y Zhu DC Linninger AA CNS wide simulation of flow resistance and drug transport due to spinal microanatomy J. Biomech. 2015 48 2144 2154 10.1016/j.jbiomech.2015.02.018 25888012 · DOI
  29. [30]Ridgway JP Turnbull LW Smith MA Demonstration of pulsatile cerebrospinal-fluid flow using magnetic resonance phase imaging Br. J. Radiol. 1987 60 423 427 10.1259/0007-1285-60-713-423 3580751 · DOI
  30. [32]Yamada S Visualization of Cerebrospinal Fluid Movement with Spin Labeling at MR Imaging: Preliminary Results in Normal and Pathophysiologic Conditions Radiology 2008 249 644 652 10.1148/radiol.2492071985 18936318 · DOI
  31. [33]Dengler EC Mesoporous silica-supported lipid bilayers (protocells) for DNA cargo delivery to the spinal cord J. Control. Release Off. J. Control. Release Soc. 2013 168 209 224 10.1016/j.jconrel.2013.03.009 PMC4013798 23517784 · DOI
  32. [34]Hagihara Y Saitoh Y Kaneda Y Kohmura E Yoshimine T Widespread gene transfection into the central nervous system of primates Gene Ther. 2000 7 759 763 10.1038/sj.gt.3301169 10822302 · DOI
  33. [36]Cerqueira Susana R Microglia Response and In Vivo Therapeutic Potential of Methylprednisolone‐Loaded Dendrimer Nanoparticles in Spinal Cord Injury Small 2013 9 738 749 10.1002/smll.201201888 23161735 · DOI
  34. [37]Donaghue IEH Tator C S. Shoichet M Sustained delivery of bioactive neurotrophin-3 to the injured spinal cord Biomater. Sci. 2015 3 65 72 10.1039/C4BM00311J 26214190 · DOI
  35. [38]Tan J Changes in compressed neurons from dogs with acute and severe cauda equina constrictions following intrathecal injection of brain-derived neurotrophic factor-conjugated polymer nanoparticles Neural Regen. Res. 2013 8 233 243 25206593 PMC4107517
  36. [39]Papisov MI Belov VV Gannon KS Physiology of the intrathecal bolus: the leptomeningeal route for macromolecule and particle delivery to CNS Mol. Pharm. 2013 10 1522 1532 10.1021/mp300474m 23316936 PMC3646927 · DOI · Paper page
  37. [40]Gupta S Soellinger M Boesiger P Poulikakos D Kurtcuoglu V Three-Dimensional Computational Modeling of Subject-Specific Cerebrospinal Fluid Flow in the Subarachnoid Space J. Biomech. Eng. 2008 131 021010 021010 10.1115/1.3005171 19102569 · DOI
  38. [41]Loth F Yardimci MA Alperin N Hydrodynamic Modeling of Cerebrospinal Fluid Motion Within the Spinal Cavity J. Biomech. Eng. 2000 123 71 79 10.1115/1.1336144 11277305 · DOI
  39. [42]Simon MJ Iliff JJ Regulation of cerebrospinal fluid (CSF) flow in neurodegenerative, neurovascular and neuroinflammatory disease Biochim. Biophys. Acta BBA - Mol. Basis Dis. 2016 1862 442 451 10.1016/j.bbadis.2015.10.014 PMC4755861 26499397 · DOI
  40. [43]Rudick RA Zirretta DK Herndon RM Clearance of albumin from mouse subarachnoid space: a measure of CSF bulk flow J. Neurosci. Methods 1982 6 253 259 10.1016/0165-0270(82)90088-7 7144238 · DOI
  41. [44]Spector R Robert Snodgrass S Johanson CE A balanced view of the cerebrospinal fluid composition and functions: Focus on adult humans Exp. Neurol. 2015 273 57 68 10.1016/j.expneurol.2015.07.027 26247808 · DOI
  42. [45]Ma Q Ineichen BV Detmar M Proulx ST Outflow of cerebrospinal fluid is predominantly through lymphatic vessels and is reduced in aged mice Nat. Commun. 2017 8 1434 10.1038/s41467-017-01484-6 29127332 PMC5681558 · DOI · Paper page
  43. [48]Kulkarni SA Feng S-S Effects of Particle Size and Surface Modification on Cellular Uptake and Biodistribution of Polymeric Nanoparticles for Drug Delivery Pharm. Res. 2013 30 2512 2522 10.1007/s11095-012-0958-3 23314933 · DOI
  44. [49]Yadav KS Chuttani K Mishra AK Sawant KK Effect of Size on the Biodistribution and Blood Clearance of Etoposide-Loaded PLGA Nanoparticles PDA J. Pharm. Sci. Technol. 2011 65 131 139 21502074
  45. [50]Date AA Hanes J Ensign LM Nanoparticles for oral delivery: design, evaluation and state-of-the-art J. Control. Release Off. J. Control. Release Soc. 2016 240 504 526 10.1016/j.jconrel.2016.06.016 PMC5064878 27292178 · DOI
  46. [51]Ensign LM Cone R Hanes J Oral Drug Delivery with Polymeric Nanoparticles: The Gastrointestinal Mucus Barriers Adv. Drug Deliv. Rev. 2012 64 557 570 10.1016/j.addr.2011.12.009 22212900 PMC3322271 · DOI
  47. [52]Mistry A Stolnik S Illum L Nanoparticles for direct nose-to-brain delivery of drugs Int. J. Pharm. 2009 379 146 157 10.1016/j.ijpharm.2009.06.019 19555750 · DOI · Paper page
  48. [53]Mistry A Stolnik S Illum L Nose-to-Brain Delivery: Investigation of the Transport of Nanoparticles with Different Surface Characteristics and Sizes in Excised Porcine Olfactory Epithelium Mol. Pharm. 2015 12 2755 2766 10.1021/acs.molpharmaceut.5b00088 25997083 · DOI
  49. [54]Nance EA A Dense Poly(ethylene glycol) Coating Improves Penetration of Large Polymeric Nanoparticles within Brain Tissue Sci. Transl. Med. 2012 4 149ra119 10.1126/scitranslmed.3003594 PMC3718558 22932224 · DOI · Paper page
  50. [55]MacKay JA Deen DF Szoka FC Distribution in brain of liposomes after convection enhanced delivery; modulation by particle charge, particle diameter, and presence of steric coating Brain Res. 2005 1035 139 153 10.1016/j.brainres.2004.12.007 15722054 · DOI
  51. [56]Kim S Extended CSF cytarabine exposure following intrathecal administration of DTC 101 J. Clin. Oncol. 1993 11 2186 2193 10.1200/JCO.1993.11.11.2186 8229133 · DOI
  52. [57]Saboori P Sadegh A Histology and Morphology of the Brain Subarachnoid Trabeculae Anat. Res. Int. 2015 2015 e279814 PMC4458278 26090230
  53. [58]Lü J Zhu XL Characteristics of distribution and configuration of intracranial arachnoid membranes Surg. Radiol. Anat. 2005 27 472 10.1007/s00276-005-0025-4 16151970 · DOI
  54. [61]Gwak H-S Recent Advancements of Treatment for Leptomeningeal Carcinomatosis J. Korean Neurosurg. Soc. 2015 58 1 8 10.3340/jkns.2015.58.1.1 26279806 PMC4534733 · DOI
  55. [62]Bokstein F Lossos A Siegal T Leptomeningeal metastases from solid tumors: a comparison of two prospective series treated with and without intra-cerebrospinal fluid chemotherapy Cancer 1998 82 1756 1763 10.1002/(SICI)1097-0142(19980501)82:9<1764::AID-CNCR24>3.0.CO;2-1 9576299 · DOI

Cited by

Sorted by citations

Authors
Householder, K. T., Dharmaraj, S., Sandberg, D. I., Wechsler-Reya, R. J., & Sirianni, R. W.
Affiliations
  • Barrow Neurological Institute (US)
  • The University of Texas Health Science Center at Houston (US)
Corresponding author
Sirianni, R. W.
Venue
Scientific Reports
Published
2019-08-29
Volume
9
Issue
1
Pages
12587-12587
ISSN
2045-2322 (ISSN-L)
OpenAlex
W2970205776
Cited by
83
References
7
Citations by year
2026: 14 · 2025: 10 · 2024: 11 · 2023: 8 · 2022: 11 · 2021: 18 · 2020: 11
FWCI
2.83
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Barrow Neurological Foundation
  • Ian's Friends Foundation
  • National Institutes of Health
  • National Institute of Neurological Disorders and Stroke (R01NS111292)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD099543)
Topics
  • Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Cerebrospinal fluid and hydrocephalus
Keywords
intrathecal administration, nanoparticles, central nervous system, subarachnoid space, cerebrospinal fluid, PEGylated nanoparticles, nanoparticle distribution, leptomeninges, cribriform plate, nasal mucosa, spinal cord, brain, nanomedicine delivery, particle size effects, fluorescent nanoparticles
MeSH terms
Animals, Brain, Injections, Spinal, Polyethylene Glycols, Polystyrenes, Spinal Cord, Mice, Nanoparticles

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review