PhD, University of Cincinnati, 2013, Medicine: Toxicology (Environmental Health)
Drug transport to the brain for the treatment of neurological diseases is a challenge due to impenetrable nature of the blood brain barrier (BBB). Intranasal (IN) drug administration is a non-invasive approach for rapid direct drug delivery from the nose to the central nervous system (CNS), thereby minimizing systemic exposure. The current study focuses on a strategy to enhance the delivery of the nucleoside drug gemcitabine (GEM) to the CNS via IN administration. Our approach took advantage of the fact that the BBB and olfactory epithelial tight junctions (TJs) share many proteins in common. We hypothesized that by transiently increasing the permeability of nasal epithelial tight junctions using the BBB permeabilizer papaverine (PV), we would increase the concentration of GEM reaching the brain extracellular fluid (BECF) following IN delivery, with the goal of delivering therapeutic concentrations of nucleoside drugs to the CNS. Experimental methods included IN administration of fluorescein isothiocyanate-dextran beads (FD4), GEM and PV, in-vitro GEM recovery, in-vivo brain microdialysis for BECF collection, HPLC analysis to measure GEM in BECF, histopathology, western blot analysis and immunofluorescence localization. Distribution studies with FD4 showed significant deposition in the ethmoid turbinates, suggesting drug uptake through olfactory epithelium. Clinically relevant doses of PV (up to 1.4% IN) did not cause histological evidence of cytotoxicity or inflammation in nasal epithelia, lung, liver, spleen, or kidney. Pharmacokinetics of GEM in BECF for PV (1.4%) + GEM (50mg/kg) treated animals showed almost four fold increase in area under the curve as compared to no PV treatment group. Western blot analysis suggested that IN PV treatment increased permeability through olfactory epithelial TJs by transiently decreasing the levels of TJ protein phospho- occludin. Immunofluorescence staining showed reversible alteration of occludin localization in olfactory epith (open full item for complete abstract)
... More
Committee: Mary Beth Genter Ph.D. (Committee Chair); Pankaj Desai Ph.D. (Committee Member); Gary Gudelsky Ph.D. (Committee Member); Marepalli Rao Ph.D. (Committee Member); Howard Shertzer Ph.D. (Committee Member)
Subjects: Toxicology