Graduate Program of Biomedical Engineering, University of Manitoba, Winnipeg, MB, Canada; Kleysen Institute for Advanced Medicine, Health Sciences Centre, Winnipeg, MB, Canada.
Drug Discov Today. 2018 Apr;23(4):912-919. doi: 10.1016/j.drudis.2018.02.007. Epub 2018 Feb 27.
Despite much effort to treat glioblastoma multiforme (GBM), the median survival of patients has not significantly improved. The high rate of tumor recurrence after tumor resection and the blood-brain barrier (BBB) decrease the treatment efficacy. Local drug delivery at the surgical resection site via implantable electrospun nanofibers not only circumvents the BBB, but can also reduce the rate of tumor recurrence. Nanofibers can provide a sustained release and a high concentration of chemotherapeutics at the tumor vicinity, while decreasing their systemic exposure and toxicity. In another scenario, aligned nanofibers can mimic the topographical features of the brain extracellular matrix (ECM), which can be utilized for in vitro studies on GBM cell migration. This strategy is beneficial to investigate the interactions of tumor cells with the microenvironment which has a dominant role in regulating tumor formation, progression, and metastasis.
尽管人们努力治疗多形性胶质母细胞瘤(GBM),但患者的中位生存期并没有显著改善。肿瘤切除后肿瘤复发率高和血脑屏障(BBB)降低了治疗效果。通过可植入的电纺纳米纤维在手术切除部位进行局部药物输送不仅可以绕过 BBB,还可以降低肿瘤复发率。纳米纤维可以在肿瘤附近提供化疗药物的持续释放和高浓度,同时减少其全身暴露和毒性。在另一种情况下,取向纳米纤维可以模拟大脑细胞外基质(ECM)的拓扑特征,可用于体外研究 GBM 细胞迁移。这种策略有利于研究肿瘤细胞与微环境的相互作用,微环境在调节肿瘤的形成、进展和转移方面起着主导作用。