经鼻给予与经颅磁刺激相结合的替莫唑胺共轭纳米颗粒可提高胶质母细胞瘤异种移植模型的生存率。
Intranasal administration of temozolomide conjugated nanoparticles with transcranial magnetic stimulation improves the survival in glioblastoma xenograft models.
作者信息
Koh Matthew, Lee Jung Eun, Ye Eunbi, Lee Seohee, Kim Hong-Lim, Song Ha Eun, Yoo Hyun Ju, Kim Won Jong, Park Sung-Min, Yang Seung Ho
机构信息
Graduate School of Convergence Science and Technology, Medical Science and Engineering, Pohang University of Science and Technology (POSTECH), Pohang, Republic of Korea.
Department of Neurosurgery, College of Medicine, St. Vincent's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
出版信息
Drug Deliv Transl Res. 2025 Jul 8. doi: 10.1007/s13346-025-01895-9.
Glioblastoma Multiforme (GBM) is the most common primary malignancy of the central nervous system with an average survival time of 15 months following standard therapy. Furthermore, since its clinical introduction in 1999, temozolomide (TMZ) remains the chief therapeutic agent for GBM to date. However, because TMZ is administered orally, the blood-brain barrier (BBB) poses a significant challenge in GBM treatment, with efforts to overcome it complicated by unsustainable immunosuppression side effects. In this clinical context, there is a pressing need to develop more effective methods of delivering TMZ to GBM. We used temozolomide attached to superparamagnetic iron oxide nanoparticles (TMZ-SPION). First, its efficacy was compared to unconjugated temozolomide in vitro against U87 and U373 glioblastoma cell lines. Second, it was administered intranasally to U87 xenograft mice models and then guided to the brain parenchyma using transcranial magnetic stimulation (TMS), bypassing BBB. The efficacy was evaluated through a survival experiment. We found that TMZ-SPION was as effective as TMZ against glioblastoma cell lines. In the survival experiment, we found that TMZ-SPION + TMS treated mice survived twice longer than the untreated control group while requiring less than one-tenth of the conventional dose. TMZ-SPION guided by a magnetic field is a promising candidate for precise drug delivery to CNS tumor sites. Additionally, the intranasal route has been demonstrated as a reliable method for bypassing the BBB.
多形性胶质母细胞瘤(GBM)是中枢神经系统最常见的原发性恶性肿瘤,标准治疗后的平均生存时间为15个月。此外,自1999年临床应用以来,替莫唑胺(TMZ)至今仍是GBM的主要治疗药物。然而,由于TMZ是口服给药,血脑屏障(BBB)在GBM治疗中构成了重大挑战,克服这一障碍的努力因不可持续的免疫抑制副作用而变得复杂。在这种临床背景下,迫切需要开发更有效的将TMZ递送至GBM的方法。我们使用了附着在超顺磁性氧化铁纳米颗粒上的替莫唑胺(TMZ-SPION)。首先,在体外将其疗效与未结合的替莫唑胺针对U87和U373胶质母细胞瘤细胞系进行比较。其次,将其经鼻给予U87异种移植小鼠模型,然后使用经颅磁刺激(TMS)将其引导至脑实质,绕过血脑屏障。通过生存实验评估疗效。我们发现TMZ-SPION对胶质母细胞瘤细胞系的疗效与TMZ相同。在生存实验中,我们发现TMZ-SPION + TMS治疗的小鼠存活时间比未治疗的对照组延长了一倍,而所需剂量不到传统剂量的十分之一。磁场引导的TMZ-SPION是将药物精确递送至中枢神经系统肿瘤部位的有前景的候选物。此外,经鼻途径已被证明是绕过血脑屏障的可靠方法。