Marei Hany E
Department of Cytology and Histology, Faculty of Veterinary Medicine, Mansoura University, Mansoura, 35116, Egypt.
Cancer Cell Int. 2022 Aug 23;22(1):265. doi: 10.1186/s12935-022-02687-8.
The most common and aggressive primitive intracranial tumor of the central nervous system is the glioma. The blood-brain barrier (BBB) has proven to be a significant obstacle to the effective treatment of glioma. To effectively treat glioma, different ways have been used to cross the BBB to deliver drugs to the brain. Drug delivery through nanocarriers proves to be an effective and non-invasive technique for the treatment of glioma and has great potential in the treatment of glioma. In this review, we will provide an overview of nanocarrier-mediated drug delivery and related glioma therapy. Nanocarrier-mediated drug delivery techniques to cross the BBB (liposomes, micelles, inorganic systems, polymeric nanoparticles, nanogel system, and biomimetic nanoparticles) are explored. Finally, the use of nanotherapeutic approaches in the treatment of glioblastoma including chemotherapy, radiotherapy, photothermal therapy, gene therapy, glioma genome editing, immunotherapy, chimeric antigen receptor (CAR) T-cells, immune checkpoint modulators, immune photothermal therapy, vaccine-based immunotherapy, and combination therapy is summarized. Furthermore, this article offers various views on the clinical applicability of nanomedicine.
中枢神经系统最常见且侵袭性最强的原发性颅内肿瘤是神经胶质瘤。血脑屏障(BBB)已被证明是有效治疗神经胶质瘤的重大障碍。为了有效治疗神经胶质瘤,人们采用了不同方法来跨越血脑屏障以将药物输送至脑部。通过纳米载体进行药物递送被证明是一种治疗神经胶质瘤的有效且非侵入性的技术,在神经胶质瘤治疗方面具有巨大潜力。在本综述中,我们将概述纳米载体介导的药物递送及相关的神经胶质瘤治疗方法。探讨了用于跨越血脑屏障的纳米载体介导的药物递送技术(脂质体、胶束、无机系统、聚合物纳米颗粒、纳米凝胶系统和仿生纳米颗粒)。最后,总结了纳米治疗方法在胶质母细胞瘤治疗中的应用,包括化疗、放疗、光热疗法、基因治疗、神经胶质瘤基因组编辑、免疫疗法、嵌合抗原受体(CAR)T细胞、免疫检查点调节剂、免疫光热疗法、基于疫苗的免疫疗法以及联合疗法。此外,本文还对纳米医学的临床适用性提出了各种观点。