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胶质母细胞瘤的纳米疗法——希望之所系

Nanotherapy of Glioblastoma-Where Hope Grows.

作者信息

Grzegorzewski Jan, Michalak Maciej, Wołoszczuk Maria, Bulicz Magdalena, Majchrzak-Celińska Aleksandra

机构信息

The Student Scientific Society of Poznan University of Medical Sciences, 60-806 Poznań, Poland.

Department of Pharmaceutical Biochemistry, Poznan University of Medical Sciences, Rokietnicka 3, 60-806 Poznań, Poland.

出版信息

Int J Mol Sci. 2025 Feb 20;26(5):1814. doi: 10.3390/ijms26051814.

Abstract

Localization in the central nervous system, diffuse growth, the presence of stem cells, and numerous resistance mechanisms, all make glioblastoma (GBM) an incurable tumor. The standard treatment of GBM consisting of surgery; radio- and chemotherapy with temozolomide provides insufficient therapeutic benefit and needs to be updated with effective modern solutions. One of the most promising and intensively explored therapeutic approaches against GBM is the use of nanotherapy. The first, and so far only, nanoparticle-based therapy approved for GBM treatment is NanoTherm. It is based on iron oxide nanoparticles and the thermal ablation of the tumor with a magnetic field. Numerous other types of nanotherapies are being evaluated, including polymer and lipid-based nanoformulations, nanodiscs, dendrimers, and metallic, silica, or bioderived nanoparticles, among others. The advantages of these nanoscale drug carriers include improved penetration across the blood-brain barrier, targeted drug delivery, biocompatibility, and lower systemic toxicity, while major problems with their implementation involve scaling up their production and high costs. Nevertheless, taking all the impressive benefits of nanotherapies into consideration, it seems obvious that the combined effort of the scientific world will need to be taken to tackle these challenges and implement these novel therapies into clinics, giving hope that the battle against GBM can finally be won.

摘要

胶质母细胞瘤(GBM)在中枢神经系统中的定位、弥漫性生长、干细胞的存在以及众多耐药机制,都使其成为一种无法治愈的肿瘤。GBM的标准治疗包括手术;使用替莫唑胺进行放疗和化疗,但其治疗效果并不理想,需要采用有效的现代治疗方案进行更新。针对GBM最有前景且研究最深入的治疗方法之一是纳米疗法。目前首个也是唯一一个被批准用于GBM治疗的基于纳米颗粒的疗法是NanoTherm。它基于氧化铁纳米颗粒,并通过磁场对肿瘤进行热消融。目前正在评估许多其他类型的纳米疗法,包括基于聚合物和脂质的纳米制剂、纳米盘、树枝状大分子以及金属、二氧化硅或生物衍生的纳米颗粒等。这些纳米级药物载体的优点包括改善血脑屏障的穿透性、靶向药物递送、生物相容性和较低的全身毒性,而其实施过程中的主要问题包括扩大生产规模和成本高昂。尽管如此,考虑到纳米疗法的所有显著优势,显然需要科学界共同努力来应对这些挑战,并将这些新疗法应用于临床,给战胜GBM带来最终胜利的希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f01f/11898975/2c5e711a783a/ijms-26-01814-g001.jpg

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