Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Advertisement

Communications Biology
  • View all journals
  • Search
  • My Account Login
  • Content Explore content
  • About the journal
  • Publish with us
  • Sign up for alerts
  • RSS feed
  1. nature
  2. communications biology
  3. articles
  4. article
Quantitative comparison of methods for widespread delivery of small molecules across the blood-brain barrier
Download PDF
Download PDF
  • Article
  • Open access
  • Published: 04 April 2026

Quantitative comparison of methods for widespread delivery of small molecules across the blood-brain barrier

  • Miranda Dawson  ORCID: orcid.org/0000-0002-3226-91221 na1,
  • Sarah Bricault  ORCID: orcid.org/0000-0002-0832-78551 na1,
  • Peter Harvey1 na1 nAff6,
  • Agata Wisniowska2,
  • He Wei  ORCID: orcid.org/0000-0001-7188-81051 nAff7,
  • Xun Wang  ORCID: orcid.org/0000-0002-6363-42251,
  • Gracia García-García1,
  • Takashi Kaise1,
  • Roger D. Kamm  ORCID: orcid.org/0000-0002-7232-304X1,3 &
  • …
  • Alan Jasanoff  ORCID: orcid.org/0000-0002-2834-63591,4,5 

Communications Biology , Article number:  (2026) Cite this article

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Blood–brain barrier
  • Drug delivery
  • Magnetic resonance imaging

Abstract

Achieving widespread delivery of pharmacological agents beyond the blood-brain barrier (BBB) remains a formidable challenge in preclinical and clinical research. Here we quantitatively evaluate and compare three strategies for brain-wide delivery that employ transient BBB disruption or infusion via the cerebrospinal fluid (CSF) in rats. Using molecular magnetic resonance imaging (MRI) techniques, we find that the three techniques produce spatially differentiated labeling patterns, with the most homogeneous delivery produced either using chemically mediated or unfocused ultrasound-based BBB manipulation methods. Contrast enhancement distributions are similar following chemical and ultrasound procedures, but differ notably from the results of intra-CSF infusion. Delivery efficiency using the two BBB disruption methods also correlates inversely with a marker of tight junction density, suggesting that common factors determine susceptibility to these techniques. Our study thus documents the spatial variation of BBB properties across the brain while offering guidance about brain-wide application of molecular technologies in neuroscience and neuromedicine.

Data availability

Processed data are presented in the text, figures, and Supplementary Information. Numerical source data used to generate graphs in this study are provided as an accompanying Supplementary Data file. Raw data for key experiments have been deposited with the Dryad repository at https://doi.org/10.5061/dryad.tqjq2bwb7.

References

  1. Abbott, N. J., Patabendige, A. A., Dolman, D. E., Yusof, S. R. & Begley, D. J. Structure and function of the blood-brain barrier. Neurobiol. Dis. 37, 13–25 (2010).

    Google Scholar 

  2. Neuwelt, E. A. et al. Engaging neuroscience to advance translational research in brain barrier biology. Nat. Rev. Neurosci. 12, 169–182 (2011).

    Google Scholar 

  3. Terstappen, G. C., Meyer, A. H., Bell, R. D. & Zhang, W. Strategies for delivering therapeutics across the blood-brain barrier. Nat. Rev. Drug Discov. 20, 362–383 (2021).

    Google Scholar 

  4. Pardridge, W. M. Treatment of Alzheimer’s disease and blood-brain barrier drug delivery. Pharmaceuticals 13, 394 (2020).

  5. Goulatis, L. I. & Shusta, E. V. Protein engineering approaches for regulating blood-brain barrier transcytosis. Curr. Opin. Struct. Biol. 45, 109–115 (2017).

    Google Scholar 

  6. Pulgar, V. M. Transcytosis to cross the blood brain barrier, new advancements and challenges. Front. Neurosci. 12, 1019 (2018).

    Google Scholar 

  7. Grimm, H. P. et al. Delivery of the Brainshuttle amyloid-beta antibody fusion trontinemab to non-human primate brain and projected efficacious dose regimens in humans. MAbs 15, 2261509 (2023).

    Google Scholar 

  8. Barker, S. J. et al. Targeting the transferrin receptor to transport antisense oligonucleotides across the mammalian blood-brain barrier. Sci. Transl. Med. 16, eadi2245 (2024).

    Google Scholar 

  9. Huang, Q. et al. An AAV capsid reprogrammed to bind human transferrin receptor mediates brain-wide gene delivery. Science 384, 1220–1227 (2024).

    Google Scholar 

  10. Khoury, N. et al. Fc-engineered large molecules targeting blood-brain barrier transferrin receptor and CD98hc have distinct central nervous system and peripheral biodistribution. Nat. Commun. 16, 1822 (2025).

    Google Scholar 

  11. Sadekar, S. S. et al. Translational approaches for brain delivery of biologics via cerebrospinal fluid. Clin. Pharmacol. Ther. 111, 826–834 (2022).

    Google Scholar 

  12. Iliff, J. J. et al. A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid beta. Sci. Transl. Med. 4, 147ra111 (2012).

    Google Scholar 

  13. Iliff, J. J. et al. Brain-wide pathway for waste clearance captured by contrast-enhanced MRI. J. Clin. Invest. 123, 1299–1309 (2013).

    Google Scholar 

  14. Jessen, N. A., Munk, A. S., Lundgaard, I. & Nedergaard, M. The glymphatic system: a beginner’s guide. Neurochem. Res. 40, 2583–2599 (2015).

    Google Scholar 

  15. Abbott, N. J., Pizzo, M. E., Preston, J. E., Janigro, D. & Thorne, R. G. The role of brain barriers in fluid movement in the CNS: is there a ‘glymphatic’ system? Acta Neuropathol. 135, 387–407 (2018).

    Google Scholar 

  16. Wolak, D. J. & Thorne, R. G. Diffusion of macromolecules in the brain: implications for drug delivery. Mol. Pharm. 10, 1492–1504 (2013).

    Google Scholar 

  17. Nicholson, C. & Hrabetova, S. Brain extracellular space: the final frontier of neuroscience. Biophys. J. 113, 2133–2142 (2017).

    Google Scholar 

  18. Szablowski, J. O., Bar-Zion, A. & Shapiro, M. G. Achieving spatial and molecular specificity with ultrasound-targeted biomolecular nanotherapeutics. Acc. Chem. Res. 52, 2427–2434 (2019).

    Google Scholar 

  19. McMahon, D., O’Reilly, M. A. & Hynynen, K. Therapeutic agent delivery across the blood-brain barrier using focused ultrasound. Annu. Rev. Biomed. Eng. 23, 89–113 (2021).

    Google Scholar 

  20. Howles, G. P. et al. Contrast-enhanced in vivo magnetic resonance microscopy of the mouse brain enabled by noninvasive opening of the blood-brain barrier with ultrasound. Magn. Reson. Med. 64, 995–1004 (2010).

    Google Scholar 

  21. McDannold, N., Zhang, Y. & Vykhodtseva, N. Blood-brain barrier disruption and vascular damage induced by ultrasound bursts combined with microbubbles can be influenced by choice of anesthesia protocol. Ultrasound Med. Biol. 37, 1259–1270 (2011).

    Google Scholar 

  22. Beccaria, K. et al. Opening of the blood-brain barrier with an unfocused ultrasound device in rabbits. J. Neurosurg. 119, 887–898 (2013).

    Google Scholar 

  23. Bakay, L., Ballantine, H. T. Jr., Hueter, T. F. & Sosa, D. Ultrasonically produced changes in the blood-brain barrier. AMA Arch. Neurol. Psychiatry 76, 457–467 (1956).

    Google Scholar 

  24. Hynynen, K., McDannold, N., Vykhodtseva, N. & Jolesz, F. A. Noninvasive MR imaging-guided focal opening of the blood-brain barrier in rabbits. Radiology 220, 640–646 (2001).

    Google Scholar 

  25. Lipsman, N. et al. Blood-brain barrier opening in Alzheimer’s disease using MR-guided focused ultrasound. Nat. Commun. 9, 2336 (2018).

    Google Scholar 

  26. Gasca-Salas, C. et al. Blood-brain barrier opening with focused ultrasound in Parkinson’s disease dementia. Nat. Commun. 12, 779 (2021).

    Google Scholar 

  27. Rezai, A. R. et al. Ultrasound blood-brain barrier opening and Aducanumab in Alzheimer’s disease. New Engl. J. Med. 390, 55–62 (2024).

    Google Scholar 

  28. Wu, C. C. et al. Blood-brain barrier opening with neuronavigation-guided focused ultrasound in pediatric patients with diffuse midline glioma. Sci. Transl. Med. 17, eadq6645 (2025).

    Google Scholar 

  29. Bhunia, S. et al. Drug delivery to the brain: recent advances and unmet challenges. Pharmaceutics 15, 2658 (2023).

  30. On, N. H., Savant, S., Toews, M. & Miller, D. W. Rapid and reversible enhancement of blood-brain barrier permeability using lysophosphatidic acid. J. Cereb. Blood Flow Metab. 33, 1944–1954 (2013).

    Google Scholar 

  31. Sun, Z. et al. Biodistribution of negatively charged iron oxide nanoparticles (IONPs) in mice and enhanced brain delivery using lysophosphatidic acid (LPA). Nanomedicine 12, 1775–1784 (2016).

    Google Scholar 

  32. Doolittle, N. D., Muldoon, L. L., Culp, A. Y. & Neuwelt, E. A. Delivery of chemotherapeutics across the blood-brain barrier: challenges and advances. Adv. Pharmacol. 71, 203–243 (2014).

    Google Scholar 

  33. Tweedle, M. F. Physicochemical properties of gadoteridol and other magnetic resonance contrast agents. Invest. Radiol. 27, S2–S6 (1992).

    Google Scholar 

  34. Probst, R. J. et al. Gender differences in the blood volume of conscious Sprague-Dawley rats. J. Am. Assoc. Lab. Anim. Sci. 45, 49–52 (2006).

    Google Scholar 

  35. Westerhout, J., Ploeger, B., Smeets, J., Danhof, M. & de Lange, E. C. Physiologically based pharmacokinetic modeling to investigate regional brain distribution kinetics in rats. AAPS J. 14, 543–553 (2012).

    Google Scholar 

  36. Yang, L. et al. Evaluating glymphatic pathway function utilizing clinically relevant intrathecal infusion of CSF tracer. J. Transl. Med. 11, 107 (2013).

    Google Scholar 

  37. Szomolanyi, P. et al. Comparison of the relaxivities of macrocyclic gadolinium-based contrast agents in human plasma at 1.5, 3, and 7 T, and blood at 3 T. Invest. Radiol. 54, 559–564 (2019).

    Google Scholar 

  38. Paxinos, G. & Watson, C. The Rat Brain in Stereotaxic Coordinates, 7th edn (Academic Press, 2013).

  39. Siso, S., Jeffrey, M. & Gonzalez, L. Sensory circumventricular organs in health and disease. Acta Neuropathol. 120, 689–705 (2010).

    Google Scholar 

  40. Sheikov, N., McDannold, N., Sharma, S. & Hynynen, K. Effect of focused ultrasound applied with an ultrasound contrast agent on the tight junctional integrity of the brain microvascular endothelium. Ultrasound Med. Biol. 34, 1093–1104 (2008).

    Google Scholar 

  41. Schulze, C., Smales, C., Rubin, L. L. & Staddon, J. M. Lysophosphatidic acid increases tight junction permeability in cultured brain endothelial cells. J. Neurochem. 68, 991–1000 (1997).

    Google Scholar 

  42. Pavlou, G. et al. Engineered 3D human neurovascular model of Alzheimer’s disease to study vascular dysfunction. Biomaterials 314, 122864 (2025).

    Google Scholar 

  43. Stanton, E. H. et al. Mapping of CSF transport using high spatiotemporal resolution dynamic contrast-enhanced MRI in mice: effect of anesthesia. Magn. Reson. Med. 85, 3326–3342 (2021).

    Google Scholar 

  44. O’Reilly, M. A. & Hynynen, K. Ultrasound enhanced drug delivery to the brain and central nervous system. Int. J. Hyperth. 28, 386–396 (2012).

    Google Scholar 

  45. Kovacs, Z. I. et al. Disrupting the blood-brain barrier by focused ultrasound induces sterile inflammation. Proc. Natl. Acad. Sci. USA 114, E75–E84 (2017).

    Google Scholar 

  46. McMahon, D. & Hynynen, K. Acute inflammatory response following increased blood-brain barrier permeability induced by focused ultrasound is dependent on microbubble dose. Theranostics 7, 3989–4000 (2017).

    Google Scholar 

  47. Choi, J. J., Wang, S., Tung, Y. S., Morrison, B. 3rd & Konofagou, E. E. Molecules of various pharmacologically-relevant sizes can cross the ultrasound-induced blood-brain barrier opening in vivo. Ultrasound Med. Biol. 36, 58–67 (2010).

    Google Scholar 

  48. Blanchette, M., Tremblay, L., Lepage, M. & Fortin, D. Impact of drug size on brain tumor and brain parenchyma delivery after a blood-brain barrier disruption. J. Cereb. Blood Flow Metab. 34, 820–826 (2014).

    Google Scholar 

  49. Wei, H. et al. Single-nanometer iron oxide nanoparticles as tissue-permeable MRI contrast agents. Proc. Natl. Acad. Sci. USA 118, e2102340118 (2021).

Download references

Acknowledgements

This research was funded by grants from the K. Lisa Yang Brain-Body Center and the NIH (U01 EB031641, R01 NS121073, R01 DA062195) to A.J. M.D., S.B. were partially funded by the MIT Neurobiological Engineering Training Program (NIH T32 EB019940), and S.B. was also funded by a J. Douglas Tan Postdoctoral Fellowship from the McGovern Institute for Brain Research. P.H. was supported by a Wellcome Trust-MIT Postdoctoral Fellowship (105932/Z/14/Z). A.W. was partially funded by the Advanced Multimodal Neuroimaging Training Program at the Massachusetts General Hospital (NIH R90 DA023427). G.G.G. was supported by a travel grant from the Universidad Francisco de Vitoria, and T.K. was funded by a JSPS Postdoctoral Fellowship for Research Abroad.

Author information

Author notes
  1. Peter Harvey

    Present address: Sir Peter Mansfield Imaging Centre, School of Medicine & School of Chemistry, University of Nottingham, University Park, Nottingham, UK

  2. He Wei

    Present address: Department of Chemistry and Biochemistry, California State University, Fresno, CA 93740, USA

  3. These authors contributed equally: Miranda Dawson, Sarah Bricault, Peter Harvey.

Authors and Affiliations

  1. Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA

    Miranda Dawson, Sarah Bricault, Peter Harvey, He Wei, Xun Wang, Gracia García-García, Takashi Kaise, Roger D. Kamm & Alan Jasanoff

  2. Harvard-MIT Health Sciences & Technology, Massachusetts Institute of Technology, Cambridge, MA, USA

    Agata Wisniowska

  3. Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA

    Roger D. Kamm

  4. Department of Brain & Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA

    Alan Jasanoff

  5. McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, USA

    Alan Jasanoff

Authors
  1. Miranda Dawson
    View author publications

    Search author on:PubMed Google Scholar

  2. Sarah Bricault
    View author publications

    Search author on:PubMed Google Scholar

  3. Peter Harvey
    View author publications

    Search author on:PubMed Google Scholar

  4. Agata Wisniowska
    View author publications

    Search author on:PubMed Google Scholar

  5. He Wei
    View author publications

    Search author on:PubMed Google Scholar

  6. Xun Wang
    View author publications

    Search author on:PubMed Google Scholar

  7. Gracia García-García
    View author publications

    Search author on:PubMed Google Scholar

  8. Takashi Kaise
    View author publications

    Search author on:PubMed Google Scholar

  9. Roger D. Kamm
    View author publications

    Search author on:PubMed Google Scholar

  10. Alan Jasanoff
    View author publications

    Search author on:PubMed Google Scholar

Contributions

M.D., S.B., and P.H. contributed equally. P.H. conceived the study. M.D., S.B., P.H., A.W., H.W., and G.G.G. performed experimental surgeries and imaging. M.D., T.K. performed histology. M.D., S.B. performed imaging analyses. X.W., R.D.K. developed and performed the microfluidic assay. M.D., A.J. wrote the paper with input from other authors. A.J. supervised the research.

Corresponding author

Correspondence to Alan Jasanoff.

Ethics declarations

Competing interests

The authors declare no competing interests.

Peer review

Peer review information

Communications Biology thanks Bilal Syed Nizami and the other anonymous reviewer(s) for their contribution to the peer review of this work. Primary handling editors: Adib Keikhosravi and Benjamin Bessieres. A peer review file is available.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Supplementary Information (download PDF )

Description of Additional Supplementary Files (download DOCX )

Supplementary Data (download XLSX )

Reporting Summary (download PDF )

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dawson, M., Bricault, S., Harvey, P. et al. Quantitative comparison of methods for widespread delivery of small molecules across the blood-brain barrier. Commun Biol (2026). https://doi.org/10.1038/s42003-026-09951-x

Download citation

  • Received: 06 August 2025

  • Accepted: 18 March 2026

  • Published: 04 April 2026

  • DOI: https://doi.org/10.1038/s42003-026-09951-x

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

Download PDF

Advertisement

Explore content

  • Research articles
  • Reviews & Analysis
  • News & Comment
  • Collections
  • Follow us on X
  • Sign up for alerts
  • RSS feed

About the journal

  • Journal Information
  • Open Access Fees and Funding
  • Journal Metrics
  • Editors
  • Editorial Board
  • Calls for Papers
  • Referees
  • Contact
  • Editorial policies
  • Aims & Scope

Publish with us

  • For authors
  • Language editing services
  • Open access funding
  • Submit manuscript

Search

Advanced search

Quick links

  • Explore articles by subject
  • Find a job
  • Guide to authors
  • Editorial policies

Communications Biology (Commun Biol)

ISSN 2399-3642 (online)

nature.com footer links

About Nature Portfolio

  • About us
  • Press releases
  • Press office
  • Contact us

Discover content

  • Journals A-Z
  • Articles by subject
  • protocols.io
  • Nature Index

Publishing policies

  • Nature portfolio policies
  • Open access

Author & Researcher services

  • Reprints & permissions
  • Research data
  • Language editing
  • Scientific editing
  • Nature Masterclasses
  • Research Solutions

Libraries & institutions

  • Librarian service & tools
  • Librarian portal
  • Open research
  • Recommend to library

Advertising & partnerships

  • Advertising
  • Partnerships & Services
  • Media kits
  • Branded content

Professional development

  • Nature Awards
  • Nature Careers
  • Nature Conferences

Regional websites

  • Nature Africa
  • Nature China
  • Nature India
  • Nature Japan
  • Nature Middle East
  • Privacy Policy
  • Use of cookies
  • Legal notice
  • Accessibility statement
  • Terms & Conditions
  • Your US state privacy rights
Springer Nature

© 2026 Springer Nature Limited

Nature Briefing: Translational Research

Sign up for the Nature Briefing: Translational Research newsletter — top stories in biotechnology, drug discovery and pharma.

Get what matters in translational research, free to your inbox weekly. Sign up for Nature Briefing: Translational Research