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Brain tumor-targeted drug delivery strategies
Xiaoli Wei1, Xishan Chen1, Man Ying1
1Department of Pharmaceutics, School of Pharmacy, Fudan University & Key Laboratory of Smart Drug Delivery (Fudan University), Ministry of Education, Shanghai 201203, China.
Abstract:
Despite the application of aggressive surgery, radiotherapy and chemotherapy in clinics, brain tumors are still a difficult health challenge due to their fast development and poor prognosis. Brain tumor-targeted drug delivery systems, which increase drug accumulation in the tumor region and reduce toxicity in normal brain and peripheral tissue, are a promising new approach to brain tumor treatments. Since brain tumors exhibit many distinctive characteristics relative to tumors growing in peripheral tissues, potential targets based on continuously changing vascular characteristics and the microenvironment can be utilized to facilitate effective brain tumor-targeted drug delivery. In this review, we briefly describe the physiological characteristics of brain tumors, including blood-brain/brain tumor barriers, the tumor microenvironment, and tumor stem cells. We also review targeted delivery strategies and introduce a systematic targeted drug delivery strategy to overcome the challenges.
Insights
Targeted drug delivery systems offer a promising approach to combat challenging brain tumors by enhancing drug concentration in the tumor while minimizing harm to healthy tissues. This review explores strategies for effective brain tumor treatment.
Area of Science:
- Neuro-oncology
- Nanomedicine
- Pharmacology
Background:
- Brain tumors present significant therapeutic challenges due to rapid growth and poor prognosis, even with aggressive treatments.
- Current therapies often lack specificity, leading to systemic toxicity and limited efficacy.
- Targeted drug delivery systems (TDDS) are emerging as a promising strategy to improve brain tumor treatment outcomes.
Purpose of the Study:
- To review the unique physiological characteristics of brain tumors relevant to targeted drug delivery.
- To explore existing and novel targeted delivery strategies for brain tumors.
- To propose a systematic approach for overcoming challenges in brain tumor drug delivery.
Main Methods:
- Comprehensive literature review of brain tumor physiology and targeted drug delivery systems.
- Analysis of distinctive brain tumor characteristics, including the blood-brain barrier, tumor microenvironment, and tumor stem cells.
- Evaluation of various targeting strategies based on physiological and microenvironmental cues.
Main Results:
- Brain tumors possess unique features like altered vasculature and microenvironment that can be exploited for targeted delivery.
- Understanding these characteristics is crucial for designing effective TDDS.
- Several targeting strategies show potential for enhanced drug accumulation and reduced toxicity.
Conclusions:
- Targeted drug delivery holds significant promise for improving the efficacy and safety of brain tumor treatments.
- Exploiting specific brain tumor characteristics is key to successful targeted therapy.
- A systematic approach is needed to overcome existing challenges and advance brain tumor drug delivery.
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