The blood-brain barrier (“BBB”) consists of a vast network of capillaries that deliver oxygen, nutrients and other necessities to brain cells and carry waste materials away. As in the rest of the body, the walls of the BBB capillaries consist of a single layer of endothelial cells. However, the junctions between the endothelial cells of the BBB capillaries are tightly joined so foreign substances, harmful as well as beneficial, are prevented from passing from the blood, between the cells and into the brain tissue.

 

The endothelial cells that form this formidable barrier allow the transport of desirable molecules between the blood and the brain. Unique physiological mechanisms allow sugars, minerals, proteins, waste materials and other substances to pass through the BBB, maintaining the delicate chemical balance of the brain.

This exchange of substances takes place through channels and receptors found on the surface of the BBB endothelial cells. For instance, melanotransferrin (“MTf”), the protein upon which biOasis’ Transcend is based, attaches itself to receptors on a BBB endothelial cell and is ferried through the cell into the brain where it delivers its normal payload of iron.

 

Making adaptations to an innate transport system, such as MTf, in order to carry therapeutics across the BBB could allow for an effective, safe and non-invasive drug-delivery system, which is what biOasis has done with Transcend.

 

A system that allows the transport of therapeutics across the BBB would address a large unmet medical need in neurological medicine. Due to the BBB, over 98% of small molecule drugs and almost 100% of larger biologic drugs (antibodies, enzymes, etc.) cannot enter the brain at therapeutic concentrations.

The BBB and existing delivery mechanisms of therapeutics to the central nervous system (“CNS”) are the limiting factors in developing treatments for many neurological diseases.


Via Krishan Maggon