Krůpa Petr, Řehák Svatopluk, Diaz-Garcia Daniel, Filip Stanislav
Charles University in Prague, Department of Neurosurgery, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, Czech Republic.
Charles University in Prague, Department of Histology and Embryology, Faculty of Medicine in Hradec Králové, and University Hospital Hradec Králové, Czech Republic.
Acta Medica (Hradec Kralove). 2014;57(4):142-50. doi: 10.14712/18059694.2015.79.
High grade gliomas are some of the deadliest human tumours. Conventional treatments such as surgery, radiotherapy and chemotherapy have only a limited effect. Nowadays, resection is the common treatment of choice and although new approaches, such as perioperative magnetic resonance imaging or fluorescent microscopy have been developed, the survival rate of diagnosed patients is still very low. The inefficacy of conventional methods has led to the development of new strategies and the significant progress of nanotechnology in recent years. These platforms can be used either as novel imaging tools or to improve anticancer drug delivery into tumours while minimizing its distribution and toxicity in healthy tissues. Amongst the new nanotechnology platforms used for delivery into the brain tissue are: polymeric nanoparticles, liposomes, dendrimers, nanoshells, carbon nanotubes, superparamagnetic nanoparticles and nucleic acid based nanoparticles (DNA, RNA interference [RNAi] and antisense oligonucleotides [ASO]). These nanoparticles have been applied in the delivery of small molecular weight drugs as well as macromolecules - proteins, peptides and genes. The unique properties of these nanoparticles, such as surface charge, particle size, composition and ability to modify their surface with tissue recognition ligands and antibodies, improve their biodistribution and pharmacokinetics. All of the above mentioned characteristics make of nanoplatforms a very suitable tool for its use in targeted, personalized medicine, where they could possibly carry large doses of therapeutic agents specifically into malignant cells while avoiding healthy cells. This review poses new possibilities in the large field of nanotechnology with special interest in the treatment of high grade brain tumours.
高级别胶质瘤是人类最致命的肿瘤之一。手术、放疗和化疗等传统治疗方法效果有限。如今,手术切除是常用的治疗选择,尽管已经开发出了一些新方法,如围手术期磁共振成像或荧光显微镜检查,但确诊患者的生存率仍然很低。传统方法的无效性促使了新策略的发展以及近年来纳米技术的重大进步。这些平台既可以用作新型成像工具,也可以用于改善抗癌药物向肿瘤组织的递送,同时将其在健康组织中的分布和毒性降至最低。用于向脑组织递送的新型纳米技术平台包括:聚合物纳米颗粒、脂质体、树枝状大分子、纳米壳、碳纳米管、超顺磁性纳米颗粒以及基于核酸的纳米颗粒(DNA、RNA干扰[RNAi]和反义寡核苷酸[ASO])。这些纳米颗粒已被应用于递送小分子药物以及大分子——蛋白质、肽和基因。这些纳米颗粒的独特性质,如表面电荷、粒径、组成以及用组织识别配体和抗体修饰其表面的能力,改善了它们的生物分布和药代动力学。上述所有特性使纳米平台成为在靶向、个性化医学中非常合适的工具,在这种医学中,它们有可能将大剂量的治疗剂特异性地输送到恶性细胞中,同时避开健康细胞。本综述在纳米技术的广阔领域中提出了新的可能性,特别关注高级别脑肿瘤的治疗。
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