School of Medicine and Health, Harbin Institute of Technology, Harbin, China.
Nanoscale. 2024 May 9;16(18):8689-8707. doi: 10.1039/d4nr01056f.
Glioblastoma multiforme (GBM) is one of the highly malignant brain tumors characterized by significant morbidity and mortality. Despite the recent advancements in the treatment of GBM, major challenges persist in achieving controlled drug delivery to tumors. The management of GBM poses considerable difficulties primarily due to unresolved issues in the blood-brain barrier (BBB)/blood-brain tumor barrier (BBTB) and GBM microenvironment. These factors limit the uptake of anti-cancer drugs by the tumor, thus limiting the therapeutic options. Current breakthroughs in nanotechnology provide new prospects concerning unconventional drug delivery approaches for GBM treatment. Specifically, swimming nanorobots show great potential in active targeted delivery, owing to their autonomous propulsion and improved navigation capacities across biological barriers, which further facilitate the development of GBM-targeted strategies. This review presents an overview of technological progress in different drug administration methods for GBM. Additionally, the limitations in clinical translation and future research prospects in this field are also discussed. This review aims to provide a comprehensive guideline for researchers and offer perspectives on further development of new drug delivery therapies to combat GBM.
多形性胶质母细胞瘤(GBM)是一种高度恶性的脑肿瘤,其发病率和死亡率都很高。尽管在 GBM 的治疗方面取得了最近的进展,但在实现对肿瘤的受控药物输送方面仍然存在重大挑战。GBM 的治疗存在很大的困难,主要是由于血脑屏障(BBB)/血脑肿瘤屏障(BBTB)和 GBM 微环境中的未解决问题。这些因素限制了肿瘤对抗癌药物的摄取,从而限制了治疗选择。纳米技术的最新突破为 GBM 治疗的非常规药物输送方法提供了新的前景。具体而言,由于自主推进和在生物屏障内的导航能力得到改善,游动纳米机器人在主动靶向输送方面具有巨大的潜力,这进一步促进了 GBM 靶向策略的发展。本文综述了不同 GBM 药物管理方法的技术进展。此外,还讨论了该领域在临床转化方面的局限性和未来研究前景。本文综述旨在为研究人员提供全面的指导,并为开发新的药物输送疗法以对抗 GBM 提供观点。