Instituto Israelita de Ensino e Pesquisa Albert Einstein, IIEPAE, São Paulo, Brazil.
Int J Nanomedicine. 2011;6:591-603. doi: 10.2147/IJN.S14737. Epub 2011 Mar 25.
Gliomas are a group of heterogeneous primary central nervous system (CNS) tumors arising from the glial cells. Malignant gliomas account for a majority of malignant primary CNS tumors and are associated with high morbidity and mortality. Glioblastoma is the most frequent and malignant glioma, and despite the recent advances in diagnosis and new treatment options, its prognosis remains dismal. New opportunities for the development of effective therapies for malignant gliomas are urgently needed. Magnetic hyperthermia (MHT), which consists of heat generation in the region of the tumor through the application of magnetic nanoparticles subjected to an alternating magnetic field (AMF), has shown positive results in both preclinical and clinical assays. The aim of this review is to assess the relevance of hyperthermia induced by magnetic nanoparticles in the treatment of gliomas and to note the possible variations of the technique and its implication on the effectiveness of the treatment. We performed an electronic search in the literature from January 1990 to October 2010, in various databases, and after application of the inclusion criteria we obtained a total of 15 articles. In vitro studies and studies using animal models showed that MHT was effective in the promotion of tumor cell death and reduction of tumor mass or increase in survival. Two clinical studies showed that MHT could be applied safely and with few side effects. Some studies suggested that mechanisms of cell death, such as apoptosis, necrosis, and antitumor immune response were triggered by MHT. Based on these data, we could conclude that MHT proved to be efficient in most of the experiments, and that the improvement of the nanocomposites as well as the AMF equipment might contribute toward establishing MHT as a promising tool in the treatment of malignant gliomas.
神经胶质瘤是一组源自神经胶质细胞的异质性原发性中枢神经系统 (CNS) 肿瘤。恶性神经胶质瘤占大多数恶性原发性 CNS 肿瘤,并且与高发病率和死亡率相关。胶质母细胞瘤是最常见和恶性的神经胶质瘤,尽管在诊断和新的治疗选择方面取得了最近的进展,但预后仍然很差。迫切需要为恶性神经胶质瘤开发有效的治疗方法的新机会。磁热疗 (MHT),由在交变磁场 (AMF) 下施加的磁性纳米粒子在肿瘤区域产生的热量组成,在临床前和临床试验中都显示出积极的结果。本综述的目的是评估磁性纳米粒子诱导的热疗在治疗神经胶质瘤中的相关性,并注意到该技术的可能变化及其对治疗效果的影响。我们对 1990 年 1 月至 2010 年 10 月期间在各种数据库中进行的文献进行了电子检索,在应用纳入标准后,我们共获得了 15 篇文章。体外研究和动物模型研究表明,MHT 有效地促进肿瘤细胞死亡,减少肿瘤体积或增加存活率。两项临床研究表明,MHT 可以安全地应用,并且副作用很少。一些研究表明,MHT 可以触发细胞死亡机制,如细胞凋亡、坏死和抗肿瘤免疫反应。基于这些数据,我们可以得出结论,MHT 在大多数实验中被证明是有效的,并且纳米复合材料和 AMF 设备的改进可能有助于将 MHT 确立为治疗恶性神经胶质瘤的有前途的工具。
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