胶质母细胞瘤的靶向治疗。

Targeted therapies for glioblastoma treatment.

机构信息

Department of Cancer Biology, Institute of Biology, Warsaw University of Life Sciences, Warsaw, Poland.

出版信息

J Physiol Pharmacol. 2023 Jun;74(3). doi: 10.26402/jpp.2023.3.01. Epub 2023 Aug 30.

Abstract

Glioblastoma, the most common and aggressive type of brain tumor in adults, poses significant challenges in terms of treatment. Conventional approaches including surgery, chemotherapy, and radiotherapy have yielded limited success, with a median survival of approximately 15 months. However, extensive research into the biology of glioblastoma has identified molecular targets that can be exploited by newly developed drugs, leading to the emergence of precise personalized therapies. Several innovative treatment strategies are currently under development, aiming to enhance effectiveness while minimizing side effects. Clinical trials are underway to evaluate the efficacy of monoclonal antibodies that target glioblastoma cells, either by blocking specific receptors or by modifying molecular interactions that impede cell proliferation. Another promising avenue involves the use of oncolytic viruses designed to selectively infect glioblastoma cells. Additionally, the review explores the utilization of nanocarriers capable of surmounting the formidable obstacle of the blood-brain barrier, enabling efficient drug delivery. Cell therapies represent another promising approach, with dendritic cells, chimeric antigen receptor-T cells, and macrophages emerging as potential treatment modalities. By summarizing recent advances in targeted therapies against glioblastoma, this review aims to provide a comprehensive overview of ongoing efforts to discover effective and safe methods for treating glioblastoma patients. The ultimate goal is to improve patient outcomes and transform the landscape of glioblastoma treatment.

摘要

胶质母细胞瘤是成人中最常见和最具侵袭性的脑肿瘤类型,在治疗方面带来了重大挑战。包括手术、化疗和放疗在内的传统方法取得的成功有限,中位生存期约为 15 个月。然而,对胶质母细胞瘤生物学的广泛研究已经确定了可以被新开发的药物利用的分子靶点,从而产生了精确的个性化治疗方法。目前正在开发几种创新的治疗策略,旨在提高疗效,同时最大限度地减少副作用。正在进行临床试验,以评估靶向胶质母细胞瘤细胞的单克隆抗体的疗效,这些抗体可以通过阻断特定受体或改变阻碍细胞增殖的分子相互作用来实现。另一个有前途的途径涉及使用设计用于选择性感染胶质母细胞瘤细胞的溶瘤病毒。此外,该综述还探讨了利用能够克服血脑屏障这一艰巨障碍的纳米载体来实现有效药物输送的方法。细胞疗法是另一种有前途的方法,树突状细胞、嵌合抗原受体-T 细胞和巨噬细胞作为潜在的治疗方式崭露头角。通过总结针对胶质母细胞瘤的靶向治疗的最新进展,本综述旨在全面概述为发现治疗胶质母细胞瘤患者的有效和安全方法所做的努力。最终目标是改善患者的预后并改变胶质母细胞瘤治疗的格局。

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