Department of Biological Sciences, Wichita State University, 1845 Fairmount, Wichita, KS, 67260, USA.
Department of Biological Sciences, Wichita State University, 1845 Fairmount, Wichita, KS, 67260, USA.
Neurochem Int. 2021 Jul;147:105049. doi: 10.1016/j.neuint.2021.105049. Epub 2021 May 1.
Glioblastoma multiforme (GBM) is a severe form of brain cancer with an average five-year survival rate of 6.7%. Current treatment strategies include surgical resection of the tumor area and lining the lesion site with therapeutics, which offer only a moderate impact on increasing survival rates. Drug-testing models based on the monolayer cell culture method may partially explain the lack of advancement in effective GBM treatment, because this model is limited in its ability to show heterogeneous cell-cell and cell-environment interactions as tumor cells in the in vivo state. The development of bioscaffold-based culture models is an important improvement in GBM research, preclinical trials, and targeted drug testing, through better mimicking of the heterogeneity of tumor environmental conditions. A major hurdle towards better GBM outcomes is in delivering medication across the blood-brain barrier (BBB), which normally prevents the crossing of materials into the treatment site. The delivery of therapeutics using bioscaffolds is a potential means of overcoming the BBB and could potentially facilitate long-lasting drug release. A number of natural and synthetic materials have been studied for their biodegradability, toxicity, distribution, and pharmaceutical stability, which are needed to determine the overall effectiveness and safety of glioblastoma treatment. This review summarizes advancements in the research of bioscaffold-based GBM cell growth systems and the potential of using bioscaffolds as a carrier for drug delivery.
多形性胶质母细胞瘤(GBM)是一种严重的脑癌,平均五年生存率为 6.7%。目前的治疗策略包括手术切除肿瘤区域,并在病变部位使用治疗药物进行覆盖,但这些方法对提高生存率的影响有限。基于单层细胞培养方法的药物测试模型可能部分解释了有效 GBM 治疗方法缺乏进展的原因,因为这种模型在展示肿瘤细胞在体内状态下的异质细胞-细胞和细胞-环境相互作用方面能力有限。基于生物支架的培养模型的发展是 GBM 研究、临床前试验和靶向药物测试的重要改进,通过更好地模拟肿瘤环境条件的异质性。改善 GBM 预后的一个主要障碍是跨越血脑屏障(BBB)输送药物,正常情况下,这会阻止物质进入治疗部位。使用生物支架输送治疗药物是克服 BBB 的一种潜在方法,并且有可能促进长效药物释放。已经研究了许多天然和合成材料的生物降解性、毒性、分布和药物稳定性,这些都是确定 GBM 治疗的整体有效性和安全性所必需的。本文综述了基于生物支架的 GBM 细胞生长系统研究的进展,以及生物支架作为药物载体的潜力。