BMC Medicine,
Journal Year:
2024,
Volume and Issue:
22(1)
Published: Dec. 5, 2024
Abstract
Glioblastoma
(GBM)
is
the
most
aggressive
primary
brain
tumor
in
adults,
with
a
universally
lethal
prognosis
despite
maximal
standard
therapies.
Here,
we
present
consensus
treatment
protocol
based
on
metabolic
requirements
of
GBM
cells
for
two
major
fermentable
fuels:
glucose
and
glutamine.
Glucose
source
carbon
ATP
synthesis
growth
through
glycolysis,
while
glutamine
provides
nitrogen,
carbon,
glutaminolysis.
As
no
can
grow
without
anabolic
substrates
or
energy,
simultaneous
targeting
glycolysis
glutaminolysis
expected
to
reduce
proliferation
if
not
all
cells.
Ketogenic
therapy
(KMT)
leverages
diet-drug
combinations
that
inhibit
glutaminolysis,
signaling
shifting
energy
metabolism
therapeutic
ketosis.
The
glucose-ketone
index
(GKI)
standardized
biomarker
assessing
biological
compliance,
ideally
via
real-time
monitoring.
KMT
aims
increase
substrate
competition
normalize
microenvironment
GKI-adjusted
ketogenic
diets,
calorie
restriction,
fasting,
also
glycolytic
glutaminolytic
flux
using
specific
inhibitors.
Non-fermentable
fuels,
such
as
ketone
bodies,
fatty
acids,
lactate,
are
comparatively
less
efficient
supporting
long-term
bioenergetic
biosynthetic
demands
cancer
cell
proliferation.
proposed
strategy
may
be
implemented
synergistic
priming
baseline
well
other
tumors
driven
by
regardless
their
residual
mitochondrial
function.
Suggested
best
practices
provided
guide
future
research
oncology,
offering
shared,
evidence-driven
framework
observational
interventional
studies.
Advanced Materials,
Journal Year:
2021,
Volume and Issue:
33(9)
Published: Jan. 27, 2021
Immunotherapy
is
recognized
as
one
of
the
most
promising
approaches
to
treat
cancers.
However,
its
effect
in
glioblastoma
(GBM)
treatment
insufficient,
which
can
part
be
attributed
immunosuppressive
tumor
microenvironment
(TME).
Microglia
and
macrophages
are
main
immune
infiltrating
cells
TME
GBM.
Unfortunately,
instead
initiating
anti-tumor
response,
GBM-infiltrating
microglia
switch
a
tumor-promoting
phenotype
(M2),
support
growth,
angiogenesis,
immunosuppression
by
release
cytokines.
In
this
work,
virus-mimicking
membrane-coated
nucleic
acid
nanogel
Vir-Gel
embedded
with
therapeutic
miRNA
developed,
reprogram
from
pro-invasive
M2
an
M1
phenotype.
By
mimicking
virus
infection
process,
significantly
enhances
targetability
cell
uptake
efficiency
miR155-bearing
nanogel.
vivo
evaluations
demonstrate
that
apparently
prolongs
circulation
lifetime
miR155
endows
it
active
tumor-targeting
capability
excellent
inhibition
efficacy.
Owing
noninvasive
feature
effective
delivery
capability,
provides
general
convenient
platform
successfully
wide
range
diseases.
Advanced Materials,
Journal Year:
2022,
Volume and Issue:
34(33)
Published: June 23, 2022
Glioblastoma
(GBM)
is
an
intractable
malignancy
with
high
recurrence
and
mortality.
Combinatorial
therapy
based
on
temozolomide
(TMZ)
cisplatin
(CDDP)
shows
promising
potential
for
GBM
in
clinical
trials.
However,
significant
challenges
include
limited
blood-brain-barrier
(BBB)
penetration,
poor
targeting
of
tissue/cells,
systemic
side
effects,
which
hinder
its
efficacy
therapy.
To
surmount
these
challenges,
new
GBM-cell
membrane
camouflaged
pH-sensitive
biomimetic
nanoparticles
(MNPs)
inspired
by
the
fact
that
cancer
cells
readily
pass
BBB
localize
homologous
cells,
are
developed.
This
study's
results
show
MNPs
can
efficiently
co-load
TMZ
CDDP,
transport
across
to
specifically
target
GBM.
Incorporation
polymer
then
allows
controlled
release
drug
cargos
at
sites
combination
Mice
bearing
orthotopic
U87MG
or
drug-resistant
U251R
tumor
treated
MNPs@TMZ+CDDP
a
potent
anti-GBM
effect,
greatly
extending
survival
time
relative
mice
receiving
single-drug
loaded
nanoparticles.
No
obvious
effects
apparent
histological
analyses
blood
routine
studies.
Considering
results,
nanoparticle
formulation
overcomes
multiple
currently
limiting
combined
CDDP
appears
be
strategy
future
combinatorial
chemotherapy.
Frontiers in Immunology,
Journal Year:
2021,
Volume and Issue:
12
Published: March 3, 2021
Chimeric
antigen
receptor
(CAR)
T
cell
therapy
has
emerged
as
one
of
the
major
breakthroughs
in
cancer
immunotherapy
last
decade.
Outstanding
results
hematological
malignancies
and
encouraging
pre-clinical
anti-tumor
activity
against
a
wide
range
solid
tumors
have
made
CAR
cells
most
promising
fields
for
therapies.
is
currently
being
investigated
including
glioblastoma
(GBM),
tumor
which
survival
only
modestly
improved
over
past
decades.
targeting
EGFRvIII,
Her2,
or
IL-13Rα2
been
tested
GBM,
but
first
clinical
trials
shown
modest
results,
potentially
due
to
GBM
heterogeneity
presence
an
immunosuppressive
microenvironment.
Until
now,
use
autologous
manufacture
products
norm,
this
approach
several
disadvantages
regarding
production
time,
cost,
manufacturing
delay
dependence
on
functional
fitness
patient
cells,
often
reduced
by
disease
previous
Universal
“off-the-shelf,”
allogeneic,
alternative
that
can
overcome
these
issues,
allow
multiple
modifications
combinations
target
antigens
avoid
escape.
Advances
genome
editing
tools,
especially
via
CRISPR/Cas9,
might
overcoming
two
main
limitations
allogeneic
product,
i.e.,
graft-vs.-host
host
allorejection.
Here,
we
will
discuss
how
could
multivalent
approaches
alteration
microenvironment,
allowing
development
next
generation
therapies
treatment
patients
with
GBM.
Exploration,
Journal Year:
2022,
Volume and Issue:
2(4)
Published: April 19, 2022
Glioblastoma
(GBM)
is
a
central
nervous
system
tumor
with
poor
prognosis
due
to
the
rapid
development
of
resistance
mono
chemotherapy
and
brain
targeted
delivery.
Chemoimmunotherapy
(CIT)
combines
drugs
activators
innate
immunity
that
hold
great
promise
for
GBM
synergistic
therapy.
Herein,
we
chose
temozolomide,
TMZ,
epigenetic
bromodomain
inhibitor,
OTX015,
further
co-encapsulated
them
within
our
well-established
erythrocyte
membrane
camouflaged
nanoparticle
yield
ApoE
peptide
decorated
biomimetic
nanomedicine
(ABNM@TMZ/OTX).
Our
nanoplatform
successfully
addressed
limitations
in
brain-targeted
drug
co-delivery,
simultaneously
achieved
multidimensional
enhanced
CIT.
In
mice
bearing
orthotopic
GL261
GBM,
treatment
ABNM@TMZ/OTX
resulted
marked
inhibition
greatly
extended
survival
time
little
side
effects.
The
pronounced
efficacy
can
be
ascribed
three
key
factors:
(i)
improved
nanoparticle-mediated
targeting
delivery
therapeutic
agents
by
blood
circulation
blood-brain
barrier
penetration;
(ii)
inhibited
cellular
DNA
repair
TMZ
sensitivity
cells;
(iii)
anti-tumor
immune
responses
inducing
immunogenic
cell
death
inhibiting
PD-1/PD-L1
conjugation
leading
expression
CD4
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: July 28, 2023
Abstract
Glioblastoma
(GBM)
remains
the
most
lethal
malignant
tumours.
Gboxin,
an
oxidative
phosphorylation
inhibitor,
specifically
restrains
GBM
growth
by
inhibiting
activity
of
F
0
1
ATPase
complex
V.
However,
its
anti-GBM
effect
is
seriously
limited
poor
blood
circulation,
brain
barrier
(BBB)
and
non-specific
tissue/cell
uptake,
leading
to
insufficient
Gboxin
accumulation
at
sites,
which
limits
further
clinical
application.
Here
we
present
a
biomimetic
nanomedicine
(HM-NPs@G)
coating
cancer
cell-mitochondria
hybrid
membrane
(HM)
on
surface
Gboxin-loaded
nanoparticles.
An
additional
design
element
uses
reactive
oxygen
species
responsive
polymer
facilitate
at-site
release.
The
HM
camouflaging
endows
HM-NPs@G
with
unique
features
including
good
biocompatibility,
improved
pharmacokinetic
profile,
efficient
BBB
permeability
homotypic
dual
tumour
cell
mitochondria
targeting.
results
suggest
that
achieve
circulation
(4.90
h
versus
0.47
free
Gboxin)
(7.73%
ID/g
1.06%
shown
Gboxin).
Effective
inhibition
in
orthotopic
U87MG
patient
derived
X01
stem
xenografts
female
mice
extended
survival
time
negligible
side
effects
are
also
noted.
We
believe
represents
promising
treatment
for
tumours
potential.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: Jan. 4, 2023
Abstract
Brain
tumors,
although
rare,
contribute
to
distinct
mortality
and
morbidity
at
all
ages.
Although
there
are
few
therapeutic
options
for
brain
enhanced
biological
understanding
unexampled
innovations
in
targeted
therapies
immunotherapies
have
considerably
improved
patients’
prognoses.
Nonetheless,
the
reduced
response
rates
unavoidable
drug
resistance
of
currently
available
treatment
approaches
become
a
barrier
further
improvement
tumor
(glioma,
meningioma,
CNS
germ
cell
lymphoma)
treatment.
Previous
literature
data
revealed
that
several
different
signaling
pathways
dysregulated
tumor.
Importantly,
better
targeting
influences
malignant
behavior
cells
might
open
way
development
novel
therapies.
Thus,
is
an
urgent
need
more
comprehensive
pathogenesis
these
which
result
greater
progress
approaches.
This
paper
began
with
brief
description
epidemiology,
incidence,
risk
factors,
as
well
survival
tumors.
Next,
major
underlying
tumors’
current
therapies,
including
clinical
trials,
immunotherapies,
system
been
systemically
reviewed
discussed.
Finally,
future
perspective
challenges
strategies
were
emphasized.
Journal of Controlled Release,
Journal Year:
2023,
Volume and Issue:
357, P. 161 - 174
Published: March 30, 2023
The
prognosis
of
brain
cancers
such
as
glioblastoma
remains
poor
despite
numerous
advancements
in
the
field
neuro-oncology.
presence
blood
barrier
(BBB)
along
with
highly
invasive
and
aggressive
nature
presents
a
difficult
challenge
for
developing
effective
therapies.
Temozolomide
(TMZ)
is
first
line
agent
used
clinic
it
has
been
useful
increasing
patient
survival
rates.
However,
TMZ
suffers
from
issues
related
to
its
pharmacokinetics,
short
plasma
half-life
(2
h),
subjected
P-gp
efflux,
limited
extravasation
(∼20%).
It
postulated
that
reducing
efflux
tissue
exposure
could
prove
treating
preventing
tumour
recurrence.
Herein,
ultra-small,
large
pore
silica
nanoparticles
(USLP)
have
loaded
TMZ,
surface
PEGlyated
reduce
decorated
cascade
targeting
protein
lactoferrin
efficient
uptake
across
BBB
into
glioblastoma.
Our
results
demonstrate
USLP
improves
permeability
vitro
evidenced
using
transwell
model
which
mimics
endothelial
tight
junctions
permeation
being
enhanced
PEGylated
particles.
Data
also
suggests
formulations
can
significantly
ratio
TMZ.
In
apoptosis
studies
on
cell
lines
U87
GL261
were
conducted
showed
an
improvement
induced
compared
pure
Finally,
proof-of-concept
preclinical
mouse
study
demonstrated
when
given
intravenously
at
50
mg/kg,
particles
accumulation
within
few
hours
without
any
obvious
pathophysiological
changes
vital
organs
assessed
via
histology.
Overall,
data
our
innovative
delivery
system
permeating
potential
improve
efficacy
therapy.
Current Neurology and Neuroscience Reports,
Journal Year:
2024,
Volume and Issue:
24(5), P. 123 - 139
Published: April 5, 2024
Abstract
Purpose
of
Review
Glioblastoma
remains
resistant
to
most
conventional
treatments.
Despite
scientific
advances
in
the
past
three
decades,
there
has
been
a
dearth
effective
new
New
approaches
drug
delivery
and
clinical
trial
design
are
needed.
Recent
Findings
We
discuss
how
blood–brain
barrier
tumor
microenvironment
pose
challenges
for
development
therapies
glioblastoma.
Next,
we
treatments
that
aim
overcome
these
barriers,
including
novel
designs
such
as
nanoparticles
antibody–drug
conjugates,
methods
delivery,
convection-enhanced
intra-arterial
enhance
penetration,
disruption
by
focused
ultrasound
laser
interstitial
thermal
therapy.
Lastly,
address
future
opportunities,
positing
combination
therapy
best
strategy
treatment,
neoadjuvant
window-of-opportunity
simultaneously
therapeutic
effectiveness
with
interrogation
on-treatment
biologic
endpoints,
adaptive
platform
basket
trials
imperative
design.
Summary
GBM
treatment
should
account
blood-brain
immunosuppression
improving
combining
treatments,
integrating
designs.