Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt.
Arch Pharm (Weinheim). 2024 Nov;357(11):e2400343. doi: 10.1002/ardp.202400343. Epub 2024 Jul 29.
Glioblastoma multiforme is a very combative and threatening type of cancer. The standard course of treatment involves excising the tumor surgically, then administering chemotherapy and radiation therapy. Because of the presence of the blood-brain barrier and the unique characteristics of the tumor microenvironment, chemotherapy is extremely difficult and has a high incidence of relapse. With their capacity to precisely target and transport therapeutic medications to the tumor while overcoming the challenges provided by invasive and infiltrative gliomas, nanocarriers offer a potentially beneficial treatment option for gliomas. Drug repositioning or, in other words, finding novel therapeutic uses for medications that have received approval for previous uses has also recently emerged to provide alternative treatments for many diseases, with glioblastoma being among them. In this article, our goal is to shed light on the pathogenesis of glioma and summarize the proposed treatment approaches in the last decade, highlighting how combining repositioned drugs and nanocarriers technology can reduce drug resistance and improve therapeutic efficacy in primary glioma.
胶质母细胞瘤是一种非常具有侵袭性和威胁性的癌症。标准的治疗方案包括手术切除肿瘤,然后进行化疗和放疗。由于血脑屏障的存在和肿瘤微环境的独特特征,化疗非常困难,且复发率很高。纳米载体具有精确靶向和输送治疗药物到肿瘤的能力,同时克服了侵袭性和浸润性神经胶质瘤带来的挑战,为神经胶质瘤提供了一种潜在的有益治疗选择。药物重定位,或者换句话说,为以前已被批准用于其他用途的药物寻找新的治疗用途,最近也已出现,为许多疾病提供了替代治疗方法,其中包括胶质母细胞瘤。在本文中,我们的目标是阐明神经胶质瘤的发病机制,并总结过去十年中提出的治疗方法,重点介绍如何将重新定位的药物和纳米载体技术相结合,以降低原发性神经胶质瘤的药物耐药性并提高治疗效果。