Hsu Jen-Fu, Chu Shih-Ming, Liao Chen-Chu, Wang Chao-Jan, Wang Yi-Shan, Lai Mei-Yin, Wang Hsiao-Chin, Huang Hsuan-Rong, Tsai Ming-Horng
College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
Division of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Cancers (Basel). 2021 Jan 7;13(2):195. doi: 10.3390/cancers13020195.
Glioblastoma multiforme (GBM) is the most common and malignant brain tumor with poor prognosis. The heterogeneous and aggressive nature of GBMs increases the difficulty of current standard treatment. The presence of GBM stem cells and the blood brain barrier (BBB) further contribute to the most important compromise of chemotherapy and radiation therapy. Current suggestions to optimize GBM patients' outcomes favor controlled targeted delivery of chemotherapeutic agents to GBM cells through the BBB using nanoparticles and monoclonal antibodies. Nanotechnology and nanocarrier-based drug delivery have recently gained attention due to the characteristics of biosafety, sustained drug release, increased solubility, and enhanced drug bioactivity and BBB penetrability. In this review, we focused on recently developed nanoparticles and emerging strategies using nanocarriers for the treatment of GBMs. Current studies using nanoparticles or nanocarrier-based drug delivery system for treatment of GBMs in clinical trials, as well as the advantages and limitations, were also reviewed.
多形性胶质母细胞瘤(GBM)是最常见且恶性程度高的脑肿瘤,预后较差。GBM的异质性和侵袭性增加了当前标准治疗的难度。GBM干细胞和血脑屏障(BBB)的存在进一步导致化疗和放疗效果大打折扣。目前优化GBM患者治疗效果的建议倾向于使用纳米颗粒和单克隆抗体,通过血脑屏障将化疗药物可控地靶向递送至GBM细胞。由于具有生物安全性、药物持续释放、溶解度增加、药物生物活性增强以及血脑屏障穿透性增强等特性,纳米技术和基于纳米载体的药物递送最近受到了关注。在本综述中,我们重点关注了最近开发的纳米颗粒以及使用纳米载体治疗GBM的新兴策略。还综述了目前在临床试验中使用纳米颗粒或基于纳米载体的药物递送系统治疗GBM的研究以及其优缺点。