Yi Yang, Hsieh I-Yun, Huang Xiaojia, Li Jie, Zhao Wei
Key Laboratory for Stem Cells and Tissue Engineering, Ministry of Education, Sun Yat-sen UniversityGuangzhou, China; Department of Histology and Embryology, Zhongshan School of Medicine, Sun Yat-sen UniversityGuangzhou, China.
Department of Breast and Thyroid Surgery, The First Affiliated Hospital of Sun Yat-sen University Guangzhou, China.
Front Pharmacol. 2016 Dec 7;7:477. doi: 10.3389/fphar.2016.00477. eCollection 2016.
Glioblastoma multiforme (GBM), grade IV astrocytoma, is the most fatal malignant primary brain tumor. GBM contains functional subsets of cells called glioblastoma stem-like cells (GSCs), which are radioresistant and chemoresistant and eventually lead to tumor recurrence. Recent studies showed that GSCs reside in particular tumor niches that are necessary to support their behavior. To successfully eradicate GBM growth and recurrence, new strategies selectively targeting GSCs and/or their microenvironmental niche should be designed. In this regard, here we focus on elucidating the molecular mechanisms that govern these GSC properties and on understanding the mechanism of the microenvironmental signals within the tumor mass. Moreover, to overcome the blood-brain barrier, which represents a critical limitation of GBM treatments, a new drug delivery system should be developed. Nanoparticles can be easily modified by different methods to facilitate delivery efficiency of chemotherapeutics, to enhance the accumulation within the tumors, and to promote the capacity for targeting the GSCs. Therefore, nanotechnology has become the most promising approach to GSC-targeting therapy. Additionally, we discussed the future of nanotechnology-based targeted therapy and point out the disadvantages that should be overcome.
多形性胶质母细胞瘤(GBM),即IV级星形细胞瘤,是最致命的原发性恶性脑肿瘤。GBM包含称为胶质母细胞瘤干细胞样细胞(GSCs)的功能性细胞亚群,这些细胞具有放射抗性和化学抗性,最终导致肿瘤复发。最近的研究表明,GSCs存在于特定的肿瘤微环境中,这些微环境对维持其特性至关重要。为了成功根除GBM的生长和复发,应设计新的策略来选择性地靶向GSCs和/或其微环境。在这方面,我们在此专注于阐明控制这些GSC特性的分子机制,并理解肿瘤块内微环境信号的机制。此外,为了克服血脑屏障这一GBM治疗的关键限制,应开发新的药物递送系统。纳米颗粒可以通过不同方法轻松修饰,以提高化疗药物的递送效率,增强在肿瘤内的积累,并提高靶向GSCs的能力。因此,纳米技术已成为最有前景的GSC靶向治疗方法。此外,我们讨论了基于纳米技术的靶向治疗的未来,并指出了应克服的缺点。