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通过表面功能化脂质体克服血脑屏障用于脑胶质母细胞瘤治疗:现状、挑战与未来展望。

Overcoming brain barriers through surface-functionalized liposomes for glioblastoma therapy; current status, challenges and future perspective.

机构信息

Department of Neurosurgery, Shaoxing People's Hospital, Shaoxing, Zhejiang, 312000, China.

Department of Colorectal Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, 321000, China.

出版信息

Nanomedicine (Lond). 2023 Dec;18(30):2161-2184. doi: 10.2217/nnm-2023-0172. Epub 2024 Jan 5.

Abstract

Glioblastoma (GB) originating from astrocytes is considered a grade IV astrocytoma tumor with severe consequences. The blood-brain barrier (BBB) offers a major obstacle in drug delivery to the brain to overcome GB. The current treatment options possess limited efficacy and maximal systemic toxic effects in GB therapy. Emerging techniques such as targeted drug delivery offer significant advantages, including enhanced drug delivery to the tumor site by overcoming the BBB. This review article focuses on the status of surface-modified lipid nanocarriers with functional ligands to efficiently traverse the BBB and improve brain targeting for successful GB treatment. The difficulties with surface-functionalized liposomes and potential future directions for opening up novel treatment options for GB are highlighted.

摘要

胶质母细胞瘤(GB)源自星形胶质细胞,被认为是一种四级星形细胞瘤肿瘤,后果严重。血脑屏障(BBB)是向大脑输送药物的主要障碍,以克服 GB。目前的治疗选择在 GB 治疗中具有有限的疗效和最大的全身毒性作用。新兴技术,如靶向药物输送,具有显著的优势,包括通过克服 BBB 增强药物向肿瘤部位的输送。本文综述了具有功能配体的表面修饰脂质纳米载体的现状,以有效地穿越 BBB 并提高脑靶向性,从而成功治疗 GB。强调了表面功能化脂质体的困难和为 GB 开辟新治疗选择的潜在未来方向。

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