Nemera (France)

Background/Objectives: Optimizing drug deposition to the olfactory region is key in Nose-to-brain drug delivery strategies. However, findings from computational fluid dynamics (CFD) studies remain inconsistent concerning the parameters influencing olfactory deposition, limiting clinical translation and device optimization. This systematic review aims to identify robust CFD parameters for optimizing drug delivery to the olfactory region. Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines, selecting studies reporting CFD simulations of nasal drug delivery with evaluation of olfactory deposition efficiency. The primary outcome was the correlation between each CFD parameter and olfactory deposition rate. Parameters included particle size, impaction parameter, flow rate, spray cone angle, insertion angle, injection velocity, head position, release position, and breathing pattern. Data were extracted and standardized, and statistical methods were used to assess correlations, heterogeneity, and potential biases in study results. Results: Smaller particle size (pooled r = −0.42) and lower impaction parameter (r = −0.39) were significantly associated with higher olfactory deposition. No consistent correlation was observed with breathing flow rate. Heterogeneity across studies was high (I2 > 90%). Funnel plots asymmetry suggested potential publication bias in particle-related outcomes. Conclusions: Particle characteristics, especially size and inertia, are the most critical determinants of olfactory deposition in CFD simulations. These findings support design optimization of nasal delivery devices targeting the olfactory region and underscore the need for standardized reporting and validation across CFD studies.

Current physiology attributes the mechanism of membrane potential generation to transmembrane ion transport, but ion adsorption could just as well play this fundamental role. The evidence shows that the ion adsorption mechanism accurately reproduces the experimentally measured membrane potential. The Goldman-Hodgkin-Katz equation (GHK eq.) and the Nernst equation (Nernst eq.) are the typical mathematical formulas representing the membrane potential in current physiology. However, the authors were able to show that the potential formulas by ion adsorption mechanism give identical results to GHK eq. and Nernst. eq. Our experimental and theoretical analyses suggest that there is a special relationship between the membrane potential and the membrane surface charge density, and this unique equation inevitably leads to the establishment of a GHK eq and/or a Nernst eq. The authors found that the unique equation is the foundation of thermodynamics “Boltzmann distribution”. Thus, the GHK eq. and the Nernst eq. are simply the natural consequence of thermodynamics from the view of the ion adsorption mechanism.

An embryonic version of membrane theory can be date back to the Bernstein's work reported more than a hundred years ago. Such an originally old work has evolved conceptually and mathematically up until today, and it plays a central role in current membrane theory. Goldman-Hodgkin-Katz equation (GHK eq.) is one of the math-based monumental works, which constitutes the present membrane theory. Goldman theoretically derived GHK eq., but its physiological meaning was provided by the two renowned scientists, Hodgkin and Katz. These two employed an assumption that the electric field (EF) across the plasma membrane is constant to validate the GHK eq. physiologically. Proposal of Hodgkin-Huxley model (HH model) is another math-based monumental works developed from the membrane theory and now forms a fundamental part of the current membrane theory. GHK eq. and HH model are quite fundamental central concepts in the current physiology. Despite the broad acceptance of GHK eq. at present time, its prerequisite that the EF within the plasma membrane is constant is hardly believable. Especially when the action potential is generated, it sounds totally nonsense. Furthermore, the existence of constant EF within the plasma membrane is conceptually almost in conflict with the HH model. The authors will discuss those problematic issues the membrane theory inherits.