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Review

Recent advancements on in vitro blood-brain barrier model: A reliable and efficient screening approach for preclinical and clinical investigation

, , ORCID Icon, , & ORCID Icon
Pages 1839-1857 | Received 06 Sep 2023, Accepted 13 Dec 2023, Published online: 28 Dec 2023
 

ABSTRACT

Introduction

The efficiency of brain therapeutics is greatly hindered by the blood-brain barrier (BBB). BBB’s protective function, selective permeability, and dynamic functionality maintain the harmony between the brain and peripheral region. Thus, the design of any novel drug carrier system requires the complete study and investigation of BBB permeability, efflux transport, and the effect of associated cellular and non-vascular unit trafficking on BBB penetrability. The in vitro BBB models offer a most promising, and reliable mode of initial investigation of BBB permeability and associated factors as strong evidence for further preclinical and clinical investigation.

Area covered

This review work covers the structure and functions of BBB components and different types of in vitro BBB models along with factors affecting BBB model development and model selection criteria.

Expert opinion

In vivo models assume to reciprocate the physiological environment to the maximum extent. However, the interspecies variability, NVUs trafficking, dynamic behavior of BBB, etc., lead to non-reproducible results. The in vitro models are comparatively less complex, and flexible, as per the study design, could generate substantial evidence and help identify suitable in vivo animal model selection.

Article highlights

  • The co-culture BBB model can study the effect of different cellular components on BBB permeability.

  • Stem cell-derived BBB model can imitate the tight junction, TEER, and other transmembrane proteins.

  • The diseased BBB model can be used to study the target activation and altered permeability.

  • Organoid, spheroid, or hydrogel-based 3D BBB models replicate multiple components and the dynamic nature of BBB.

This box summarizes key points contained in the article.

Abbreviations

BBB=

Blood-Brain barrier

TEER=

Trans endothelial electrical resistance

JAM=

Junction adhesion molecule

EC=

Endothelial Cells

NVU=

Neuro Vascular Unit

hBECs=

human Brain Endothelial Cells

CSF=

Cerebrospinal Fluid

DIV-BBB=

Dynamic in vitro BBB

BCEC=

Brain capillary endothelial cells

BMECs=

Brain microvascular endothelial cells

IRB=

Institutional review board

CPF=

Chlorpyrifos

PMT=

Permethrin

CFT=

Cyfluthrin

TJ=

Tight Junction

ZO=

Zonula occludens

QSAR=

Quantitative Structural Activity Relationship

IVIVC=

in vitro-in vivo correlation

P-gp=

P-glycoprotein

HiPSCs=

Human-induced Pluripotent Stem Cells

hPSCs=

Human pluripotent stem cells

PECAM-1=

Platelet endothelial cell adhesion molecule

VE=

vascular endothelial

hESC=

human embryonic stem cell

vWF=

von Willebrand factor

CAA=

Cerebral Amyloid Angiopathy

IECs=

Immortalized Endothelial Cells

BCRP=

Breast Cancer Resistant Protein

OGD=

Oxygen-Glucose Deprivation

BEC=

Brain Endothelial Cells

iPSCs=

induced Pluripotent Stem Cells

ESCs=

Embryonic Stem Cells

RA=

Retinoic Acid

PCR=

Polymerase Chain Reaction

HTS=

High Throughput Screening

BVOs=

Blood Vessel Organoid

VEGF=

Vascular endothelial Growth Factor

GBM=

Glioblastoma multiforme

PDMS=

Polydimethylsiloxane

PMMA=

Poly(methylmethacrylate)

Declaration of Interest

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or the material discussed in the manuscript. This includes employment, consultancies, honorary, stock ownership or options, expert testimony, grants, patents received or pending, or royalties.

Reviewer disclosures

Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Acknowledgments

The author wants to extend gratitude to National Institute of Pharmaceutical Education and Research, Guwahati, India, for providing necessary support for compilation of this work.

Additional information

Funding

This paper was not funded.

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