Castellani Giorgia, Buccarelli Mariachiara, Cece Enza, Offi Martina, Ricci-Vitiani Lucia
Department of Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy.
National Centre for Innovative Technologies in Public Health, Istituto Superiore di Sanità, Rome, Italy.
Transl Oncol. 2025 Jul 26;60:102485. doi: 10.1016/j.tranon.2025.102485.
Aptamers are single-stranded oligonucleotides with great versatility, acting as therapeutic molecules with anticancer properties but also as delivery systems. A growing number of studies showed that aptamers can be properly designed to recognize a specific target, to conjugate drugs, nanoparticles or nucleic acid therapeutics (NATs) and to cross the blood brain barrier. In this review, we summarized the main advantages of aptamers as delivery system, focusing our attention on aptamer-mediated delivery of therapeutic oligonucleotides in glioblastoma. Glioblastoma represents the most common and aggressive primary malignant brain tumor in adults, with a median survival ranging from 14.6 to 20.5 months. Currently, the standard treatment of newly diagnosed tumor includes surgical resection followed by radiotherapy and chemotherapy with the alkylating agent temozolomide. However, the overall efficacy is limited and most patients relapse within a few months, calling attention on the development of alternative therapeutic strategies. Particularly, we discussed research studies on NAT delivery mediated by aptamer chimeras and aptamer-nanoparticle complexes able to impair various processes involved in glioblastoma tumorigenesis. This overview will help to highlight how aptamers, thanks to their advantages, could represent a promising tool for the development of innovative therapeutic approaches for glioblastoma treatment.
适体是具有高度通用性的单链寡核苷酸,既可以作为具有抗癌特性的治疗分子,也可以作为递送系统。越来越多的研究表明,适体可以经过合理设计以识别特定靶点、缀合药物、纳米颗粒或核酸疗法(NATs)并穿越血脑屏障。在本综述中,我们总结了适体作为递送系统的主要优势,重点关注适体介导的治疗性寡核苷酸在胶质母细胞瘤中的递送。胶质母细胞瘤是成人中最常见且侵袭性最强的原发性恶性脑肿瘤,中位生存期为14.6至20.5个月。目前,新诊断肿瘤的标准治疗包括手术切除,随后进行放疗以及使用烷化剂替莫唑胺进行化疗。然而,总体疗效有限,大多数患者在几个月内复发,这促使人们关注替代治疗策略的开发。特别是,我们讨论了关于由适体嵌合体和适体 - 纳米颗粒复合物介导的NAT递送的研究,这些复合物能够干扰胶质母细胞瘤肿瘤发生过程中涉及的各种进程。这一概述将有助于凸显适体凭借其优势,如何能够成为开发胶质母细胞瘤创新治疗方法的有前景的工具。
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