Smuggling drugs into the brain: an overview of ligands targeting transcytosis for drug delivery across the blood–brain barrier.
Open accessAbstract
The blood-brain barrier acts as a physical barrier that prevents free entry of blood-derived substances, including those intended for therapeutic applications. The development of molecular Trojan horses is a promising drug targeting technology that allows for non-invasive delivery of therapeutics into the brain. This concept relies on the application of natural or genetically engineered proteins or small peptides, capable of specifically ferrying a drug-payload that is either directly coupled or encapsulated in an appropriate nanocarrier, across the blood-brain barrier via receptor-mediated transcytosis. Specifically, in this process the nanocarrier-drug system ("Trojan horse complex") is transported transcellularly across the brain endothelium, from the blood to the brain interface, essentially trailed by a native receptor. Naturally, only certain properties would favor a receptor to serve as a transporter for nanocarriers, coated with appropriate ligands. Here we briefly discuss brain microvascular endothelial receptors that have been explored until now, highlighting molecular features that govern the efficiency of nanocarrier-mediated drug delivery into the brain.
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Nano-delivery systems of size 100-200 nm can be easily accommodated in transport vesicles for receptor-mediated internalization and vesicular transport.
“Receptor-mediated internalization of cargo followed by vesicular transport is a suitable option as nano-delivery systems of size 100–200 nm range can be easily accommodated in these transport vesicles”
From Nanotechnology: A Promising Approach for Delivery of Neuroprotective Drugs (2020) · cites this paper as Georgieva et al., 2014
Nanocarriers of size less than 500 Da having the ability to absorb inside cells are suitable for transcellular transportation.
“The nanocarriers of size less than 500 Da having the ability to absorb inside cells are suitable for transcellular transportation”
From Nanotechnology: A Promising Approach for Delivery of Neuroprotective Drugs (2020) · cites this paper as Georgieva et al., 2014
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From blood–brain barrier to blood–brain interface: new opportunities for CNS drug delivery
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“Nanoparticles Actively targeted delivery; brain targeting using specific physiological conditions Crossing the BBB [30-31], [33], [36-39], [44], [46], [47], [50]”
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“Three distinct steps are involved in overall transcytosis process: endocytosis of the nanocarrier at the plasma membrane, trafficking of intracellular vesicles toward the opposite surface followed by exocytosis (Rappoport, 2008; Pardridge, 2012; Georgieva et al., 2014).”
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Wang, J., Garancher, A., Ramaswamy, V., & Wechsler-Reya, R. J. (2018) · Annual Review of Neuroscience · doi:10.1146/annurev-neuro-070815-013838 · Cited by 113 · see citing works
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Short Peptide-Mediated Brain-Targeted Drug Delivery with Enhanced Immunocompatibility
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Tomak, A., Saglam-Metiner, P., Coban, R., Oksel-Karakus, C., & Yesil-Celiktas, O. (2025) · Tissue and Cell · doi:10.1016/j.tice.2025.103080 · Cited by 6 · see citing works
- Authors
- Georgieva, J., Hoekstra, D., & Zuhorn, I.
- Affiliations
- University Medical Center Groningen (NL)
- Corresponding author
- Zuhorn, Inge
- Venue
- Pharmaceutics
- Publisher
- MDPI AG
- Published
- 2014-11-17
- Volume
- 6
- Issue
- 4
- Pages
- 557-583
- ISSN
- 1999-4923 (ISSN-L)
- PMC
- PMC4279133
- OpenAlex
- W2150581897
- Cited by
- 211
- References
- 134
- Citations by year
- 2026: 13 · 2025: 20 · 2024: 10 · 2023: 10 · 2022: 21 · 2021: 23 · 2020: 23 · 2019: 18 · 2018: 24 · 2017: 19 · 2016: 19 · 2015: 10 · 2014: 1
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Pharmaceutics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- Top Institute Pharma
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Keywords
- blood-brain barrier, transcytosis, receptor-mediated transcytosis, Trojan horse, brain drug delivery, nanocarriers, ligands, peptide ligands, receptor engineering, brain endothelium
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