METHODS OF PERMEABILIZING THE BLOOD BRAIN BARRIER
The present invention relates to using monoterpene or sesquiterpene to permeabilize the blood brain barrier.
1 . A method of administering a therapeutic agent to a central nervous system of a mammal, the method comprising administering a monoterpene before or concurrently with the therapeutic agent.
2 . The method of claim 1 , wherein the central nervous system is the brain.
3 . The method of claim 1 , wherein the monoterpene is perillyl alcohol.
4 . The method of claim 3 , wherein perillyl alcohol is administered intraarterially.
5 . The method of claim 3 , wherein perillyl alcohol is administered at a dose ranging from about 0.050 mg/kg to about 500 mg/kg of body weight.
6 . The method of claim 1 , wherein the mammal is a human.
7 . The method of claim 1 , wherein the monoterpene is administered from about 0.2 minutes to about 60 minutes before the therapeutic agent is administered.
8 . The method of claim 7 , wherein the monoterpene is administered from about 1 minute to about 15 minutes before the therapeutic agent is administered.
9 . The method of claim 1 , wherein the monoterpene and the therapeutic agent are administered separately.
10 . The method of claim 1 , wherein the monoterpene and the therapeutic agent are administered concurrently.
11 . The method of claim 10 , wherein the monoterpene and the therapeutic agent are administered together in a pharmaceutical composition.
12 . The method of claim 1 , wherein the therapeutic agent is a chemotherapeutic agent.
13 . The method of claim 12 , wherein the chemotherapeutic agent is selected from the group consisting of a DNA alkylating agent, a topoisomerase inhibitor, an endoplasmic reticulum stress inducing agent, a platinum compound, an antimetabolite, an enzyme inhibitor, a receptor antagonist, a therapeutic antibody, and combinations thereof.
14 . The method of claim 12 , wherein the chemotherapeutic agent is dimethyl-celecoxib (DMC), irinotecan (CPT-11), temozolomide or rolipram.
15 . The method of claim 1 , wherein the therapeutic agent is an antibody or antibody fragment.
16 . The method of claim 1 , wherein the therapeutic agent is an immune cell expressing a chimeric antigen receptor.
17 . The method of claim 16 , wherein the immune cell is a T cell.
18 . The method of claim 16 , wherein the therapeutic agent is a CAR-T cell.
19 . The method of claim 1 , wherein the monoterpene is administered by inhalation, intranasally, orally, intravenously, subcutaneously or intramuscularly.
20 . The method of claim 1 , wherein the mammal has cancer.
21 . The method of claim 20 , wherein the cancer is a tumor of the nervous system.
22 . The method of claim 21 , wherein the tumor is a glioblastoma.
23 . The method of claim 1 , further comprising treating the mammal with radiation.