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通过纳米和微颗粒介导的免疫调节靶向治疗神经胶质瘤。

Targeting glioblastoma through nano- and micro-particle-mediated immune modulation.

机构信息

School of Chemistry, The University of Edinburgh, Joseph Black Building, David Brewster Road, Edinburgh EH9 3FJ, UK; Centre for Discovery Brain Sciences, The University of Edinburgh, 49 Little France Crescent, Edinburgh EH16 4SB, UK.

School of Chemistry, The University of Edinburgh, Joseph Black Building, David Brewster Road, Edinburgh EH9 3FJ, UK; Edinburgh Cancer Research, Institute of Genetics and Cancer, The University of Edinburgh, Crewe Road South, Edinburgh EH4 2XR, UK.

出版信息

Bioorg Med Chem. 2022 Oct 15;72:116913. doi: 10.1016/j.bmc.2022.116913. Epub 2022 Jul 8.

Abstract

Glioblastoma Multiforme (GBM) is a multifaceted and complex disease, which has experienced no changes in treatment for nearly two decades and has a 5-year survival rate of only 5.4%. Alongside challenges in delivering chemotherapeutic agents across the blood brain barrier (BBB) to the tumour, the immune microenvironment is also heavily influenced by tumour signalling. Immunosuppression is a major aspect of GBM; however, evidence remains conflicted as to whether pro-inflammatory or anti-inflammatory therapies are the key to improving GBM treatment. To address both of these issues, particle delivery systems can be designed to overcome BBB transport while delivering a wide variety of immune-stimulatory molecules to investigate their effect on GBM. This review explores literature from the past 3 years that combines particle delivery systems alongside immunotherapy for the effective treatment of GBM.

摘要

胶质母细胞瘤(GBM)是一种多方面且复杂的疾病,近二十年来其治疗方法没有任何改变,5 年生存率仅为 5.4%。除了在向肿瘤输送化疗药物时面临穿过血脑屏障(BBB)的挑战外,免疫微环境也受到肿瘤信号的严重影响。免疫抑制是 GBM 的一个主要方面;然而,关于促炎或抗炎治疗是否是改善 GBM 治疗的关键,证据仍然存在冲突。为了解决这两个问题,可以设计粒子传递系统来克服 BBB 转运,同时输送各种免疫刺激性分子,以研究它们对 GBM 的影响。本综述探讨了过去 3 年的文献,这些文献将粒子传递系统与免疫疗法结合起来,以有效治疗 GBM。

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