更好治疗胶质母细胞瘤的策略:抗血管生成药物和内皮细胞靶向药物。

Strategies to better treat glioblastoma: antiangiogenic agents and endothelial cell targeting agents.

作者信息

Hasbum Asbiel, Quintanilla Jaqueline, Jr Juan A Amieva, Ding May-Hui, Levy Arkene, Chew Sue Anne

机构信息

School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX 78541, USA.

Department of Health & Biomedical Sciences, University of Texas Rio Grande Valley, Brownsville, TX 78526, USA.

出版信息

Future Med Chem. 2021 Feb;13(4):393-418. doi: 10.4155/fmc-2020-0289. Epub 2021 Jan 5.

Abstract

Glioblastoma multiforme (GBM) is the most prevalent and aggressive form of glioma, with poor prognosis and high mortality rates. As GBM is a highly vascularized cancer, antiangiogenic therapies to halt or minimize the rate of tumor growth are critical to improving treatment. In this review, antiangiogenic therapies, including small-molecule drugs, nucleic acids and proteins and peptides, are discussed. The authors further explore biomaterials that have been utilized to increase the bioavailability and bioactivity of antiangiogenic factors for better antitumor responses in GBM. Finally, the authors summarize the current status of biomaterial-based targeting moieties that target endothelial cells in GBM to more efficiently deliver therapeutics to these cells and avoid off-target cell or organ side effects.

摘要

多形性胶质母细胞瘤(GBM)是最常见且侵袭性最强的胶质瘤形式,预后较差,死亡率高。由于GBM是一种血管高度丰富的癌症,因此采用抗血管生成疗法来阻止或降低肿瘤生长速度对于改善治疗效果至关重要。在本综述中,将讨论抗血管生成疗法,包括小分子药物、核酸以及蛋白质和肽。作者还进一步探讨了已被用于提高抗血管生成因子的生物利用度和生物活性,以便在GBM中获得更好抗肿瘤反应的生物材料。最后,作者总结了基于生物材料的靶向部分的现状,这些靶向部分针对GBM中的内皮细胞,以便更有效地将治疗药物递送至这些细胞,并避免脱靶细胞或器官的副作用。

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