Unravelling Alzheimer’s: Innovations in Pathogenesis, Diagnosis, and Therapeutics

Intranasal Drug Delivery in Treating Alzheimer’s Disease

Author(s): Nitin Kumar*, Harendar Kumar Nivatya, Anjali Singh, Sonam, Lovy Sharma and Vishal Singh

Pp: 355-389 (35)

DOI: 10.2174/9798898814953126010015

* (Excluding Mailing and Handling)

Abstract

Alzheimer's disease is a monogenic brain illness that impairs thinking, remembrance, judgment, and focus, making it difficult for an individual to carry out regular responsibilities. Drug delivery to the brain is necessary for the effective treatment of diseases of the CNS, including epilepsy, schizophrenia, meningitis, migraine, Parkinson's disease, and Alzheimer's disease. However, because the BloodBrain Barrier (BBB) separates the Central Nervous System (CNS) from the rest of the body, this remains a challenging area to manage. The blood-brain barrier and additional barriers to oral and other routes, such as decreased bioavailability, quick metabolism, rapid excretion, and drug breakdown by enzymes and stomach juices, make it difficult to transfer drugs to the brain. Promising drug delivery strategies for the efficient nasal delivery of anti-Alzheimer medications with enhanced permeability and bioavailability include lipid particle systems, emulsion-based systems, vesicular drug delivery systems, and other nanocarriers. Effective and targeted drug administration via the nasal route is influenced by charge, size, neurotherapeutic type, and formulation excipients. One of the cutting-edge approaches to brain targeting being explored to overcome the limitations of oral and other modes of administration is the nose-to-brain medication delivery device. A promising substitute for administering medications and enhancing the therapy of Alzheimer's disease is the intranasal route, through the olfactory and trigeminal pathways in the nasal cavity. Intranasal delivery provides a direct channel to the brain. Nasal physiology, however, can restrict bioavailability and impede drug absorption. Despite being limited by the particular circumstances of the nasal canal, intranasal administration has become a viable option. Using nanotechnology-based nano-carriers for intranasal delivery is a novel strategy. By offering increased bioavailability, greater permeability, efficient blood-brain barrier traversal, prolonged retention inside the body, and precise brain targeting, this approach may be able to get past the present restrictions. Therefore, it is necessary to use technical solutions to maximize the physicochemical features of formulations.


Keywords: Alzheimer’s disease, Blood-brain barrier, Intranasal administration, Lipid particulate systems, Novel approaches.