Iturrioz-Rodríguez Nerea, Bertorelli Rosalia, Ciofani Gianni
Smart Bio-Interfaces Istituto Italiano di Tecnologia Viale Rinaldo Piaggio 34, Pontedera 56025, Italy.
Translational Pharmacology Istituto Italiano di Tecnologia Via Morego 30, Genova 16163, Italy.
Adv Nanobiomed Res. 2020 Nov 26;1(2):2000054. doi: 10.1002/anbr.202000054. eCollection 2021 Feb.
Glioblastoma multiforme (GBM) is the most common and malignant neoplasia having origin in the brain. The current treatments involve surgery, radiotherapy, and chemotherapy, being complete surgical resection the best option for the patient survival chances. However, in those cases where a complete removal is not possible, radiation and chemotherapy are applied. Herein, the main challenges of chemotherapy, and how they can be overcome with the help of nanomedicine, are approached. Natural pathways to cross the blood-brain barrier (BBB) are detailed, and different in vivo studies where these pathways are mimicked functionalizing the nanomaterial surface are shown. Later, lipid-based nanocarriers, such as liposomes, solid lipid nanoparticles, and nanostructured lipid carriers, are presented. To finish, recent studies that have used lipid-based nanosystems carrying not only therapeutic agents, yet also magnetic nanoparticles, are described. Although the advantages of using these types of nanosystems are explained, including their biocompatibility, the possibility of modifying their surface to enhance the cell targeting, and their intrinsic ability of BBB crossing, it is important to mention that research in this field is still at its early stage, and extensive preclinical and clinical investigations are mandatory in the close future.
多形性胶质母细胞瘤(GBM)是起源于脑部的最常见且恶性的肿瘤。目前的治疗方法包括手术、放疗和化疗,完整的手术切除是提高患者生存几率的最佳选择。然而,在无法进行完整切除的情况下,则采用放疗和化疗。本文探讨了化疗的主要挑战,以及如何借助纳米医学来克服这些挑战。详细介绍了穿越血脑屏障(BBB)的天然途径,并展示了不同的体内研究,这些研究通过功能化纳米材料表面来模拟这些途径。随后,介绍了基于脂质的纳米载体,如脂质体、固体脂质纳米粒和纳米结构脂质载体。最后,描述了最近使用不仅携带治疗剂还携带磁性纳米颗粒的基于脂质的纳米系统的研究。尽管解释了使用这类纳米系统的优点,包括它们的生物相容性、修饰其表面以增强细胞靶向性的可能性以及它们穿越血脑屏障的内在能力,但必须指出的是,该领域的研究仍处于早期阶段,在不久的将来进行广泛的临床前和临床研究是必不可少的。