Targeted drug delivery for treatment and imaging of glioblastoma multiforme

Jill M Stukel1, Michael R Caplan

  • 1Arizona State University, Center for Interventional Biomaterials, Harrington Department of Bioengineering, Tempe, AZ 85287, USA.

Insights

Glioblastoma treatment faces challenges due to invasive tumor cells. This review explores drug delivery methods like convection-enhanced delivery (CED) and mathematical modeling to improve glioblastoma therapy outcomes.

Area of Science:

  • Neuro-oncology
  • Biomedical Engineering
  • Pharmacology

Background:

  • Glioblastoma multiforme (GBM) is an aggressive brain tumor with a poor prognosis.
  • Surgical resection often leaves residual migratory cells, leading to recurrence.
  • Current treatments like radiation and chemotherapy have limitations in eradicating invasive GBM cells.

Purpose of the Study:

  • To review current drug delivery strategies for glioblastoma.
  • To evaluate the strengths and weaknesses of systemic, diffusive, and convection-enhanced delivery (CED).
  • To highlight the role of mathematical modeling in optimizing drug delivery for GBM treatment.

Main Methods:

  • Literature review of existing drug delivery methods for glioblastoma.
  • Analysis of the blood-brain barrier (BBB) limitations for systemic drug delivery.
  • Examination of diffusion and CED techniques for localized drug delivery.
  • Discussion of predictive mathematical modeling applications in optimizing delivery strategies.

Main Results:

  • Systemic drug delivery is constrained by the BBB, limiting therapeutic efficacy for larger molecules.
  • Diffusive and CED methods offer localized delivery but have inherent limitations.
  • CED can deliver drugs to a larger tissue volume compared to diffusion alone.
  • Mathematical modeling shows potential for enhancing the precision and effectiveness of drug delivery.

Conclusions:

  • Improving drug delivery is crucial for better glioblastoma treatment outcomes.
  • Convection-enhanced delivery (CED) and mathematical modeling are promising avenues for optimizing localized drug delivery.
  • Further research and application of predictive modeling can refine therapeutic strategies for glioblastoma.