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工程纳米颗粒作为一种用于多形性胶质母细胞瘤治疗的有前景的药物递送系统。

Engineered nanoparticles as a promising drug delivery system for glioblastoma multiforme treatment.

作者信息

Zarneshan Seyede Nazanin, Aghaz Faranak

机构信息

Nano Drug Delivery Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Ther Deliv. 2025 Jun;16(6):593-606. doi: 10.1080/20415990.2025.2484170. Epub 2025 Mar 25.

Abstract

Brain cancer has become an emerging medical disorder that poses a threat to human life due to the uncontrolled growth of cancer cells and their gradual spread to other organs. The most aggressive and life-threatening of the several types of Brain cancer is GBM. Treating GBM is difficult considering drugs are not exposed at the brain's site of action because of BBTB and BBB. Only a few cytotoxic drugs are presently used to treat GBM, including temozolomide, paclitaxel, and doxorubicin, and only temozolomide has enough BBB penetration. In this context, engineered nanoparticles are used to transport chemotherapeutic medications and reduce notable peripheral toxicity on normal cells; for necessary drug dosages. They are investigated as drug carriers to address the problem of drug resistance linked to traditional chemotherapy treatments. Many nanostructures, such as polymeric, lipid-based, and inorganic nanoparticles, have been developed as drug-delivery methods in recent decades. To be therapeutically successful as a GBM therapy, ENP formulations must diffuse through the BBB and efficiently deliver the drugs to the target cells. Various coatings and surface modifications of nanostructures can be tailored with different targeting moieties to facilitate the uptake of drug carriers by malignant cells while safeguarding healthy tissues from damage.

摘要

脑癌已成为一种新出现的医学病症,由于癌细胞的无节制生长及其逐渐扩散至其他器官,对人类生命构成威胁。在几种类型的脑癌中,最具侵袭性且危及生命的是胶质母细胞瘤(GBM)。考虑到由于血脑肿瘤屏障(BBTB)和血脑屏障(BBB)的存在,药物无法作用于脑部,治疗GBM很困难。目前仅有少数细胞毒性药物用于治疗GBM,包括替莫唑胺、紫杉醇和阿霉素,且只有替莫唑胺具有足够的血脑屏障穿透能力。在此背景下,工程化纳米颗粒被用于输送化疗药物,并降低对正常细胞显著的外周毒性,以达到必要的药物剂量。它们作为药物载体进行研究,以解决与传统化疗治疗相关的耐药性问题。近几十年来,许多纳米结构,如聚合物、脂质基和无机纳米颗粒,已被开发为药物递送方法。为了作为GBM疗法取得治疗成功,工程化纳米颗粒(ENP)制剂必须穿过血脑屏障,并有效地将药物递送至靶细胞。纳米结构的各种涂层和表面修饰可以用不同的靶向部分进行定制,以促进恶性细胞对药物载体的摄取,同时保护健康组织免受损害。

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