Nanoparticle-Based Therapeutics for Glioblastoma Multiforme Treatment

IF 3.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Paalki Sethi, Shampa Ghosh, Krishna Kumar Singh, Sung Soo Han, Rakesh Bhaskar, Jitendra Kumar Sinha
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Abstract

Glioblastoma multiforme (GBM) is a grade 4 primary malignant brain neoplasm with a poor prognosis. GBM has an average survival of 12–18 months despite aggressive treatments, such as maximal safe resection, radiation, and chemotherapy with temozolomide. GBM is always associated with high incidences of treatment resistance and recurrence, which is largely driven by glioma stem cells and presents significant therapeutic challenges. The blood–brain barrier (BBB) is the most significant obstacle in treating GBM since it restricts the delivery of therapeutic agents to the tumor site. Recent advancements in nanotechnology offer promising alternatives to overcome such restrictions, enabling targeted drug delivery and significantly reducing systemic toxicity. Additionally, discussing various types of nanoparticles such as liposomes, lipid-based, dendrimers, polymeric, and metallic nanoparticles that have shown promise in preclinical models for GBM treatment has become pertinent. These nanoparticles can attach to glioblastoma cells using antigens and membrane receptors for site-directed drug targeting. Furthermore, nanoparticles have the potential to cross the BBB, enhancing drug delivery and minimizing off-target effects. This review explores the latest advancements in nanoparticle-based therapies and their potential to revolutionize GBM treatment, particularly through the precise targeting and controlled release of therapeutic agents within the tumor microenvironment.

Abstract Image

基于纳米颗粒的多形性胶质母细胞瘤治疗方法
多形性胶质母细胞瘤(GBM)是一种预后不良的4级原发性恶性脑肿瘤。尽管积极治疗,如最大安全切除、放疗和替莫唑胺化疗,GBM的平均生存期为12-18个月。胶质瘤的治疗耐药和复发率一直很高,这在很大程度上是由胶质瘤干细胞驱动的,给治疗带来了重大挑战。血脑屏障(BBB)是治疗GBM的最大障碍,因为它限制了治疗剂向肿瘤部位的输送。纳米技术的最新进展为克服这些限制提供了有希望的替代方案,使靶向给药成为可能,并显著降低全身毒性。此外,讨论各种类型的纳米颗粒,如脂质体、脂基、树状大分子、聚合物和金属纳米颗粒,这些纳米颗粒在GBM治疗的临床前模型中显示出了希望。这些纳米颗粒可以利用抗原和膜受体附着在胶质母细胞瘤细胞上,用于靶向靶向药物。此外,纳米颗粒有可能穿过血脑屏障,增强药物传递并最大限度地减少脱靶效应。这篇综述探讨了基于纳米颗粒的治疗方法的最新进展及其在GBM治疗方面的潜力,特别是通过肿瘤微环境中治疗剂的精确靶向和控制释放。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advanced Therapeutics
Advanced Therapeutics Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
7.10
自引率
2.20%
发文量
130
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