Recent Advances in Intranasal Administration for Brain-Targeting Delivery: A Comprehensive Review of Lipid-Based Nanoparticles and Stimuli-Responsive Gel Formulations
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Addressing disorders related to the central nervous system (CNS) remains a complex challenge because of the presence of the blood-brain barrier (BBB), which restricts the entry of external substances into the brain tissue. Consequently, finding ways to overcome the limited therapeutic effect imposed by the BBB has become a central goal in advancing delivery systems targeted to the brain. In this context, the intranasal route has emerged as a promising solution for delivering treatments directly from the nose to the brain through the olfactory and trigeminal nerve pathways and thus, bypassing the BBB. The use of lipid-based nanoparticles, including nano/microemulsions, liposomes, solid lipid nanoparticles, and nanostructured lipid carriers, has shown promise in enhancing the efficiency of nose-to-brain delivery. These nanoparticles facilitate drug absorption from the nasal membrane. Additionally, the in situ gel (ISG) system has gained attention owing to its ability to extend the retention time of administered formulations within the nasal cavity. When combined with lipid-based nanoparticles, the ISG system creates a synergistic effect, further enhancing the overall effectiveness of brain-targeted delivery strategies. This comprehensive review provides a thorough investigation of intranasal administration. It delves into the strengths and limitations of this specific delivery route by considering the anatomical complexities and influential factors that play a role during dosing. Furthermore, this study introduces strategic approaches for incorporating nanoparticles and ISG delivery within the framework of intranasal applications. Finally, the review provides recent information on approved products and the clinical trial status of products related to intranasal administration, along with the inclusion of quality-by-design-related insights.
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Low brain-targeting efficiency and route-dependent disease selectivity of intranasal administration still require further studies to be validated.
“This is relevant, given the low brain-targeting efficiency and route-dependent disease selectivity, which still require further studies to be validated [15].”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [15]
Intranasal administration offers direct delivery through olfactory or trigeminal nerve pathways, but some drugs enter systemic or lymphatic circulation, requiring blood-brain barrier crossing and limiting the amount reaching the brain; in practice both pathways occur.
“In contrast, a non-invasive approach such as intranasal administration offers a direct delivery through the olfactory or trigeminal nerve pathways, although some drugs may also enter systemic or lymphatic circulations, requiring crossing the BBB and limiting the amount that reaches the brain. In practice, both pathways occur.”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [15]
The main challenges of intranasal administration lie in the transition from in vitro and animal models to humans due to anatomical differences in the nasal cavity.
“The main challenges related to intranasal administration lie in the transition from in vitro and animal models to humans due to the anatomical differences in the nasal cavity [15].”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [15]
Intranasal administration advantages include high patient compliance, avoidance of hepatic first-pass metabolism and intestinal enzymatic degradation, evasion of blood-brain barrier penetration, and rapid delivery kinetics.
“Advantages of this type of administration include high patient compliance, avoidance of hepatic first-pass metabolism and intestinal enzymatic degradation, evasion of BBB penetration, and rapid delivery kinetics.”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [15]
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“This is relevant, given the low brain-targeting efficiency and route-dependent disease selectivity, which still require further studies to be validated [15].”
- Authors
- Koo, J., Lim, C., & Oh, K. T.
- Affiliations
- Chung-Ang University (KR)
- CHA University (KR)
- Corresponding author
- Oh, Kyung Taek
- Venue
- International Journal of Nanomedicine
- Publisher
- Informa UK Limited
- Published
- 2024-02
- Volume
- Volume 19
- Pages
- 1767-1807
- ISSN
- 1176-9114 (ISSN-L)
- 1178-2013
- PMC
- PMC10898487
- OpenAlex
- W4392111751
- Cited by
- 174
- References
- 7
- Citations by year
- 2026: 95 · 2025: 62 · 2024: 17
- FWCI
- 6.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Nanomedicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- National Research Foundation
- National Research Foundation of Korea (2022R1C1C2002949, 2021R1A2C2008519, 2022R1A5A6000760)
- Ministry of Science and ICT, South Korea (2021R1A2C2008519, 2022R1A5A6000760, 2022R1C1C2002949)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Inhalation and Respiratory Drug Delivery
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Keywords
- intranasal drug delivery, nose-to-brain delivery, blood-brain barrier, lipid nanoparticles, liposomes, solid lipid nanoparticles, nanostructured lipid carriers, in situ gel, nasal drug absorption, brain drug delivery, quality by design
- MeSH terms
- Administration, Intranasal, Blood-Brain Barrier, Brain, Lipids, Liposomes, Nasal Mucosa, Drug Delivery Systems, Nanoparticles
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