Dipartimento di Scienze Chimiche, Biologiche, Farmaceutiche ed Ambientali-Università degli Studi di Messina, Viale Ferdinando Stagno d'Alcontres, 31, 98168 Messina, Italy.
Istituto Oncologico del Mediterraneo, Via Penninazzo 7, 95029 Viagrande, Italy.
Int J Mol Sci. 2021 Oct 29;22(21):11783. doi: 10.3390/ijms222111783.
Brain tumors are particularly aggressive and represent a significant cause of morbidity and mortality in adults and children, affecting the global population and being responsible for 2.6% of all cancer deaths (as well as 30% of those in children and 20% in young adults). The blood-brain barrier (BBB) excludes almost 100% of the drugs targeting brain neoplasms, representing one of the most significant challenges to current brain cancer therapy. In the last decades, carbon dots have increasingly played the role of drug delivery systems with theranostic applications against cancer, thanks to their bright photoluminescence, solubility in bodily fluids, chemical stability, and biocompatibility. After a summary outlining brain tumors and the current drug delivery strategies devised in their therapeutic management, this review explores the most recent literature about the advances and open challenges in the employment of carbon dots as both diagnostic and therapeutic agents in the treatment of brain cancers, together with the strategies devised to allow them to cross the BBB effectively.
脑肿瘤具有很强的侵袭性,是导致成人和儿童发病和死亡的重要原因,影响全球人口,占所有癌症死亡人数的 2.6%(占儿童癌症死亡人数的 30%,占青年癌症死亡人数的 20%)。血脑屏障(BBB)几乎排除了针对脑肿瘤的 100%的药物,这是当前脑癌治疗面临的最大挑战之一。在过去几十年中,由于具有明亮的光致发光性、在体液中的溶解性、化学稳定性和生物相容性,碳点在癌症的治疗应用中越来越多地充当药物传递系统的角色。在概述脑肿瘤和目前设计用于治疗管理的药物传递策略之后,本文综述了最近关于将碳点用作脑癌诊断和治疗剂的研究进展和开放性挑战的文献,以及设计用于使其有效穿透血脑屏障的策略。