AI Article Synopsis

  • - The study examines the role of the neonatal Fc receptor (FcRn) in drug delivery through the nasal route, specifically for therapeutic antibodies used in neurological diseases. - Researchers found that FcRn is present in various cells within the olfactory mucosa and that it facilitates the uptake of allogenic (same species) IgGs, though less so for xenogenic (different species) human IgGs. - The findings suggest that FcRn-mediated transport could enhance intranasal drug delivery effectiveness, but concerns regarding immune responses in lymphoid follicles need further investigation to prevent potential immunogenic reactions.

Article Abstract

Background: The use of therapeutic antibodies for the treatment of neurological diseases is of increasing interest. Nose-to-brain drug delivery is one strategy to bypass the blood brain barrier. The neonatal Fc receptor (FcRn) plays an important role in transepithelial transcytosis of immunoglobulin G (IgG). Recently, the presence of the FcRn was observed in nasal respiratory mucosa. The aim of the present study was to determine the presence of functional FcRn in olfactory mucosa and to evaluate its role in drug delivery.

Methods: Immunoreactivity and messenger RNA (mRNA) expression of FcRn was determined in ex vivo porcine olfactory mucosa. Uptake of IgG was performed in a side-by-side cell and analysed by immunofluorescence.

Results: FcRn was found in epithelial and basal cells of the olfactory epithelium as well as in glands, cavernous bodies and blood vessels. Allogenic porcine IgGs were found time-dependently in the and along axonal bundles, while only small amounts of xenogenic human IgGs were detected. Interestingly, lymphoid follicles were spared from allogenic IgGs.

Conclusion: Fc-mediated transport of IgG across the nasal epithelial barrier may have significant potential for intranasal delivery, but the relevance of immune interaction in lymphoid follicles must be clarified to avoid immunogenicity.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161100PMC
http://dx.doi.org/10.3390/pharmaceutics10030107DOI Listing

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