Liu Dongdong, Dai Xingliang, Ye Lei, Wang Hua, Qian Haisheng, Cheng Hongwei, Wang Xianwen
School of Biomedical Engineering, Research and Engineering Center of Biomedical Materials, Anhui Medical University, Hefei, China.
Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2023 Jan;15(1):e1838. doi: 10.1002/wnan.1838. Epub 2022 Aug 12.
Glioblastoma multiforme (GBM) represents the most common and fatal form of primary invasive brain tumors as it affects a great number of patients each year and has a median overall survival of approximately 14.6 months after diagnosis. Despite intensive treatment, almost all patients with GBM experience recurrence, and their 5-year survival rate is approximately 5%. At present, the main clinical treatment strategy includes surgical resection, radiotherapy, and chemotherapy. However, tumor heterogeneity, blood-brain barrier, glioma stem cells, and DNA damage repair mechanisms hinder efficient GBM treatment. The emergence of nanometer-scale diagnostic and therapeutic approaches in cancer medicine due to the establishment of nanotechnology provides novel and promising tools that will allow us to overcome these difficulties. This review summarizes the application and recent progress in nanotechnology-based monotherapies (e.g., chemotherapy) and combination cancer treatment strategies (chemotherapy-based combined cancer therapy) for GBM and describes the synergistic enhancement between these combination therapies as well as the current standard therapy for brain cancer and its deficiencies. These combination therapies that can reduce individual drug-related toxicities and significantly enhance therapeutic efficiency have recently undergone rapid development. The mechanisms underlying these different nanotechnology-based therapies as well as the application of nanotechnology in GBM (e.g., in photodynamic therapy and chemodynamic therapy) have been systematically summarized here in an attempt to review recent developments and to identify promising directions for future research. This review provides novel and clinically significant insights and directions for the treatment of GBM, which is of great clinical importance. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease Diagnostic Tools > In Vivo Nanodiagnostics and Imaging.
多形性胶质母细胞瘤(GBM)是原发性侵袭性脑肿瘤中最常见且致命的类型,因为它每年影响大量患者,诊断后的中位总生存期约为14.6个月。尽管进行了强化治疗,但几乎所有GBM患者都会复发,其5年生存率约为5%。目前,主要的临床治疗策略包括手术切除、放疗和化疗。然而,肿瘤异质性、血脑屏障、胶质瘤干细胞和DNA损伤修复机制阻碍了GBM的有效治疗。由于纳米技术的建立,癌症医学中纳米级诊断和治疗方法的出现提供了新颖且有前景的工具,使我们能够克服这些困难。本综述总结了基于纳米技术的单一疗法(如化疗)和联合癌症治疗策略(基于化疗的联合癌症治疗)在GBM中的应用和最新进展,描述了这些联合疗法之间的协同增强作用以及当前脑癌的标准疗法及其不足之处。这些能够降低个体药物相关毒性并显著提高治疗效率的联合疗法最近发展迅速。本文系统地总结了这些基于不同纳米技术的疗法的潜在机制以及纳米技术在GBM中的应用(如在光动力疗法和化学动力疗法中),试图回顾近期的发展并确定未来研究的有前景的方向。本综述为GBM的治疗提供了新颖且具有临床意义的见解和方向,具有重要的临床意义。本文分类如下:治疗方法与药物发现>肿瘤疾病的纳米医学;诊断工具>体内纳米诊断与成像。
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