STABILITY, CLEARANCE, AND DISPOSITION OF INTRAVENTRICULARLY ADMINISTERED OLIGODEOXYNUCLEOTIDES - IMPLICATIONS FOR THERAPEUTIC APPLICATION WITHIN THE CENTRAL-NERVOUS-SYSTEM
L. Whitesell et al., STABILITY, CLEARANCE, AND DISPOSITION OF INTRAVENTRICULARLY ADMINISTERED OLIGODEOXYNUCLEOTIDES - IMPLICATIONS FOR THERAPEUTIC APPLICATION WITHIN THE CENTRAL-NERVOUS-SYSTEM, Proceedings of the National Academy of Sciences of the United Statesof America, 90(10), 1993, pp. 4665-4669
We report experiments in the rat demonstrating the feasibility of intr
aventricular administration of oligodeoxynucleotides (ODNs) as a regio
nal treatment approach to disorders within the central nervous system
(CNS). Although we find little intrinsic nuclease activity in cerebros
pinal fluid (CSF), phosphodiester ODNs are rapidly degraded by brain-a
ssociated alpha-exonuclease activity. Phosphorothioate ODNs, however,
appear resistant to degradation in the CNS and, after intraventricular
administration, we find they are cleared in a manner consistent with
CSF bulk flow. Continuous infusion of ODN at 1.5 nmol/hr by miniosmoti
c pump can maintain micromolar concentrations of intact phosphorothioa
te ODN in CSF for at least 1 week without obvious neurologic or system
ic toxicity. After infusion, extensive brain penetration and marked ce
llular uptake, especially by astrocytic cells, is demonstrated.