Evidence map›Paper›PMID 40420915›Full record

ReviewInternational journal of nanomedicine2025

Brain Delivery Strategies for Biomacromolecular Drugs: Intranasal Administration.

Huanhuan Wu, Chenyu Li, Hong Yuan, Jingyuan Zhao, Shuai Li

Abstract readReview
In one paragraph

Review in International journal of nanomedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Huanhuan Wu *The First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China.
Chenyu Li *The First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China.
Hong YuanCentral Hospital of Dalian University of Technology, Dalian, People's Republic of China.
Jingyuan Zhao *Central Hospital of Dalian University of Technology, Dalian, People's Republic of China.
Shuai LiThe First Affiliated Hospital of Dalian Medical University, Dalian, People's Republic of China.ORCID 0000-0002-3492-7176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Macromolecular Drugs (including monoclonal antibodies, recombinant proteins, and nucleic acid therapies) have become a cornerstone strategy for intervening in complex pathological mechanisms such as cancer, autoimmune diseases, and genetic disorders due to their high specificity for disease targets and low off-target toxicity. However, compared to traditional small-molecule drugs, the high molecular weight (>10 kDa) and structural complexity of macromolecular drugs result in extremely low transmembrane permeability. This is particularly challenging in the treatment of central nervous system (CNS) diseases, where the blood-brain barrier (BBB) imposes stringent selectivity, further limiting drug delivery efficiency. This review focuses on the breakthrough strategy of nose-to-brain (NtB) drug delivery. On one hand, the NtB pathway bypasses the BBB, enabling direct CNS drug delivery. On the other hand, nanocarrier technology can synergistically achieve systemic delivery and brain-targeted transport. Based on the latest research advances, this article systematically examines the feasibility of delivering macromolecular drugs via NtB administration. We comprehensively summarize relevant delivery carriers and discuss the potential advantages of intranasal-brain delivery for CNS disease treatment. Notably, while significant progress has been made in this field, further exploration is still needed regarding the mechanisms of NtB delivery and challenges in clinical translation.

Indexed as

BrainDrug Delivery SystemsMacromolecular SubstancesAdministration, IntranasalAnimalsBlood-Brain BarrierCentral Nervous System DiseasesDrug CarriersHumansDrug CarriersMacromolecular SubstancesBBBcentral nervous system disordersintranasal administrationmacromolecular drugsnanocarriers

Identifiers

PMID40420915
PMCPMC12105674

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.