Department of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.
Cancer J. 2012 Jan-Feb;18(1):89-99. doi: 10.1097/PPO.0b013e318244d8ae.
Brain tumors--particularly glioblastoma multiforme--pose an important public health problem in the United States. Despite surgical and medical advances, the prognosis for patients with malignant gliomas remains grim: current therapy is insufficient with nearly universal recurrence. A major reason for this failure is the difficulty of delivering therapeutic agents to the brain: better delivery approaches are needed to improve treatment. In this article, we summarize recent progress in drug delivery to the brain, with an emphasis on convection-enhanced delivery of nanocarriers. We examine the potential of new delivery methods to permit novel drug- and gene-based therapies that target brain cancer stem cells and discuss the use of nanomaterials for imaging of tumors and drug delivery.
脑肿瘤——特别是多形性胶质母细胞瘤——在美国构成了一个重要的公共卫生问题。尽管手术和医学方面取得了进步,但恶性神经胶质瘤患者的预后仍然严峻:目前的治疗方法还不够,几乎普遍会复发。造成这种失败的一个主要原因是向大脑输送治疗药物的困难:需要更好的输送方法来改善治疗效果。在本文中,我们总结了向大脑输送药物的最新进展,重点介绍了纳米载体的对流增强输送。我们研究了新的输送方法的潜力,以实现针对脑癌干细胞的新型药物和基因治疗,并讨论了纳米材料在肿瘤成像和药物输送中的应用。