Eslahi Masoumeh, Dana Parisa Maleki, Asemi Zatollah, Hallajzadeh Jamal, Mansournia Mohammad Ali, Yousefi Bahman
Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran.
Department of Biochemistry and Nutrition, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran.
Int J Biol Macromol. 2021 Jan 31;168:124-129. doi: 10.1016/j.ijbiomac.2020.11.180. Epub 2020 Dec 1.
Glioma is known as the most common primary brain tumor occurring in adolescents and is considered as a lethal disease worldwide. Despite the advancements in presently available therapeutic approaches (i.e. radiation therapy and chemotherapy), the rate of amelioration in glioma patients is still low. In this regard, it seems that there is a need for reconsidering and enhancing current therapies and/or discovering novel therapeutic platforms. Chitosan is a natural polysaccharide with several beneficial characteristics, including biocompatibility, biodegradability, and low toxicity. Without causing toxic effects on healthy cells, chitosan nanoparticles are attractive targets in cancer therapy which lead to the sustained release and enhanced internalization of chemotherapeutic drugs as well as higher cytotoxicity for cancer cells. Hence, these properties turn it into a suitable candidate for the treatment of various cancers, including glioma. In the viewpoint of glioma, cancer inhibition is possible through targeting glioma-associated signaling pathways and molecules such as MMP-9, VEGF, TRAIL and nuclear factor-κB by chitosan and its derivatives. Moreover, it has been acknowledged that chitosan and its derivatives can be applied as a delivery system for carrying a diverse range of therapeutic agents to the tumor site. Besides the anti-glioma effects of chitosan and its derivatives, these molecules can be utilized for culturing glioma cancer cells; providing a better understanding of glioma pathogenesis. Furthermore, it is documented that 3D chitosan scaffolds are potential targets that offer advantageous drug screening platforms. Herein, we summarized the anti-glioma effects of chitosan and also its utilization as drug delivery systems in the treatment of glioma.
神经胶质瘤是青少年中最常见的原发性脑肿瘤,在全球范围内被视为一种致命疾病。尽管目前可用的治疗方法(即放射治疗和化学治疗)有所进步,但神经胶质瘤患者的改善率仍然很低。在这方面,似乎有必要重新考虑和加强当前的治疗方法和/或发现新的治疗平台。壳聚糖是一种天然多糖,具有多种有益特性,包括生物相容性、生物可降解性和低毒性。壳聚糖纳米颗粒在不对健康细胞产生毒性作用的情况下,是癌症治疗中具有吸引力的靶点,可导致化疗药物的持续释放和增强内化,以及对癌细胞更高的细胞毒性。因此,这些特性使其成为治疗包括神经胶质瘤在内的各种癌症的合适候选者。从神经胶质瘤的角度来看,通过壳聚糖及其衍生物靶向神经胶质瘤相关的信号通路和分子,如基质金属蛋白酶-9、血管内皮生长因子、肿瘤坏死因子相关凋亡诱导配体和核因子-κB,可以抑制癌症。此外,人们已经认识到壳聚糖及其衍生物可以用作将多种治疗剂输送到肿瘤部位的递送系统。除了壳聚糖及其衍生物的抗神经胶质瘤作用外,这些分子还可用于培养神经胶质瘤癌细胞,以便更好地了解神经胶质瘤的发病机制。此外,有文献记载,3D壳聚糖支架是提供有利药物筛选平台的潜在靶点。在此,我们总结了壳聚糖的抗神经胶质瘤作用及其作为药物递送系统在神经胶质瘤治疗中的应用。
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