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用于胶质母细胞瘤近红外二区荧光成像引导治疗的无机及杂化纳米材料与展望

Inorganic and hybrid nanomaterials for NIR-II fluorescence imaging-guided therapy of Glioblastoma and perspectives.

作者信息

Li Zhigang, Du Lixin, Du Binghua, Ullah Zia, Zhang Yinghe, Tu Yanyang, Zhou Ying, Guo Bing

机构信息

Department of Medical Imaging, Shenzhen Longhua District Central Hospital, Shenzhen Longhua District Key Laboratory of Neuroimaging, Shenzhen 518110, China.

School of Science, Shenzhen Key Laboratory of Advanced Functional Carbon Materials Research and Comprehensive Application, Harbin Institute of Technology, Shenzhen 518055, China.

出版信息

Theranostics. 2025 Apr 21;15(12):5616-5665. doi: 10.7150/thno.112204. eCollection 2025.

Abstract

Glioblastoma (GBM) is the most invasive and lethal brain tumor, with limited therapeutic options due to its highly infiltrative nature, resistance to conventional therapies, and blood-brain barriers. Recent advancements in near-infrared II (NIR-II) fluorescence imaging have facilitated greater tissue penetration, improved resolution, and real-time visualization of GBM, providing a promising approach for precise diagnosis and treatment. The inorganic and hybrid NIR-II fluorescent materials have developed rapidly for NIR-II fluorescence imaging-guided diagnosis and therapy of many diseases, including GBM. Herein, we offer a timely update to explore the contribution of inorganic/hybrid NIR-II fluorescent nanomaterials, such as quantum dots, rare-earth-doped nanoparticles, carbon-based nanomaterials, and metal nanoclusters in imaging-guided treatment for GBM. These nanomaterials provide high photostability, strong fluorescence intensity, and tunable optical properties, allowing for multimodal imaging and enhanced therapeutic efficacy. Additionally, their integration with modern therapeutic strategies, such as photothermal therapy, chemodynamic therapy, photodynamic therapy, sonodynamic therapy, and immunotherapy, has shown significant potential in overcoming the limitations of traditional treatments. Looking forward, future advancements including safe body clearance, long-term biocompatibility, efficient BBB penetration, and extended emission wavelengths beyond 1500 nm could enhance the theranostic outcomes. The integration of dual imaging with immunotherapy and AI-driven strategies will further enhance precision and accelerate the clinical translation of smart theranostic platforms for GBM treatment.

摘要

胶质母细胞瘤(GBM)是最具侵袭性和致命性的脑肿瘤,由于其高度浸润性、对传统疗法的抗性以及血脑屏障,治疗选择有限。近红外二区(NIR-II)荧光成像的最新进展促进了对GBM更深的组织穿透、更高的分辨率和实时可视化,为精确诊断和治疗提供了一种有前景的方法。无机和混合NIR-II荧光材料已迅速发展,用于包括GBM在内的多种疾病的NIR-II荧光成像引导的诊断和治疗。在此,我们及时更新,探讨无机/混合NIR-II荧光纳米材料,如量子点、稀土掺杂纳米颗粒、碳基纳米材料和金属纳米团簇在GBM成像引导治疗中的作用。这些纳米材料具有高光稳定性、强荧光强度和可调光学性质,可实现多模态成像并增强治疗效果。此外,它们与光热疗法、化学动力疗法、光动力疗法、声动力疗法和免疫疗法等现代治疗策略的结合,在克服传统治疗的局限性方面显示出巨大潜力。展望未来,包括安全的体内清除、长期生物相容性、有效的血脑屏障穿透以及超过1500 nm的扩展发射波长等未来进展可能会提高诊疗效果。双成像与免疫疗法和人工智能驱动策略的整合将进一步提高精度,并加速用于GBM治疗的智能诊疗平台的临床转化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e881/12068291/80e97f28edc3/thnov15p5616g001.jpg

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