In an exciting scientific achievement, Sheba scientists have developed a pioneering non-invasive method to help drugs reach the brain by temporarily opening the blood-brain barrier, marking a bold step toward addressing one of the most persistent challenges in treating brain diseases.
Led by Prof. Yael Mardor, Chief Scientist at Sheba, researchers are working to create a controlled, temporary opening in the blood-brain barrier so medications can reach brain tissue more effectively. “We are coming to answer a very big challenge,” said Prof. Mardor. “Today, we are unable to treat most brain diseases pharmacologically because we are not able to deliver the drugs into the brain.” The blood-brain barrier is one of the body’s most important defense systems. It protects the brain from unwanted substances in the bloodstream, but it also blocks many medications from reaching brain tissue. According to Prof. Mardor, about 98% of drugs intended for the brain do not reach their target because of this barrier.

From Physics to Clinical Innovation

For patients with brain tumors, Alzheimer’s disease, Parkinson’s disease, and other neurological conditions, drug delivery remains a major obstacle. Many promising treatments cannot achieve their intended effect if they cannot cross from the bloodstream into the brain. Prof. Mardor, a nuclear physicist by training, was drawn to cancer research after seeing the disease affect her own family. Her work now focuses on opening the blood-brain barrier in a controlled, temporary, and reversible way, creating a short therapeutic window while preserving the brain’s natural protection. This approach may be especially important for larger and more complex therapies, including macromolecules such as antibodies, which are often blocked by the blood-brain barrier.

A Controlled Breach in the Barrier

The method uses electrodes attached to the patient’s head. Once the electrodes are in place, pulsed electric fields are applied for approximately two minutes. According to Prof. Mardor, this process opens the blood-brain barrier for about an hour. During that window, drugs in the blood vessels may pass into the brain. The mechanism centers on the endothelial cells that line the brain’s blood vessels. These cells are connected by tight junctions, which normally help keep the barrier intact. When pulsed electric fields are applied, they create a subtle shift in the cells’ cytoskeleton, causing the tight junctions to pull apart temporarily and allowing drugs to move from the blood vessel into the brain.

Moving Toward First-In-Patient Treatment

This breakthrough reflects years of research, development, and collaboration by scientists, clinicians, and multidisciplinary teams. Its non-invasive design may offer an important advantage by avoiding surgical intervention while creating a temporary and reversible opening in the barrier: “Now we are at this very exciting point of, you know, treating our first patient and hopefully really passing this barrier for enabling to treat patients with brain diseases,” expressed Prof. Mardor enthusiastically.   As Sheba moves toward treating its first patient with this technology, the work reflects the medical center’s broader commitment to turning scientific discovery into clinical care.  By addressing one of the most persistent obstacles in brain disease treatment, Prof. Mardor and her team are helping open new possibilities for drug delivery, research, and future treatment strategies for patients whose options have long been limited by the brain’s own defenses.

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