A dysfunctional central nervous system (CNS) resulting from neurological di
sorders and diseases impacts all of humanity. The outcome presents a stagge
ring health care issue with a tremendous potential for developing intervent
ive therapies. The delivery of therapeutic molecules to the CNS has been ha
mpered by the presence of the blood-brain barrier (BBB). To circumvent this
barrier, putative therapeutic molecules have been delivered to the CNS by
such methods as pumps/osmotic pumps, osmotic opening of the BBB, sustained
polymer release systems and cell delivery via site-specific transplantation
of cells. This review presents an overview of some of the CNS delivery tec
hnologies with special emphasis on transplantation of cells with and withou
t the use of polymer encapsulation technology. (C) 2000 Elsevier Science B.
V. All rights reserved.