The treatment of glioblastoma (GBM) is strongly limited by the BBB, which severely limits the entry of nearly all therapeutic agents into the brain1,2. The BBB is formed by non-fenestrated endothelial cells joined by tight junction proteins (e.g., occludin, ZO-1), with additional support from pericytes and astrocytic end-feet3. Although animal models have provided valuable insights into BBB function, species-specific variations in physiology and metabolism limit their ability to accurately predict human drug responses4,5. Consequently, physiologically relevant human BBB models are indispensable for evaluating drug permeability in GBM therapy.
Traditional in vitro BBB models, such as the Transwell culture system, fail to recapitulate the complexity of the BBB, including cell-cell interaction, dynamic fluidic change, and flow-induced shear stress6. In contrast, microfluidic BBB models have emerged as superior platforms that closely mimic these in vivo-like characteristics7. Such BBB-on-a-chip systems have been widely used to study brain tumor metastasis8, investigate BBB dysfunction in neurodegenerative diseases such as Alzheimer’s disease9, and evaluate drug transport across the BBB10,11. However, most existing BBB-chip models are mainly used for drug permeability testing and lack the capability to incorporate external physical stimuli that modulate BBB permeability. Currently, focused ultrasound (FUS) has emerged as a promising strategy to transiently open the BBB with substantial recovery, enabling enhanced delivery of therapeutic agents to the brain12,13. Previous mechanistic studies have demonstrated that ultrasound-induced mechanical stimulation can transiently modulate barrier function by remodeling cell-cell junctions and enhancing endothelial permeability. For example, Silvani et al. showed that ultrasound-induced mechanical forces generated reversible interendothelial gap formation in in vitro vessel-on-a-chip14. Consistent with these findings, Beekers et al. demonstrated that ultrasound-mediated mechanical bioeffects induced a transient opening of endothelial cell-cell contacts, thereby increasing endothelial permeability15. More recently, Qiao et al. reported that endothelial barrier permeability is critically regulated by the ultrasound exposure parameters, particularly pulse length, emphasizing the importance of optimizing acoustic parameters to achieve safe and controllable BBB modulation16. Despite this progress, in vitro platforms that simultaneously allow quantitative analysis of ultrasound-mediated BBB opening and its impact on nanomedicine delivery remain limited.
To address the above gap, a protocol is presented for constructing a microfluidic BBB-GBM chip. The microfluidic device supports a tri-culture of HCMECs, primary ACs, and U87-MG GBM cells embedded in Matrigel. The reconstructed BBB exhibited both structural and functional characteristics of an intact barrier, demonstrated by continuous ZO-1 localization along intercellular junctions and limited diffusion of 40 kDa FITC-dextran across the vascular interface. Importantly, this chip can be coupled with controlled ultrasound stimulation to induce transient BBB opening, thereby enhancing the subsequent transport and tumor-targeting efficiency of nanomicelles. Using this system, the transport and tumor-targeting efficiency of nanomicelles SFN@RB@SPM can be quantitatively assessed. Overall, this platform provides a useful tool for studying the relationship between ultrasound parameters, BBB modulation with reversible characteristics, and enhanced nanomicelles delivery in GBM therapy.