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基于纳米颗粒的胶质母细胞瘤放射增敏的新策略。

Novel Strategies for Nanoparticle-Based Radiosensitization in Glioblastoma.

机构信息

Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL 32224, USA.

Department of Neurological Surgery, Mayo Clinic, Jacksonville, FL 32224, USA.

出版信息

Int J Mol Sci. 2021 Sep 7;22(18):9673. doi: 10.3390/ijms22189673.

Abstract

Radiotherapy (RT) is one of the cornerstones in the current treatment paradigm for glioblastoma (GBM). However, little has changed in the management of GBM since the establishment of the current protocol in 2005, and the prognosis remains grim. Radioresistance is one of the hallmarks for treatment failure, and different therapeutic strategies are aimed at overcoming it. Among these strategies, nanomedicine has advantages over conventional tumor therapeutics, including improvements in drug delivery and enhanced antitumor properties. Radiosensitizing strategies using nanoparticles (NP) are actively under study and hold promise to improve the treatment response. We aim to describe the basis of nanomedicine for GBM treatment, current evidence in radiosensitization efforts using nanoparticles, and novel strategies, such as preoperative radiation, that could be synergized with nanoradiosensitizers.

摘要

放射治疗(RT)是目前胶质母细胞瘤(GBM)治疗模式的基石之一。然而,自 2005 年确立现行方案以来,GBM 的治疗管理几乎没有改变,预后仍然不容乐观。放射抗性是治疗失败的标志之一,因此有不同的治疗策略旨在克服它。在这些策略中,纳米医学比传统的肿瘤治疗具有优势,包括改善药物输送和增强抗肿瘤特性。使用纳米颗粒(NP)的放射增敏策略正在积极研究中,并有望改善治疗反应。我们旨在描述纳米医学治疗 GBM 的基础,使用纳米颗粒进行放射增敏的当前证据,以及新的策略,如术前放疗,与纳米放射增敏剂联合使用可能具有协同作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ef/8465220/ac89baf6b367/ijms-22-09673-g001.jpg

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