Cornelison R Chase, Munson Jennifer M
Department of Biomedical Engineering and Mechanics, Virginia Polytechnic Institute and State University, Blacksburg, VA, United States.
Front Mater. 2018 May;5. doi: 10.3389/fmats.2018.00027. Epub 2018 May 9.
Glioblastoma (GBM) is the most common and malignant form of brain cancer. Even with aggressive standard of care, GBM almost always recurs because its diffuse, infiltrative nature makes these tumors difficult to treat. The use of biomaterials is one strategy that has been, and is being, employed to study and overcome recurrence. Biomaterials have been used in GBM in two ways: as mediums in which to model the tumor microenvironment, and to sustain release of cytotoxic therapeutics. systems are a useful platform for studying the effects of drugs and tissue-level effectors on tumor cells in a physiologically relevant context. These systems have aided examination of how glioma cells respond to a variety of natural, synthetic, and semi-synthetic biomaterials with varying substrate properties, biochemical factor presentations, and non-malignant parenchymal cell compositions in both 2D and 3D environments. The current paradigm is completely different, however. Polymeric implants are simply used to line the post-surgical resection cavities and deliver secondary therapies, offering moderate impacts on survival. Instead, perhaps we can use the data generated from systems to design novel biomaterial-based treatments for GBM akin to a tissue engineering approach. Here we offer our perspective on the topic, summarizing how biomaterials have been used to identify facets of glioma biology and discussing the elements that show promise for translating these systems as new therapies for GBM.
胶质母细胞瘤(GBM)是最常见且恶性程度最高的脑癌形式。即便采用积极的标准治疗方案,GBM几乎总会复发,因为其弥漫性、浸润性的特性使得这些肿瘤难以治疗。生物材料的应用是一种已被采用且仍在用于研究和克服复发问题的策略。生物材料在GBM中的应用方式有两种:作为模拟肿瘤微环境的介质,以及用于细胞毒性治疗药物的缓释。 系统是在生理相关背景下研究药物和组织水平效应器对肿瘤细胞影响的有用平台。这些系统有助于研究神经胶质瘤细胞在二维和三维环境中如何对具有不同底物特性、生化因子呈现方式和非恶性实质细胞组成的各种天然、合成和半合成生物材料作出反应。然而,当前的模式却截然不同。聚合物植入物仅用于在手术切除腔内衬里并提供辅助治疗,对生存率的影响有限。相反,或许我们可以利用从 系统生成的数据,设计出类似于组织工程方法的基于生物材料的新型GBM治疗方案。在此,我们就该主题发表观点,总结生物材料如何被用于识别神经胶质瘤生物学的各个方面,并讨论那些有望将这些系统转化为GBM新疗法的要素。