Neuroscientists these days regularly make spectacular discoveries about how the brain gets sick. They know much more today about brain cancer, Alzheimer’s disease, Parkinson’s disease, and a host of other neurological disorders than they did just a few years ago. And from such discoveries come all sorts of encouraging possibilities for treating or even curing these diseases. If only we could break down some rogue protein or bind a drug to a troublesome receptor, it seems as if all would be well. There’s just one little hitch: Even if scientists invented the perfect cure, they probably couldn’t get it into the brain to do its work.
Drugs can cross easily out of the bloodstream into most organs of the body. The brain is a glaring exception because it is protected by an intricate shield known as the blood-brain barrier. The blood-brain barrier serves a vital function: It keeps our brains free for the most part from infections or toxins that find their way into other parts of the body. Unfortunately, the brain’s barrier also gets in the way of most medicines that could help heal it. Neurologists sometimes open up the skull and inject drugs directly. That brute-force approach can work in an emergency, but it is hardly a practical solution for people who need to take drugs every day at home.
