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用于靶向多形性胶质母细胞瘤治疗的先进纳米胶束

Advanced nanomicelles for targeted glioblastoma multiforme therapy.

作者信息

Chithra P, Bhatia Dhiraj, Solanki Raghu

机构信息

Department of Biological Sciences and Engineering, Indian Institute of Technology Gandhinagar, Palaj, Gujarat 382355, India.

Department of Biological Sciences and Engineering, Indian Institute of Technology Gandhinagar, Palaj, Gujarat 382355, India.

出版信息

Biomater Adv. 2025 May;170:214221. doi: 10.1016/j.bioadv.2025.214221. Epub 2025 Feb 4.

Abstract

Glioblastoma multiforme (GBM) is the most aggressive and malignant primary brain tumor, classified as grade IV by the WHO. Despite standard treatments like surgical resection, radiotherapy and chemotherapy (i.e. temozolomide), GBM's prognosis remains poor due to its heterogeneity, recurrence and the impermeability of the blood-brain barrier (BBB). The exact cause of GBM is unclear with potential factors including genetic predisposition and ionizing radiation. Innovative approaches such as nanomicelles-nanoscale, self-assembled structures made from lipids and amphiphilic polymers show promise for GBM therapy. These nanocarriers enhance drug solubility and stability, enabling targeted delivery of therapeutic agents across the BBB. This review explores the synthesis strategies, characterization and applications of nanomicelles in GBM treatment. Nanomicelles improve the delivery of both hydrophobic and hydrophilic drugs and provide non-invasive delivery options. By offering site-specific targeting, biocompatibility, and stability, nanomicelles can potentially overcome the limitations of current GBM therapies. This review highlights recent advancements in the use of nanomicelles for delivering therapeutic agents and nucleic acids addressing the critical need for advanced treatments to improve GBM patient outcomes.

摘要

多形性胶质母细胞瘤(GBM)是最具侵袭性和恶性的原发性脑肿瘤,世界卫生组织将其归类为四级。尽管有手术切除、放疗和化疗(即替莫唑胺)等标准治疗方法,但由于其异质性、复发性和血脑屏障(BBB)的不可渗透性,GBM的预后仍然很差。GBM的确切病因尚不清楚,潜在因素包括遗传易感性和电离辐射。纳米胶束等创新方法——由脂质和两亲性聚合物制成的纳米级自组装结构——在GBM治疗中显示出前景。这些纳米载体提高了药物的溶解度和稳定性,能够跨血脑屏障靶向递送治疗剂。本综述探讨了纳米胶束在GBM治疗中的合成策略、表征和应用。纳米胶束改善了疏水和亲水药物的递送,并提供了非侵入性递送选择。通过提供位点特异性靶向、生物相容性和稳定性,纳米胶束有可能克服当前GBM治疗方法的局限性。本综述强调了使用纳米胶束递送治疗剂和核酸的最新进展,满足了对改善GBM患者预后的先进治疗方法的迫切需求。

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