Centre for Molecular and Medical Research, School of Medicine, Deakin University, 75 Pigdons Road, Waurn Ponds, Victoria 3216, Australia.
Int J Mol Sci. 2017 Nov 30;18(12):2576. doi: 10.3390/ijms18122576.
Glioblastoma is a highly aggressive primary brain tumour, renowned for its infiltrative growth and varied genetic profiles. The current treatment options are insufficient, and their off-target effects greatly reduce patient quality of life. The major challenge in improving glioblastoma diagnosis and treatment involves the development of a targeted imaging and drug delivery platform, capable of circumventing the blood brain barrier and specifically targeting glioblastoma tumours. The unique properties of aptamers demonstrate their capability of bridging the gap to the development of successful diagnosis and treatment options, where antibodies have previously failed. Aptamers possess many characteristics that make them an ideal novel imaging and therapeutic agent for the treatment of glioblastoma and other brain malignancies, and are likely to provide patients with a better standard of care and improved quality of life. Their target sensitivity, selective nature, ease of modification and low immunogenicity make them an ideal drug-delivery platform. This review article summarises the aptamers previously generated against glioblastoma cells or its identified biomarkers, and their potential application in diagnosis and therapeutic targeting of glioblastoma tumours.
胶质母细胞瘤是一种高度侵袭性的原发性脑肿瘤,以其浸润性生长和不同的遗传特征而闻名。目前的治疗选择是不够的,它们的脱靶效应大大降低了患者的生活质量。改善胶质母细胞瘤诊断和治疗的主要挑战在于开发一种靶向成像和药物输送平台,该平台能够绕过血脑屏障并特异性靶向胶质母细胞瘤肿瘤。适配子的独特性质表明它们有能力弥合成功的诊断和治疗选择的差距,而抗体以前未能做到这一点。适配子具有许多使其成为治疗胶质母细胞瘤和其他脑恶性肿瘤的理想新型成像和治疗剂的特性,并且可能为患者提供更好的护理标准和提高生活质量。它们的靶灵敏度、选择性、易于修饰和低免疫原性使它们成为理想的药物输送平台。本文综述了以前针对胶质母细胞瘤细胞或其鉴定的生物标志物生成的适配子,以及它们在胶质母细胞瘤肿瘤的诊断和治疗靶向中的潜在应用。