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利用纳米技术改善多形性胶质母细胞瘤治疗中大麻素的生物制药特性:药物递送视角

Improving the Biopharmaceutical Properties of Cannabinoids in Glioblastoma Multiforme Therapy With Nanotechnology: A Drug Delivery Perspective.

作者信息

Walker Stephanie B, Duarte Jonatas L, Di Filippo Leonardo D, Chorilli Marlus

机构信息

Department of Drugs and Medicines, School of Pharmaceutical Sciences, São Paulo State University (UNESP), Araraquara, Brazil.

出版信息

Drug Dev Res. 2024 Dec;85(8):e70023. doi: 10.1002/ddr.70023.

Abstract

Glioblastoma multiforme (GBM) is the most prevalent primary brain tumor in adults and is known for its rapid proliferation and infiltrative nature. Current therapeutic strategies include surgical resection followed by radio- and chemotherapy. Still, they are hindered by GBM biological characteristics and physical-chemical properties of chemotherapeutic drugs, leading to limited efficacy and poor prognosis. Cannabinoids have emerged as potential anti-GBM agents, exhibiting antiangiogenic, antimetastatic, and antiproliferative effects. However, their hydrophobicity and poor oral bioavailability pose significant challenges for clinical applications. This study evaluates the potential of nanocarriers in enhancing the solubility and targeted delivery of cannabinoids for GBM therapy. The innovative combination of nanotechnology with cannabinoid-based treatment offers a promising strategy to improve therapeutic outcomes. We addressed the application of nanocarriers to deliver cannabinoids, which can enhance passage across the blood-brain barrier and enable targeted therapy. Studies demonstrate the potential of nanocarriers in improving solubility, stability, and controlled release of cannabinoids, highlighting the advancements in nanocarrier design for optimized delivery to glioma cells. Cannabinoids can exert their antitumor effect, including the induction of apoptosis through the ceramide and p8-regulated pathways and the modulation of immune responses. The evidence found in this study supports the potential of cannabinoid-based nanotechnologies in GBM therapeutic regimens as a strategy to enhance its efficacy and patient outcomes.

摘要

多形性胶质母细胞瘤(GBM)是成人中最常见的原发性脑肿瘤,以其快速增殖和浸润性而闻名。目前的治疗策略包括手术切除,随后进行放疗和化疗。然而,它们受到GBM生物学特性和化疗药物物理化学性质的阻碍,导致疗效有限且预后不良。大麻素已成为潜在的抗GBM药物,具有抗血管生成、抗转移和抗增殖作用。然而,它们的疏水性和较差的口服生物利用度给临床应用带来了重大挑战。本研究评估了纳米载体在提高大麻素溶解度和靶向递送用于GBM治疗方面的潜力。纳米技术与基于大麻素的治疗方法的创新结合为改善治疗效果提供了一种有前景的策略。我们探讨了纳米载体用于递送大麻素的应用,这可以增强其穿过血脑屏障的能力并实现靶向治疗。研究证明了纳米载体在提高大麻素溶解度、稳定性和控释方面的潜力,突出了纳米载体设计在优化向胶质瘤细胞递送方面的进展。大麻素可以发挥其抗肿瘤作用,包括通过神经酰胺和p8调节途径诱导细胞凋亡以及调节免疫反应。本研究中发现的证据支持基于大麻素的纳米技术在GBM治疗方案中作为提高其疗效和患者预后的策略的潜力。

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