Effect of infusion direction on convection-enhanced drug delivery to anisotropic tissue
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Published version
Author(s)
Yang, Yi
Yuan, Tian
Rodriguez y Baena, Ferdinando
Dini, Daniele
Zhan, Wenbo
Type
Journal Article
Abstract
Convection-enhanced delivery (CED) can effectively overcome the blood–brain barrier by infusing drugs directly into diseased sites in the brain using a catheter, but its clinical performance still needs to be improved. This is strongly related to the highly anisotropic characteristics of brain white matter, which results in difficulties in controlling drug transport and distribution in space. In this study, the potential to improve the delivery of six drugs by adjusting the placement of the infusion catheter is examined using a mathematical model and accurate numerical simulations that account simultaneously for the interstitial fluid (ISF) flow and drug transport processes in CED. The results demonstrate the ability of this direct infusion to enhance ISF flow and therefore facilitate drug transport. However, this enhancement is highly anisotropic, subject to the orientation of local axon bundles and is limited within a small region close to the infusion site. Drugs respond in different ways to infusion direction: the results of our simulations show that while some drugs are almost insensitive to infusion direction, this strongly affects other compounds in terms of isotropy of drug distribution from the catheter. These findings can serve as a reference for planning treatments using CED.
Date Issued
2024-10
Date Acceptance
2024-08-13
Citation
Journal of the Royal Society Interface, 2024, 21 (219)
ISSN
1742-5662
Publisher
The Royal Society
Journal / Book Title
Journal of the Royal Society Interface
Volume
21
Issue
219
Copyright Statement
© 2024 The Author(s).
Published by the Royal Society under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, provided the original author and source are credited.
Published by the Royal Society under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, provided the original author and source are credited.
License URL
Identifier
http://dx.doi.org/10.1098/rsif.2024.0378
Publication Status
Published
Article Number
20240378
Date Publish Online
2024-10-02