Zuberi Aruba, Rehman Urushi, Gupta Garima, Ghazwani Mohammed, Hani Umme, Kesharwani Prashant
Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, India.
GraphicEra Hill University, Dehradun 248002, India; School of Allied Medical Sciences, Lovely Professional University, Phagwara, Punjab, India.
Colloids Surf B Biointerfaces. 2025 Jun 23;255:114904. doi: 10.1016/j.colsurfb.2025.114904.
Brain cancer, particularly glioblastoma remains one of the most challenging malignancies to treat, largely due to its aggressive nature and the presence of the restrictive blood-brain barrier (BBB). Despite advances in conventional treatments such as surgery, radiotherapy, and chemotherapy, patient outcomes remain poor. This review explores the emerging role of liposomes as nanocarriers for targeted drug delivery in brain cancer therapy. Liposomes, capable of encapsulating both hydrophilic and hydrophobic drugs, offer multiple advantages, including enhanced drug stability, reduced systemic toxicity, and improved BBB penetration. Recent innovations in liposomal design, such as PEGylation and ligand-based targeting using transferrin or folic acid, have enabled more precise delivery to glioma cells. These advancements significantly increase therapeutic efficacy. Furthermore, the development of stimuli-responsive liposomes that release drugs in response to tumor-specific triggers like acidic pH or oxidative stress has shown promise in enhancing treatment outcomes. While preclinical and clinical studies underscore the potential of liposomal systems, challenges such as large-scale manufacturing, immune system clearance, and long-term stability persist. This review highlights key advances in liposome-based drug delivery for brain cancer, emphasizing clinical progress and identifying critical areas for future research. Addressing these challenges may pave the way for liposomal platforms to significantly advance precision oncology in neuro-oncology.
脑癌,尤其是胶质母细胞瘤,仍然是最难治疗的恶性肿瘤之一,这主要归因于其侵袭性本质以及存在限制药物进入的血脑屏障(BBB)。尽管在手术、放疗和化疗等传统治疗方法上取得了进展,但患者的预后仍然很差。本综述探讨了脂质体作为纳米载体在脑癌治疗中靶向给药的新兴作用。脂质体能够包裹亲水性和疏水性药物,具有多种优势,包括增强药物稳定性、降低全身毒性以及改善血脑屏障穿透性。脂质体设计的最新创新,如聚乙二醇化以及使用转铁蛋白或叶酸进行基于配体的靶向,能够更精确地将药物递送至胶质瘤细胞。这些进展显著提高了治疗效果。此外,开发能够响应肿瘤特异性触发因素(如酸性pH值或氧化应激)释放药物的刺激响应型脂质体,在提高治疗效果方面显示出了前景。虽然临床前和临床研究强调了脂质体系统的潜力,但大规模生产、免疫系统清除和长期稳定性等挑战仍然存在。本综述重点介绍了基于脂质体的脑癌药物递送的关键进展,强调了临床进展,并确定了未来研究的关键领域。应对这些挑战可能为脂质体平台在神经肿瘤学中显著推进精准肿瘤学铺平道路。