Moore Kathryn M, Murthy Ananya B, Graham-Gurysh Elizabeth G, Hingtgen Shawn D, Bachelder Eric M, Ainslie Kristy M
Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, North Carolina 27599, United States.
Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, United States.
ACS Biomater Sci Eng. 2020 Jul 13;6(7):3762-3777. doi: 10.1021/acsbiomaterials.0c00477. Epub 2020 Jun 24.
Glioblastoma (GBM) is the most common primary brain tumor and has a poor prognosis; as such, there is an urgent need to develop innovative new therapies. Tumoricidal stem cells are an emerging therapy that has the potential to combat limitations of traditional local and systemic chemotherapeutic strategies for GBM by providing a source for high, sustained concentrations of tumoricidal agents locally to the tumor. One major roadblock for tumoricidal stem cell therapy is that the persistence of tumoricidal stem cells injected as a cell suspension into the GBM surgical resection cavity is limited. Polymeric biomaterial scaffolds have been utilized to enhance the delivery of tumoricidal stem cells in the surgical resection cavity and extend their persistence in the brain, ultimately increasing their therapeutic efficacy against GBM. In this review, we examine three main scaffold categories explored for tumoricidal stem cell therapy: microcapsules, hydrogels, and electrospun scaffolds. Furthermore, considering the significant impact of surgery on the brain and recurrent GBM, we survey a brief history of orthotopic models of GBM surgical resection.
胶质母细胞瘤(GBM)是最常见的原发性脑肿瘤,预后较差;因此,迫切需要开发创新的新疗法。杀肿瘤干细胞是一种新兴疗法,它有可能通过在肿瘤局部提供高浓度、持续的杀肿瘤剂来源,来克服GBM传统局部和全身化疗策略的局限性。杀肿瘤干细胞疗法的一个主要障碍是,作为细胞悬液注入GBM手术切除腔内的杀肿瘤干细胞的持久性有限。聚合物生物材料支架已被用于增强杀肿瘤干细胞在手术切除腔内的递送,并延长它们在脑内的持久性,最终提高它们对GBM的治疗效果。在这篇综述中,我们研究了用于杀肿瘤干细胞疗法的三类主要支架:微胶囊、水凝胶和电纺支架。此外,考虑到手术对脑和复发性GBM的重大影响,我们简要回顾了GBM手术切除原位模型的历史。