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水凝胶在胶质母细胞瘤诊断与治疗中的应用

Hydrogel Applications in the Diagnosis and Treatment of Glioblastoma.

作者信息

Zhang Shuaimei, Zhong Renming, Younis Muhammad Rizwan, He Hualong, Xu Hong, Li Gaocan, Yang Ruiyan, Lui Su, Wang Yunbing, Wu Min

机构信息

Department of Radiology and Huaxi MR Research Center (HMRRC), Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China.

Radiotherapy Physics & Technology Center, Cancer Center, West China Hospital, Chengdu, Sichuan 610041, P. R. China.

出版信息

ACS Appl Mater Interfaces. 2024 Dec 4;16(48):65754-65778. doi: 10.1021/acsami.4c11855. Epub 2024 Oct 4.

Abstract

Glioblastoma multiforme (GBM), a common malignant neurological tumor, has boundaries indistinguishable from those of normal tissue, making complete surgical removal ineffective. The blood-brain barrier (BBB) further impedes the efficacy of radiotherapy and chemotherapy, leading to suboptimal treatment outcomes and a heightened probability of recurrence. Hydrogels offer multiple advantages for GBM diagnosis and treatment, including overcoming the BBB for improved drug delivery, controlled drug release for long-term efficacy, and enhanced relaxation properties of magnetic resonance imaging (MRI) contrast agents. Hydrogels, with their excellent biocompatibility and customizability, can mimic the microenvironment, support tumor cell culture, enable drug screening, and facilitate the study of tumor invasion and metastasis. This paper reviews the classification of hydrogels and recent research for the diagnosis and treatment of GBM, including their applications as cell culture platforms and drugs including imaging contrast agents carriers. The mechanisms of drug release from hydrogels and methods to monitor the activity of hydrogel-loaded drugs are also discussed. This review is intended to facilitate a more comprehensive understanding of the current state of GBM research. It offers insights into the design of integrated hydrogel-based GBM diagnosis and treatment with the objective of achieving the desired therapeutic effect and improving the prognosis of GBM.

摘要

多形性胶质母细胞瘤(GBM)是一种常见的恶性神经肿瘤,其边界与正常组织难以区分,这使得完全手术切除效果不佳。血脑屏障(BBB)进一步阻碍了放疗和化疗的疗效,导致治疗效果不理想且复发概率增加。水凝胶在GBM的诊断和治疗方面具有多种优势,包括克服血脑屏障以改善药物递送、控制药物释放以实现长期疗效,以及增强磁共振成像(MRI)造影剂的弛豫特性。水凝胶具有出色的生物相容性和可定制性,能够模拟微环境、支持肿瘤细胞培养、进行药物筛选,并促进肿瘤侵袭和转移的研究。本文综述了水凝胶的分类以及GBM诊断和治疗的最新研究,包括它们作为细胞培养平台的应用以及作为包括成像造影剂载体在内的药物载体的应用。还讨论了水凝胶药物释放的机制以及监测负载水凝胶药物活性的方法。本综述旨在促进对GBM研究现状的更全面理解。它为基于水凝胶的GBM综合诊断和治疗设计提供了见解,目标是实现预期的治疗效果并改善GBM的预后。

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