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Improving glioma drug delivery: A multifaceted approach for glioma drug development
Marybeth G Yonk1, Megan A Lim2, Charee M Thompson3
1Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA; College of Sciences, Georgia Institute of Technology, Atlanta, GA, USA.
Abstract:
Glioma is one of the most common central nervous system (CNS) cancers that can be found within the brain and the spinal cord. One of the pressing issues plaguing the development of therapeutics for glioma originates from the selective and semipermeable CNS membranes: the blood-brain barrier (BBB) and blood-spinal cord barrier (BSCB). It is difficult to bypass these membranes and target the desired cancerous tissue because the purpose of the BBB and BSCB is to filter toxins and foreign material from invading CNS spaces. There are currently four varieties of Food and Drug Administration (FDA)-approved drug treatment for glioma; yet these therapies have limitations including, but not limited to, relatively low transmission through the BBB/BSCB, despite pharmacokinetic characteristics that allow them to cross the barriers. Steps must be taken to improve the development of novel and repurposed glioma treatments through the consideration of pharmacological profiles and innovative drug delivery techniques. This review addresses current FDA-approved glioma treatments' gaps, shortcomings, and challenges. We then outline how incorporating computational BBB/BSCB models and innovative drug delivery mechanisms will help motivate clinical advancements in glioma drug delivery. Ultimately, considering these attributes will improve the process of novel and repurposed drug development in glioma and the efficacy of glioma treatment.
Insights
Developing new glioma treatments faces challenges due to the blood-brain barrier (BBB) and blood-spinal cord barrier (BSCB). Computational models and novel delivery methods can improve drug efficacy for brain and spinal cord cancers.
Area of Science:
- Neuro-oncology
- Pharmacology
- Biomedical Engineering
Background:
- Glioma is a common central nervous system (CNS) cancer affecting the brain and spinal cord.
- The blood-brain barrier (BBB) and blood-spinal cord barrier (BSCB) impede effective drug delivery to CNS tumors.
- Current FDA-approved glioma treatments have limitations in crossing these barriers.
Purpose of the Study:
- To review the limitations of current Food and Drug Administration (FDA)-approved glioma treatments.
- To explore the role of computational BBB/BSCB models in drug development.
- To highlight innovative drug delivery mechanisms for improved glioma therapy.
Main Methods:
- Literature review of current glioma treatments and their challenges.
- Analysis of pharmacokinetic properties and barrier penetration.
- Exploration of computational modeling and advanced drug delivery systems.
Main Results:
- Existing glioma therapies exhibit limited efficacy due to poor BBB/BSCB penetration.
- Computational models offer predictive insights into drug transport across CNS barriers.
- Innovative delivery strategies show promise for enhancing therapeutic targeting.
Conclusions:
- Addressing pharmacological profiles and delivery techniques is crucial for advancing glioma treatment.
- Integrating computational BBB/BSCB models can accelerate the development of novel and repurposed drugs.
- Improved drug delivery is essential for increasing the efficacy of glioma therapies.
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