Department of Radiotherapy and Translational Medicine Center, Huaihe Hospital of Henan University, Henan University, Kaifeng, Henan 475000, China.
Henan-Macquarie University Joint Centre for Biomedical Innovation, Henan Key Laboratory of Brain Targeted Bio-nanomedicine, School of Life Sciences, Henan University, Kaifeng, Henan 475004, China.
Biomacromolecules. 2024 Oct 14;25(10):6250-6282. doi: 10.1021/acs.biomac.4c00722. Epub 2024 Sep 11.
Glioblastoma multiforme (GBM) is a highly malignant brain tumor with a poor prognosis and limited treatment options. Drug delivery by stimuli-responsive nanocarriers holds great promise for improving the treatment modalities of GBM. At the beginning of the review, we highlighted the stimuli-active polymeric nanocarriers carrying therapies that potentially boost anti-GBM responses by employing endogenous (pH, redox, hypoxia, enzyme) or exogenous stimuli (light, ultrasonic, magnetic, temperature, radiation) as triggers for controlled drug release mainly via hydrophobic/hydrophilic transition, degradability, ionizability, etc. Modifying these nanocarriers with target ligands further enhanced their capacity to traverse the blood-brain barrier (BBB) and preferentially accumulate in glioma cells. These unique features potentially lead to more effective brain cancer treatment with minimal adverse reactions and superior therapeutic outcomes. Finally, the review summarizes the existing difficulties and future prospects in stimuli-responsive nanocarriers for treating GBM. Overall, this review offers theoretical guidelines for developing intelligent and versatile stimuli-responsive nanocarriers to facilitate precise drug delivery and treatment of GBM in clinical settings.
多形性胶质母细胞瘤(GBM)是一种高度恶性的脑肿瘤,预后不良,治疗选择有限。刺激响应性纳米载体的药物输送为改善 GBM 的治疗方式提供了巨大的前景。在综述的开始,我们强调了携带有治疗方法的刺激活性聚合物纳米载体,这些治疗方法通过利用内源性(pH 值、氧化还原、缺氧、酶)或外源性刺激(光、超声、磁、温度、辐射)作为触发因素,通过疏水性/亲水性转变、可降解性、离解性等来控制药物释放,主要用于提高抗 GBM 反应的能力。通过靶向配体对这些纳米载体进行修饰,进一步提高了它们穿透血脑屏障(BBB)并优先在神经胶质瘤细胞中积累的能力。这些独特的特性可能会导致更有效的脑癌治疗,不良反应最小,治疗效果更好。最后,综述总结了用于治疗 GBM 的刺激响应性纳米载体目前存在的困难和未来的前景。总的来说,本综述为开发智能多功能刺激响应性纳米载体提供了理论指导,以促进 GBM 的精确药物输送和临床治疗。
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