Glioblastoma
multiforme
(GBM)
is
the
most
prevalent
and
aggressive
primary
brain
tumor
in
adults,
characterized
by
a
poor
prognosis
significant
resistance
to
existing
treatments.
Despite
progress
therapeutic
strategies,
median
overall
survival
remains
approximately
15
months.
A
hallmark
of
GBM
its
intricate
molecular
profile,
driven
disruptions
multiple
signaling
pathways,
including
PI3K/AKT/mTOR,
Wnt,
NF-κB,
TGF-β,
critical
growth,
invasion,
treatment
resistance.
This
review
examines
epidemiology,
mechanisms,
prospects
targeting
these
pathways
GBM,
highlighting
recent
insights
into
pathway
interactions
discovering
new
targets
improve
patient
outcomes.
Neurological
disorders
such
as
Alzheimer's
disease,
stroke,
and
brain
cancers
are
difficult
to
treat
with
current
drugs
their
delivery
efficacy
the
is
severely
hampered
by
presence
of
blood-brain
barrier
(BBB).
Drug
systems
have
been
extensively
explored
in
recent
decades
aiming
circumvent
this
barrier.
In
particular,
polymeric
nanoparticles
shown
enormous
potentials
owing
unique
properties,
high
tunability,
ease
synthesis,
control
over
drug
release
profile.
However,
careful
analysis
performance
effective
transport
across
BBB
should
be
performed
using
clinically
relevant
testing
models.
review,
nanoparticle
for
central
nervous
system
discussed
an
emphasis
on
effects
particle
size,
shape,
surface
modifications
penetration.
Moreover,
authors
critically
analyze
vitro
vivo
models
used
evaluate
penetration
efficacy,
including
latest
developments
BBB-on-a-chip
Finally,
challenges
future
perspectives
development
combat
neurological
discussed.
Accounts of Chemical Research,
Год журнала:
2020,
Номер
53(10), С. 2094 - 2105
Опубликована: Окт. 5, 2020
ConspectusThe
immune
system
has
evolved
over
time
to
protect
the
host
from
foreign
microorganisms.
Activation
of
is
predicated
on
a
distinction
between
self
and
nonself.
Unfortunately,
cancer
characterized
by
genetic
alterations
in
host's
cells,
leading
uncontrolled
cellular
proliferation
evasion
surveillance.
Cancer
immunotherapy
aims
educate
not
only
recognize
but
also
attack
kill
mutated
cells.
While
checkpoint
blockers
have
been
proven
be
effective
against
multiple
types
advanced
cancer,
overall
patient
response
rate
still
remains
below
30%.
Therefore,
there
an
urgent
need
improve
current
immunotherapies.
In
this
Account,
we
present
overview
our
recent
progress
nanoparticle-based
strategies
for
improving
vaccines
We
other
complementary
give
well-rounded
snapshot
field
combination
immunotherapy.
The
versatility
tunability
nanoparticles
make
them
promising
platforms
addressing
individual
challenges
posed
various
cancers.
For
example,
can
deliver
cargo
materials
specific
such
as
delivered
antigen-presenting
cells
strong
activation.
Nanoparticles
allow
stimuli-responsive
delivery
therapeutics
thus
forming
basis
Here,
focus
nanoparticle
engineered
tumor
antigens,
whole
chemotherapeutic
or
phototherapeutic
agents
manner
effectively
safely
trigger
each
work,
discuss
platform
developed,
synthesis
chemistry,
vivo
applications.
Nanovaccines
offer
unique
codelivery
personalized
neoantigens
adjuvants
elicitation
robust
responses
aggressive
tumors.
either
delivering
cell
lysate
formed
may
increase
repertoire
antigens
targets
while
exploiting
immunogenic
death
prime
antitumor
responses.
how
antigen-
cell-based
approaches
open
door
vaccination
On
hand,
chemotherapy,
phototherapy,
radiotherapy
are
more
standardized
therapies,
promote
their
ability
initiate
T
activation
efficacy
with
minimal
toxicity.
Finally,
building
immunotherapy,
should
set
ultimate
goal
clinical
translation
efficacy.
will
regulatory,
analytical,
manufacturing
hurdles
that
addressed
expedite
nanomedicine-based
International Journal of Molecular Sciences,
Год журнала:
2019,
Номер
20(21), С. 5347 - 5347
Опубликована: Окт. 28, 2019
Glioblastoma
(GBM)
is
the
most
popular
primary
central
nervous
system
cancer
and
has
an
extremely
expansive
course.
Aggressive
tumor
growth
correlates
with
short
median
overall
survival
(OS)
oscillating
between
14
17
months.
The
rate
of
patients
in
a
three-year
follow
up
oscillates
around
10%.
interaction
proteins
programmed
death-1
(PD-1)
cell
death
ligand
(PD-L1)
creates
immunoregulatory
axis
promoting
invasion
glioblastoma
multiforme
cells
brain
tissue.
PD-1
pathway
maintains
immunological
homeostasis
protects
against
autoimmunity.
PD-L1
expression
on
surface
promotes
receptor
activation
microglia,
resulting
negative
regulation
T
responses.
induce
secretion
by
various
receptors
such
as
toll
like
(TLR),
epidermal
factor
(EGFR),
interferon
alpha
(IFNAR),
interferon-gamma
(IFNGR).
Binding
to
activates
protein
tyrosine
phosphatase
SHP-2,
which
dephosphorylates
Zap
70,
this
inhibits
proliferation
downregulates
lymphocyte
cytotoxic
activity.
Relevant
studies
demonstrated
that
glioma
WHO
grading
could
be
considered
biomarker.
Studies
preclinical
GBM
mouse
models
confirmed
safety
efficiency
monoclonal
antibodies
targeting
PD-1/PD-L1
axis.
Satisfactory
results
significant
regression
mass
longer
animal
time
were
observed.
Monoclonal
inhibiting
are
being
tested
clinical
trials
concerning
recurrent
multiforme.
Molecules,
Год журнала:
2020,
Номер
25(8), С. 1929 - 1929
Опубликована: Апрель 21, 2020
Although
the
global
prevalence
of
neurological
disorders
such
as
Parkinson's
disease,
Alzheimer's
glioblastoma,
epilepsy,
and
multiple
sclerosis
is
steadily
increasing,
effective
delivery
drug
molecules
in
therapeutic
quantities
to
central
nervous
system
(CNS)
still
lacking.
The
blood
brain
barrier
(BBB)
major
obstacle
for
entry
drugs
into
brain,
it
comprises
a
tight
layer
endothelial
cells
surrounded
by
astrocyte
foot
processes
that
limit
drugs'
entry.
In
recent
times,
intranasal
has
emerged
reliable
method
bypass
BBB
treat
diseases.
route
with
both
solution
particulate
formulations
been
demonstrated
repeatedly
preclinical
models,
including
human
trials.
key
features
determining
efficacy
via
include
olfactory
area
nares,
longer
retention
time
at
nasal
mucosal
surface,
enhanced
penetration
through
epithelia,
reduced
metabolism
cavity.
This
review
describes
important
disorders,
challenges
disordered
CNS,
new
techniques
designed
overcome
these
facilitate
more
efficient
targeted
delivery.
potential
treatment
possibilities
transfer
will
increase
development
devices.
Stem Cell Research & Therapy,
Год журнала:
2021,
Номер
12(1)
Опубликована: Март 24, 2021
Abstract
Glioblastoma
(GBM)
is
the
highest-grade
form
of
glioma,
as
well
one
most
aggressive
types
cancer,
exhibiting
rapid
cellular
growth
and
highly
invasive
behavior.
Despite
significant
advances
in
diagnosis
therapy
recent
decades,
outcomes
for
high-grade
gliomas
(WHO
grades
III-IV)
remain
unfavorable,
with
a
median
overall
survival
time
15–18
months.
The
concept
cancer
stem
cells
(CSCs)
has
emerged
provided
new
insight
into
GBM
resistance
management.
CSCs
can
self-renew
initiate
tumor
are
also
responsible
cell
heterogeneity
induction
systemic
immunosuppression.
idea
that
could
be
dependent
on
innate
differences
sensitivity
clonogenic
glial
(GSCs)
to
chemotherapeutic
drugs/radiation
prompted
scientific
community
rethink
understanding
therapies
directed
at
eliminating
these
or
modulating
their
stemness.
This
review
aims
describe
major
intrinsic
extrinsic
mechanisms
mediate
chemoradioresistant
GSCs
based
antineoplastic
agents
from
natural
sources,
derivatives,
synthetics
used
alone
synergistic
combination
conventional
treatment.
We
will
address
ongoing
clinical
trials
focused
promising
targets.
Although
development
effective
remains
challenge
molecular
oncology,
GSC
knowledge
offer
directions
future.
Cancers,
Год журнала:
2023,
Номер
15(7), С. 2116 - 2116
Опубликована: Апрель 1, 2023
Glioblastoma
multiforme
(GBM)
is
a
highly
aggressive
form
of
brain
cancer
that
difficult
to
treat
due
its
resistance
both
radiation
and
chemotherapy.
This
largely
the
unique
biology
GBM
cells,
which
can
evade
effects
conventional
treatments
through
mechanisms
such
as
increased
cell
death
rapid
regeneration
cancerous
cells.
Additionally,
blood–brain
barrier
makes
it
for
chemotherapy
drugs
reach
leading
reduced
effectiveness.
Despite
these
challenges,
there
are
several
treatment
options
available
GBM.
The
standard
care
newly
diagnosed
patients
involves
surgical
resection
followed
by
concurrent
chemoradiotherapy
adjuvant
Emerging
include
immunotherapy,
checkpoint
inhibitors,
targeted
therapies,
bevacizumab,
attempt
attack
specific
vulnerabilities
in
Another
promising
approach
use
tumor-treating
fields,
type
electric
field
therapy
has
been
shown
slow
growth
Clinical
trials
ongoing
evaluate
safety
efficacy
other
innovative
GBM,
intending
improve
with
outcomes
patients.