De Rosa Giorgia, Zeppieri Marco, Gagliano Caterina, Tel Alessandro, Tognetto Daniele, Panciani Pier Paolo, Fontanella Marco Maria, Ius Tamara, Agosti Edoardo
Division of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazza Spedali Civili 1, Brescia, 25123, Italy.
Department of Ophthalmology, University Hospital of Udine, p.le S. Maria della Misericordia 15, Udine, 33100, Italy.
Neurol Sci. 2025 Sep 13. doi: 10.1007/s10072-025-08457-4.
Glioblastoma multiforme (GBM) is a very aggressive and deadly brain tumor, presenting considerable therapeutic hurdles due to its infiltrative development, heterogeneity, and protective mechanisms of the blood-brain barrier (BBB). Traditional treatment methods frequently do not yield satisfactory results, requiring the implementation of novel solutions. Surface-modified nanoparticles (NPs) have emerged as a viable approach in GBM therapy, providing potential benefits in targeted drug delivery, improved therapeutic efficacy, and reduced systemic toxicity.
This narrative review examines progress in the creation and utilization of surface-modified NPs, emphasizing their function in traversing the blood-brain barrier and selectively targeting glioblastoma cells.
This review consolidates findings from an extensive search of principal medical databases, highlighting in vitro, in vivo, and ex vivo investigations on surface-modified NPs in the treatment of GBM. The discourse emphasizes diverse methodologies, surface alteration procedures, and their ramifications for therapeutic effectiveness and clinical relevance.
In the last ten years, considerable advancements have been achieved in customizing NPs for targeting GBM. Surface modifications, including conjugation with ligands, peptides, or polymers, have significantly enhanced NP stability, biocompatibility, and specificity. Receptor-mediated targeting has been a primary method, utilizing unique molecular markers that are overexpressed on GBM cells to improve the precision of drug delivery. Dual-targeting strategies that focus on both the blood-brain barrier and tumor microenvironment have demonstrated promise in enhancing therapeutic results. Moreover, sophisticated surface characterization methods have yielded essential insights on NP efficacy, guaranteeing the dependability and consistency of these systems. Preclinical models, especially in vivo studies, have highlighted the translational potential of these methods, showing enhanced medication penetration and efficacy in difficult GBM scenarios.
Surface-modified NPs signify a groundbreaking advancement in GBM therapy, providing novel answers to persistent difficulties. By combining innovative surface engineering with tailored therapeutic administration, they aim to improve treatment accuracy and reduce off-target consequences. Nevertheless, substantial obstacles persist, such as tackling NP toxicity, enhancing surface modification techniques, and guaranteeing scalability for clinical use.
多形性胶质母细胞瘤(GBM)是一种极具侵袭性和致命性的脑肿瘤,由于其浸润性生长、异质性以及血脑屏障(BBB)的保护机制,在治疗上面临诸多障碍。传统治疗方法往往难以取得令人满意的效果,因此需要采用新的解决方案。表面修饰的纳米颗粒(NPs)已成为GBM治疗中一种可行的方法,在靶向给药、提高治疗效果和降低全身毒性方面具有潜在优势。
本叙述性综述探讨表面修饰NPs的制备和应用进展,重点阐述其在穿越血脑屏障和选择性靶向胶质母细胞瘤细胞方面的作用。
本综述整合了对主要医学数据库广泛检索的结果,突出了关于表面修饰NPs治疗GBM的体外、体内和离体研究。论述强调了不同的方法、表面改性程序及其对治疗效果和临床相关性的影响。
在过去十年中,在定制用于靶向GBM的NPs方面取得了显著进展。表面修饰,包括与配体、肽或聚合物结合,显著提高了NP的稳定性、生物相容性和特异性。受体介导的靶向一直是主要方法,利用GBM细胞上过度表达的独特分子标记来提高药物递送的精确性。专注于血脑屏障和肿瘤微环境的双靶向策略在提高治疗效果方面已显示出前景。此外,先进的表面表征方法为NP疗效提供了重要见解,确保了这些系统的可靠性和一致性。临床前模型尤其是体内研究突出了这些方法的转化潜力,显示在难治性GBM情况下药物渗透和疗效增强。
表面修饰的NPs标志着GBM治疗的一项突破性进展,为长期存在的难题提供了新的解决方案。通过将创新的表面工程与定制的治疗给药相结合,旨在提高治疗准确性并减少脱靶效应。然而,仍然存在重大障碍,如解决NP毒性、改进表面修饰技术以及确保临床应用的可扩展性。