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利用纳米工程化 siRNA 载体的潜力实现靶向响应性脑胶质瘤治疗:最新进展和未来机遇。

Harnessing the potential of nanoengineered siRNAs carriers for target responsive glioma therapy: Recent progress and future opportunities.

机构信息

Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research-Raebareli, Lucknow, U.P. 226002, India.

Department of Biotechnology, National Institute of Pharmaceutical Education and Research-Raebareli, Lucknow, U.P. 226002, India.

出版信息

Int J Biol Macromol. 2024 May;266(Pt 1):131048. doi: 10.1016/j.ijbiomac.2024.131048. Epub 2024 Mar 22.

Abstract

Past scientific testimonials in the field of glioma research, the deadliest tumor among all brain cancer types with the life span of 10-15 months after diagnosis is considered as glioblastoma multiforme (GBM). Even though the availability of treatment options such as chemotherapy, radiotherapy, and surgery, are unable to completely cure GBM due to tumor microenvironment complexity, intrinsic cellular signalling, and genetic mutations which are involved in chemoresistance. The blood-brain barrier is accountable for restricting drugs entry at the tumor location and related biological challenges like endocytic degradation, short systemic circulation, and insufficient cellular penetration lead to tumor aggression and progression. The above stated challenges can be better mitigated by small interfering RNAs (siRNA) by knockdown genes responsible for tumor progression and resistance. However, siRNA encounters with challenges like inefficient cellular transfection, short circulation time, endogenous degradation, and off-target effects. The novel functionalized nanocarrier approach in conjunction with biological and chemical modification offers an intriguing potential to address challenges associated with the naked siRNA and efficiently silence STAT3, coffilin-1, EGFR, VEGF, SMO, MGMT, HAO-1, GPX-4, TfR, LDLR and galectin-1 genes in GBM tumor. This review highlights the nanoengineered siRNA carriers, their recent advancements, future perspectives, and strategies to overcome the systemic siRNA delivery challenges for glioma treatment.

摘要

过去在神经胶质瘤研究领域的科学研究证明,脑癌中最致命的肿瘤是多形性胶质母细胞瘤(GBM),患者从确诊到死亡的平均存活时间仅为 10-15 个月。尽管有化疗、放疗和手术等治疗选择,但由于肿瘤微环境的复杂性、内在细胞信号以及涉及化疗耐药的遗传突变,这些方法无法完全治愈 GBM。血脑屏障负责限制药物进入肿瘤部位,相关的生物学挑战,如内吞降解、短系统循环和细胞穿透不足,导致肿瘤侵袭和进展。上述挑战可以通过小干扰 RNA(siRNA)来减轻,通过敲低与肿瘤进展和耐药相关的基因。然而,siRNA 面临着细胞转染效率低、循环时间短、内源性降解和脱靶效应等挑战。新型功能化纳米载体方法结合生物和化学修饰,为解决裸 siRNA 相关的挑战提供了一种有趣的潜力,并能有效沉默 GBM 肿瘤中的 STAT3、肌动蛋白结合蛋白 1、表皮生长因子受体、血管内皮生长因子、 smoothened、O-甲基鸟嘌呤-DNA 甲基转移酶、过氧化氢酶、谷胱甘肽过氧化物酶 4、转铁蛋白受体、低密度脂蛋白受体和半乳糖凝集素 1 基因。本文综述了纳米工程化 siRNA 载体及其最新进展、未来展望,以及克服用于神经胶质瘤治疗的系统性 siRNA 传递挑战的策略。

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