Sniffing neuropeptides: a transnasal approach to the human brain

Neuropeptides act as neuronal messengers in the brain, influencing many neurobehavioral functions. Their experimental and therapeutic use in humans has been hampered because, when administered systemically, these compounds do not readily pass the blood–brain barrier, and they evoke potent hormone-like side effects when circulating in the blood. We administered three peptides, melanocortin(4–10) (MSH/ACTH(4–10)), vasopressin and insulin, intranasally and found that they achieved direct access to the cerebrospinal fluid (CSF) within 30 minutes, bypassing the bloodstream.

[1]  J. Born,et al.  The behaviorally active peptide ACTH 4-10: Measurement in plasma and pharmacokinetics in man , 2004, European Journal of Clinical Pharmacology.

[2]  R. Thorne,et al.  Quantitative analysis of the olfactory pathway for drug delivery to the brain , 1995, Brain Research.

[3]  J. Born,et al.  The Journal of Clinical Endocrinology & Metabolism Printed in U.S.A. Copyright © 2001 by The Endocrine Society The Melanocortin Melanocyte-Stimulating Hormone/Adrenocorticotropin 4–10 Decreases Body Fat in Humans* , 2022 .

[4]  L. Fisher,et al.  Evidence for entry of plasma insulin into cerebrospinal fluid through an intermediate compartment in dogs. Quantitative aspects and implications for transport. , 1991, The Journal of clinical investigation.

[5]  W. Gispen,et al.  Vasopressin and memory consolidation. , 1976, Progress in brain research.

[6]  S. Woods,et al.  Central nervous system control of food intake , 2000, Nature.

[7]  L. Illum Transport of drugs from the nasal cavity to the central nervous system. , 2000, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[8]  H. Soininen,et al.  Penetration of DGAVP (Org 5667) across the blood-brain barrier in human subjects , 1987, Peptides.

[9]  W. Pardridge Blood-brain barrier biology and methodology. , 1999, Journal of neurovirology.

[10]  J. Born,et al.  Central nervous system effects of intranasally administered insulin during euglycemia in men. , 1999, Diabetes.

[11]  D. Porte,et al.  Cerebrospinal fluid insulin levels increase during intravenous insulin infusions in man. , 1987, The Journal of clinical endocrinology and metabolism.

[12]  J. Born,et al.  Manipulating neuropeptidergic pathways in humans: a novel approach to neuropharmacology? , 2000, European journal of pharmacology.

[13]  Y. Rahman,et al.  Delivery of Nerve Growth Factor to the Brain via the Olfactory Pathway. , 1998, Journal of Alzheimer's disease : JAD.

[14]  E. Gunnarsson,et al.  Olfactory Absorption of Insulin to the Brain , 1997 .