Ercelik Melis, Tekin Cagla, Gurbuz Melisa, Tuncbilekli Yagmur, Dogan Hazal Yılmaz, Mutlu Busra, Eser Pınar, Tezcan Gulcin, Parın Fatma Nur, Yildirim Kenan, Sarihan Mehmet, Akpinar Gurler, Kasap Murat, Bekar Ahmet, Kocaeli Hasan, Taskapilioglu Mevlut Ozgur, Aksoy Secil Ak, Ozpar Rıfat, Hakyemez Bahattin, Tunca Berrin
Department of Medical Biology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.
Department of Neurosurgery, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.
Asian J Pharm Sci. 2024 Dec;19(6):100971. doi: 10.1016/j.ajps.2024.100971. Epub 2024 Oct 23.
Total resection of glioblastoma (GB) tumors is nearly impossible, and systemic administration of temozolomide (TMZ) is often inadequate. This study presents a hybrid layered composite nanofiber mesh (LHN) designed for localized treatment in GB tumor bed. The LHN, consisting of polyvinyl alcohol and core-shell polylactic acid layers, was loaded with TMZ and rutin. analysis revealed that LHN and LHN decelerated epithelial-mesenchymal transition and growth of stem-like cells, while the combination, LHN , significantly reduced sphere size compared to untreated and LHN-treated cells ( < 0.0001). In an orthotopic C6-induced GB rat model, LHN therapy demonstrated a more pronounced tumor-reducing effect than LHN alone. Tumor volume, assessed by magnetic resonance imaging, was significantly reduced in LHN -treated rats compared to untreated controls. Structural changes in tumor mitochondria, reduced membrane potential, and decreased PARP expression indicated the activation of apoptotic pathways in tumor cells, which was further confirmed by a reduction in PHH3, indicating decreased mitotic activity of tumor cells. Additionally, the local application of LHNs in the GB model mitigated aggressive tumor features without causing local tissue inflammation or adverse systemic effects. This was evidenced by a decrease in the angiogenesis marker CD31, the absence of inflammation or necrosis in H&E staining of the cerebellum, increased production of IFN-γ, decreased levels of interleukin-4 in splenic T cells, and lower serum AST levels. Our findings collectively indicate that LHN is a promising biocompatible model for the local treatment of GB.
胶质母细胞瘤(GB)肿瘤的全切除几乎不可能实现,替莫唑胺(TMZ)的全身给药往往也不足。本研究提出了一种用于GB肿瘤床局部治疗的混合层状复合纳米纤维网(LHN)。由聚乙烯醇和核壳聚乳酸层组成的LHN负载了TMZ和芦丁。分析表明,LHN和LHN减缓了上皮-间质转化和干细胞样细胞的生长,而联合使用LHN与未处理和LHN处理的细胞相比,显著减小了球体大小(P<0.0001)。在原位C6诱导的GB大鼠模型中,LHN联合治疗显示出比单独使用LHN更显著的肿瘤缩小效果。通过磁共振成像评估,与未处理的对照组相比,LHN联合治疗的大鼠肿瘤体积显著减小。肿瘤线粒体的结构变化、膜电位降低和PARP表达减少表明肿瘤细胞凋亡途径的激活,这通过PHH3的减少进一步得到证实,表明肿瘤细胞的有丝分裂活性降低。此外,在GB模型中局部应用LHNs减轻了侵袭性肿瘤特征,而不会引起局部组织炎症或全身不良反应。这通过血管生成标志物CD31的减少、小脑H&E染色中无炎症或坏死、IFN-γ产生增加、脾T细胞中白细胞介素-4水平降低以及血清AST水平降低得到证明。我们的研究结果共同表明,LHN联合治疗是一种有前景的用于GB局部治疗的生物相容性模型。