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用于多形性胶质母细胞瘤治疗的先进纳米平台的最新进展

An update of advanced nanoplatforms for Glioblastoma Multiforme Management.

作者信息

Amaral Mariana, Cruz Nuno, Rosa Ana, Nogueira Beatriz, Costa Diana, Santos Francisco, Brazão Mariana, Policarpo Pedro, Mateus Rita, Kobozev Yan, Reis Catarina Pinto

机构信息

iMED.ULisboa, Research Institute for Medicines, Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal.

Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal.

出版信息

EXCLI J. 2021 Nov 15;20:1544-1570. doi: 10.17179/excli2021-4393. eCollection 2021.

Abstract

Glioblastoma multiforme (GBM) is a very aggressive and heterogeneous glioma. Currently, GBM is treated with a combination of surgery, radiotherapy, chemotherapy (e.g. temozolamide) and Tumour Treating Fields. Unfortunately, the mean survival is still around 15 months. This poor prognosis is associated with therapy resistance, tumor recurrence, and limited delivery of drugs due to the blood-brain barrier nature. Nanomedicine, the application of nanotechnology to medicine, has revolutionized many health fields, specifically cancer diagnosis and treatment. This review explores the particularities of different nanosystems (i.e., superparamagnetic, polymeric and gold nanoparticles, and liposomes) as well as how they can be applied to the treatment and diagnosis of GBM. As described, the most of the cited examples are on the preclinical phase; however, positive results were obtained and thus, the distance to achieve an effective treatment is shorter every day.

摘要

多形性胶质母细胞瘤(GBM)是一种极具侵袭性且异质性的胶质瘤。目前,GBM的治疗采用手术、放疗、化疗(如替莫唑胺)和肿瘤治疗电场联合的方式。不幸的是,平均生存期仍约为15个月。这种不良预后与治疗耐药性、肿瘤复发以及由于血脑屏障特性导致的药物递送受限有关。纳米医学,即将纳米技术应用于医学,已经彻底改变了许多健康领域,尤其是癌症的诊断和治疗。本综述探讨了不同纳米系统(即超顺磁性、聚合物和金纳米颗粒以及脂质体)的特性,以及它们如何应用于GBM的治疗和诊断。如所述,大多数引用的例子处于临床前阶段;然而,已获得了积极的结果,因此,实现有效治疗的距离正日益缩短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9070/8678060/0c888b2c90d2/EXCLI-20-1544-t-001.jpg

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