Translational approaches for brain delivery of biologics via cerebrospinal fluid

SS Sadekar, M Bowen, H Cai… - Clinical …, 2022 - Wiley Online Library
Delivery of biologics via cerebrospinal fluid (CSF) has demonstrated potential to access the
tissues of the central nervous system (CNS) by circumventing the blood‐brain barrier and …

Intrathecal delivery and its applications in leptomeningeal disease

M Khang, RS Bindra, WM Saltzman - Advanced Drug Delivery Reviews, 2022 - Elsevier
Intrathecal delivery (IT) of opiates into the cerebrospinal fluid (CSF) for anesthesia and pain
relief has been used clinically for decades, but this relatively straightforward approach of …

[HTML][HTML] Importance of CSF-based Aβ clearance with age in humans increases with declining efficacy of blood-brain barrier/proteolytic pathways

DL Elbert, BW Patterson, BP Lucey… - Communications …, 2022 - nature.com
The kinetics of amyloid beta turnover within human brain is still poorly understood. We
previously found a dramatic decline in the turnover of Aβ peptides in normal aging. It was not …

Non-homogeneous analysis of rogue wave probability evolution over a shoal

S Mendes, A Scotti, M Brunetti… - Journal of Fluid …, 2022 - cambridge.org
Non-equilibrium evolution of wave fields, as occurring over sudden bathymetry variations,
can produce rogue seas with anomalous wave statistics. We handle this process by …

[HTML][HTML] Human in silico trials for parametric computational fluid dynamics investigation of cerebrospinal fluid drug delivery: impact of injection location, injection …

M Khani, GKR Burla, LR Sass, ON Arters, T Xing… - Fluids and Barriers of …, 2022 - Springer
Background Intrathecal drug delivery has a significant role in pain management and central
nervous system (CNS) disease therapeutics. A fluid-physics based tool to assist clinicians in …

[HTML][HTML] Intrathecal drug delivery: advances and applications in the management of chronic pain patient

J De Andres, S Hayek, C Perruchoud… - Frontiers in Pain …, 2022 - frontiersin.org
Advances in our understanding of the biology of spinal systems in organizing and defining
the content of exteroceptive information upon which higher centers define the state of the …

A one-dimensional model for the pulsating flow of cerebrospinal fluid in the spinal canal

S Sincomb, W Coenen, C Gutiérrez-Montes… - Journal of fluid …, 2022 - cambridge.org
The monitoring of intracranial pressure (ICP) fluctuations, which is needed in the context of a
number of neurological diseases, requires the insertion of pressure sensors, an invasive …

Effect of normal breathing on the movement of CSF in the spinal subarachnoid space

C Gutiérrez-Montes, W Coenen… - American Journal …, 2022 - Am Soc Neuroradiology
BACKGROUND AND PURPOSE: Forced respirations reportedly have an effect on CSF
movement in the spinal canal. We studied respiratory-related CSF motion during normal …

On the dispersion of a drug delivered intrathecally in the spinal canal

JJ Lawrence, W Coenen, AL Sánchez… - Journal of Fluid …, 2019 - cambridge.org
This paper investigates the transport of a solute carried by the cerebrospinal fluid (CSF) in
the spinal canal. The analysis is motivated by the need for a better understanding of drug …

[HTML][HTML] Determination of spinal tracer dispersion after intrathecal injection in a deformable CNS model

AO Ayansiji, DS Gehrke, B Baralle, A Nozain… - Frontiers in …, 2023 - frontiersin.org
Background: Traditionally, there is a widely held belief that drug dispersion after intrathecal
(IT) delivery is confined locally near the injection site. We posit that high-volume infusions …