Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, Delhi, India.
Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, Delhi, India.
Neuroscience. 2024 Nov 12;560:211-237. doi: 10.1016/j.neuroscience.2024.09.022. Epub 2024 Oct 3.
Glioblastoma multiforme (GBM) represents one of the most prevailing and aggressive primary brain tumors among adults. Despite advances in therapeutic approaches, the complex microenvironment of GBM poses significant challenges in its optimal therapy, which are attributed to immune evasion, tumor repopulation by stem cells, and limited drug penetration across the blood-brain barrier (BBB). Nanotechnology has emerged as a promising avenue for GBM treatment, offering biosafety, sustained drug release, enhanced solubility, and improved BBB penetrability. In this review, a comprehensive overview of recent advancements in nanocarrier-based drug delivery systems for GBM therapy is emphasized. The conventional and novel treatment modalities for GBM and the potential of nanocarriers to overcome existing limitations are comprehensively covered. Furthermore, the updates in the clinical landscape of GBM therapeutics are presented in addition to the current status of drugs and patents in the same context. Through a critical evaluation of existing literature, the therapeutic prospect and limitations of nanocarrier-based drug delivery strategies are highlighted offering insights into future research directions and clinical translation.
多形性胶质母细胞瘤(GBM)是成年人中最常见和侵袭性最强的原发性脑肿瘤之一。尽管在治疗方法上取得了进展,但 GBM 复杂的微环境在其最佳治疗中构成了重大挑战,这归因于免疫逃逸、干细胞引起的肿瘤再增殖以及血脑屏障(BBB)的药物渗透性有限。纳米技术已成为治疗 GBM 的一种有前途的途径,提供生物安全性、持续药物释放、增强的溶解性和改善的 BBB 渗透性。在这篇综述中,强调了基于纳米载体的药物输送系统在 GBM 治疗方面的最新进展。全面涵盖了 GBM 的传统和新型治疗方式,以及纳米载体克服现有局限性的潜力。此外,还介绍了 GBM 治疗的临床现状以及同一背景下药物和专利的现状。通过对现有文献的批判性评估,突出了基于纳米载体的药物输送策略的治疗前景和局限性,为未来的研究方向和临床转化提供了见解。