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Journal of Clinical and
            Translational Research                                                        US-mediated drug delivery




            Table 4. Drug delivery with MB/ND‑assisted US for pre‑clinical studies in Alzheimer’s disease
            References         Drug, dye,   Animal model  US devices/parameters  Targeted area  MB/ND  Therapy
                                particle                                                            duration
            Choi et al., 2008 63  Gadolinium  APP/PS1dE9 mouse Lab-made MRgFUS device;   Left   SonoVue  MBs  1 sonication
                                                                                             ®
                                                        1.525 MHz, DC 20%, 20 ms   hippocampus  (25 µL)
                                                        pulse duration, 0.6 MPa, for
                                                        1 min
            Raymond et al., 2008 83  Anti-Aβ   APP/PS1dE9 and   Lab-made US device;   Hippocampus Optison  MBs  1 sonication
                                                                                             ®
                              antibodies  PDAPP mouse   0.69 MHz, 10 ms burst length,   (30 – 50 µL)
                                                        1 Hz PRF, 0.67 – 0.8 MPa, for
                                                        40 – 45 s
                                                                                             ®
            Jordão et al., 2010 88  BAM-10  TgCRND8 mouse  Lab-made US device; 0.3 MPa,  Right   Definity  MBs  1 sonication
                                                        120 s, 10 ms bursts/Hz  hemisphere  (160 mL/kg)
                                                                                             ®
            Burgess et al., 2014 87  Gadolinium  TgCRND8 mouse  Lab-made US device; 10-ms   Hippocampus Definity  MBs  1 sonication
                                                        bursts, 1 Hz burst repetition   (0.02 mL/kg)  per week for
                                                        frequency, for 120 s                      3 weeks
            Nisbet et al., 2017 91  RN2N  pR5 mouse     Lab-made US device; 1 MHz,   Whole brain  Lab-made   1 sonication
                                                        10 Hz PRF, 0.7 MPa, 10 ms      lipid-shelled   per week for
                                                        pulse duration, DC 10%, for 6s  MBs (30 µL)  4 weeks
            Janowicz et al., 2019 92  RN2N  pR5 mouse   Lab-made US device; 1 MHz,   Whole brain  Lab-made   1 sonication
                                                        10 Hz PRF, 0.7 MPa, 10 ms      lipid-shelled
                                                        pulse duration, DC 10%, for 6 s;  MBs (40 µL)
            Dubey et al., 2020 89  IVIg  TgCRND8 mouse  Lab-mad US device; 1 Hz burst  Hippocampus Definity  MBs  1 sonication
                                                                                             ®
                                                        repetition frequency, 10 ms    (0.02 mL/kg)
                                                        bursts, for 120 s
            Liu et al., 2020 84  Quercetin  APP/PS1dE9 mouse Lab-mad US device; 1 MPa for  Parietal cortex Lab-made   1 sonication
                                                        5 min using a                  lipid-shelled   per week for
                                                                                       MBs        5 weeks
            Sun et al., 2021 85  Anti-pGlu3 Aβ  APP/PS1dE9 mouse Lab-mad US device; 2 Hz,   Hippocampus Optison  MBs  1 sonication
                                                                                             ®
                                                        10 ms bursts, for 100 s        (100 µL/kg)  per week for
                                                                                                  3 weeks
            Bathini et al., 2022 86  Anti-pGlu3 Aβ  APP/PS1dE9 mouse Lab-mad US device; 2 Hz,   One or two   Lab-made   1 sonication
                                                        10 ms bursts, for 100 s  hemispheres  lipid-shelled
                                                                                       MBs
            Kong et al., 2022 61  Aducanumab  5×FAD mouse  Lab-mad US device; 1 Hz   Hippocampus Definity  MBs  1 sonication
                                                                                             ®
                                                        burst, 0.25 MPa, 10 ms bursts,   (0.04 mL/kg)  every 2 weeks
                                                        for 120 s                                 for a total of 3
            Bajracharya et al., 2022 93  RNF5  K3 mouse  Lab-made US device; 1 MHz,   Whole brain  Lab-made   1 sonication
                                                        10 Hz PRF, 0.7 MPa, 10 ms      lipid-shelled   per week for
                                                        pulse duration, DC 10%, for 6s;  MBs (1 µL/g)  12 weeks
            Gouveia et al., 2023 62  Pentobarbital  TgCRND8 mouse  Lab-made US device; 2 MPa,   Amygdala  Lab-made   1 sonication
                                                        10 ms bursts, 1 Hz, for 180 s  NDs (0.1
                                                                                       mL/injection)
            Antoniou et al., 2024 90  Anti-Aβ1 – 40  5×FAD mouse  Lab-made US device; 1 MHz,   Left   SonoVue  MBs  1 sonication
                                                                                             ®
                                                        0.5 MPa in situ, 10 ms bursts,   hemisphere  (5 µL)
                                                        DF 1%, for 100 s
            Abbreviations: DC: Duty cycle; MB: Microbubble; MRgFUS: Magnetic resonance imaging-guided focused ultrasound; ND: Nanodroplet; PRF: Pulse
            repetition frequency; US: Ultrasound.

            reversibility of repeated BBB opening in the frontal lobe    changes  were  observed  during  the  follow-up  phase.  The
                                                         74
            and hippocampus 94,95  of early-stage AD patients using the   authors explained that the study primarily assessed safety
            ExAblate Neuro  Type 2 and Definity  MBs. In a study by   due to insufficient statistical power to detect clinical
                                          ®
                         ®
            Rezai et al.,  aducanumab was delivered through this US   changes. The study reported one case of cognitive decline
                     96
            device, resulting in a significant reduction in Aβ plaque   following aducanumab treatment and at least one case of
            load. However, no neurological, cognitive, or behavioral   severe  adverse  effects,  which  were  deemed  unrelated  to
            Volume 11 Issue 2 (2025)                        12                            doi: 10.36922/jctr.24.00061
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