Pharmaceutical Technology Department, Faculty of Pharmacy, Istanbul University, Istanbul, 34216, Turkey.
Institute of Health Sciences, Istanbul University, Istanbul, 34216, Turkey.
Naunyn Schmiedebergs Arch Pharmacol. 2024 Dec;397(12):9243-9279. doi: 10.1007/s00210-024-03212-6. Epub 2024 Jul 4.
Drug targeting for brain malignancies is restricted due to the presence of the blood-brain barrier (BBB) and blood-brain tumor barrier (BBTB), which act as barriers between the blood and brain parenchyma. Certainly, the limited therapeutic options for brain malignancies have made notable progress with enhanced biological understanding and innovative approaches, such as targeted therapies and immunotherapies. These advancements significantly contribute to improving patient prognoses and represent a promising shift in the landscape of brain malignancy treatments. A more comprehensive understanding of the histology and pathogenesis of brain malignancies is urgently needed. Continued research focused on unraveling the intricacies of brain malignancy biology holds the key to developing innovative and tailored therapies that can improve patient outcomes. Lipid nanocarriers are highly effective drug delivery systems that significantly improve their solubility, bioavailability, and stability while also minimizing unwanted side effects. Surface-modified lipid nanocarriers (liposomes, niosomes, solid lipid nanoparticles, nanostructured lipid carriers, lipid nanocapsules, lipid-polymer hybrid nanocarriers, lipoproteins, and lipoplexes) are employed to improve BBB penetration and uptake through various mechanisms. This systematic review illuminates and covers various topics related to brain malignancies. It explores the different methods of drug delivery used in treating brain malignancies and delves into the benefits, limitations, and types of brain-targeted lipid-based nanocarriers. Additionally, this review discusses ongoing clinical trials and patents related to brain malignancy therapies and provides a glance into future perspectives for treating this condition.
由于血脑屏障(BBB)和血脑肿瘤屏障(BBTB)的存在,脑恶性肿瘤的药物靶向受到限制,它们是血液和脑实质之间的屏障。当然,脑恶性肿瘤的治疗选择有限,通过增强生物学理解和创新方法,如靶向治疗和免疫治疗,取得了显著进展。这些进展极大地有助于改善患者预后,并代表着脑恶性肿瘤治疗领域的一个有希望的转变。更全面地了解脑恶性肿瘤的组织学和发病机制迫在眉睫。持续的研究集中在揭示脑恶性肿瘤生物学的复杂性上,这是开发创新和定制治疗方法的关键,可以改善患者的治疗效果。脂质纳米载体是高效的药物递送系统,可显著提高药物的溶解度、生物利用度和稳定性,同时最小化不良反应。表面修饰的脂质纳米载体(脂质体、非诺体、固体脂质纳米粒、纳米结构脂质载体、脂质纳米囊、脂质-聚合物杂化纳米载体、脂蛋白和脂质体)被用于通过各种机制改善 BBB 的穿透和摄取。本系统综述阐明并涵盖了与脑恶性肿瘤相关的各种主题。它探讨了用于治疗脑恶性肿瘤的不同药物递送方法,并深入研究了脑靶向脂质基纳米载体的益处、局限性和类型。此外,本综述还讨论了与脑恶性肿瘤治疗相关的正在进行的临床试验和专利,并对治疗这种疾病的未来前景进行了展望。