Roque Diogo, Cruz Nuno, Ferreira Hugo Alexandre, Reis Catarina Pinto, Matela Nuno, Herculano-Carvalho Manuel, Cascão Rita, Faria Claudia C
Department of Neurosurgery, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), 1649-028 Lisbon, Portugal.
Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal.
J Pers Med. 2023 Aug 29;13(9):1328. doi: 10.3390/jpm13091328.
Glioblastoma (GB) is a malignant glioma associated with a mean overall survival of 12 to 18 months, even with optimal treatment, due to its high relapse rate and treatment resistance. The standardized first-line treatment consists of surgery, which allows for diagnosis and cytoreduction, followed by stereotactic fractionated radiotherapy and chemotherapy. Treatment failure can result from the poor passage of drugs through the blood-brain barrier (BBB). The development of novel and more effective therapeutic approaches is paramount to increasing the life expectancy of GB patients. Nanoparticle-based treatments include epitopes that are designed to interact with specialized transport systems, ultimately allowing the crossing of the BBB, increasing therapeutic efficacy, and reducing systemic toxicity and drug degradation. Polymeric nanoparticles have shown promising results in terms of precisely directing drugs to the brain with minimal systemic side effects. Various methods of drug delivery that pass through the BBB, such as the stereotactic injection of nanoparticles, are being actively tested in vitro and in vivo in animal models. A significant variety of pre-clinical studies with polymeric nanoparticles for the treatment of GB are being conducted, with only a few nanoparticle-based drug delivery systems to date having entered clinical trials. Pre-clinical studies are key to testing the safety and efficacy of these novel anticancer therapies and will hopefully facilitate the testing of the clinical validity of this promising treatment method. Here we review the recent literature concerning the most frequently reported types of nanoparticles for the treatment of GB.
胶质母细胞瘤(GB)是一种恶性胶质瘤,即使采用最佳治疗方案,由于其高复发率和治疗耐药性,平均总生存期也仅为12至18个月。标准化的一线治疗包括手术,手术可用于诊断和肿瘤细胞减灭,随后进行立体定向分割放疗和化疗。治疗失败可能是由于药物难以通过血脑屏障(BBB)。开发新颖且更有效的治疗方法对于提高GB患者的预期寿命至关重要。基于纳米颗粒的治疗包括设计用于与特殊转运系统相互作用的表位,最终实现穿越血脑屏障,提高治疗效果,并降低全身毒性和药物降解。聚合物纳米颗粒在将药物精确导向大脑且全身副作用最小方面已显示出有前景的结果。各种穿过血脑屏障的药物递送方法,如纳米颗粒的立体定向注射,正在动物模型中进行积极的体外和体内测试。目前正在进行大量关于聚合物纳米颗粒治疗GB的临床前研究,迄今为止只有少数基于纳米颗粒的药物递送系统进入了临床试验。临床前研究是测试这些新型抗癌疗法安全性和有效性的关键,有望促进对这种有前景的治疗方法临床有效性的测试。在此,我们综述了近期有关治疗GB最常报道的纳米颗粒类型的文献。