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癌症干细胞的障碍及胶质母细胞瘤的纳米医学解决方案探索

The Impediments of Cancer Stem Cells and An Exploration into the Nanomedical Solutions for Glioblastoma.

作者信息

Jain Harshil, Dhawan Priyal, Rao Sahana, Lalwani Nikita, Shand Harshita

机构信息

Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.

Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.

出版信息

Anticancer Agents Med Chem. 2023;23(4):368-382. doi: 10.2174/1871520622666220901101204.

Abstract

Glioblastoma is an aggressive and recurrent tumour that affects our brain and spinal cord with an extensively poor prognosis and death of the patient within 14-15 months of diagnosis. The tumour originates from astrocytes and therefore comes under the glioma known as astrocytoma. These tumours exhibit miscellaneous properties and contain cancer stem cells (CSCs). The stem cells exhibit diverse mechanisms through which these cells indulge in the proliferation and renewal of their systems. CSCs pose a significant obstacle as far as a cancer therapy is concerned, which incorporates blocking important signalling pathways involved in CSCs' self-renewal and survival which may also include inhibition of the ATP-binding cassette transporters. Nanomedicine, biomarkers and drug delivery technologybased approaches using nanoparticles have tremendous ability to tackle the restrictions impending clinical applications, such as diagnosis and targeting of CSC-specific agents. Nanocarrier-based therapeutic agents have shown the potential of penetrating CSCs and increasing drug accumulation in CSCs. Nanomedicine can overcome ATP-driven pumpmediated multidrug resistance while also reducing the harmful effects on non-cancerous cells. The objective of this review is to examine the advantages of nanomedicine and the innovative approaches that have been explored to address the challenges presented by CSCs in order to control the progression of glioblastomas by developing novel nanotherapeutic interventions which target CSCs.

摘要

胶质母细胞瘤是一种侵袭性和复发性肿瘤,会影响我们的大脑和脊髓,预后极差,患者在诊断后14至15个月内死亡。该肿瘤起源于星形胶质细胞,因此属于胶质瘤中的星形细胞瘤。这些肿瘤具有多种特性,并含有癌症干细胞(CSCs)。这些干细胞表现出多种机制,通过这些机制它们参与自身系统的增殖和更新。就癌症治疗而言,癌症干细胞构成了重大障碍,这包括阻断参与癌症干细胞自我更新和存活的重要信号通路,其中可能还包括抑制ATP结合盒转运蛋白。纳米医学、生物标志物以及基于纳米颗粒的药物递送技术方法具有巨大的能力来克服阻碍临床应用的限制,比如癌症干细胞特异性药物的诊断和靶向。基于纳米载体的治疗剂已显示出穿透癌症干细胞并增加其在癌症干细胞中药物积累的潜力。纳米医学可以克服ATP驱动泵介导的多药耐药性,同时还能减少对非癌细胞的有害影响。本综述的目的是探讨纳米医学的优势以及为应对癌症干细胞带来的挑战而探索的创新方法,以便通过开发针对癌症干细胞的新型纳米治疗干预措施来控制胶质母细胞瘤的进展。

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