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[Aptamer-based conjugated molecules in experimental and clinical approaches to treatment of glioblastoma]
G L Kobyakov1,2, G V Pavlova1,3, A M Kopylov1
1Burdenko National Medical Research Center of Neurosurgery, Moscow, Russia.
Abstract:
Glioblastoma is the most common primary malignant tumor of nervous system and one of the most incurable human tumors. The median of overall survival is 16-17 months after comprehensive treatment. Among various difficulties for new therapeutic approaches, we should emphasize the blood-brain barrier complicating delivery of anti-cancer drugs to neoplasm and perifocal area. A promising approach is aptamer molecules as synthetic amino acid analogs capable of interacting and regulating activity of target proteins based on their spatial structural interactions. Aptamers possess high specificity and affinity to various receptors on cell surface and inside its structures if they penetrate cell membrane. In this review, we present various approaches to development of aptamer-based drugs against glioblastoma. Kopylov A.M. et al. synthesized a series of aptamers targeting EGFR and capable for delivery of toxic agents to tumor cells. Important clinical successes include the results of NOX-A12 drug and data on combined drugs based on trastuzumab in patients with metastatic breast cancer. NOX-A12 is an aptamer blocking CXCL-12 gene and reducing resistance to irradiation of glioblastoma cells. Furthermore, very high control of breast cancer brain metastases in HER-2 positive cases was demonstrated for trastuzumab-emtansine and trastuzumab-deruxtecan. The last finding indicates the perspective for aptamer targeting glioblastoma tumor cells in conjugation with emtansine or deruxtecan.
Insights
Aptamers offer a promising strategy for glioblastoma treatment by targeting tumor cells and overcoming the blood-brain barrier. These molecules show potential for delivering toxic agents and enhancing therapeutic efficacy, offering new hope for this incurable cancer.
Area of Science:
- Biotechnology
- Oncology
- Neuroscience
Background:
- Glioblastoma is a highly aggressive and often incurable brain tumor.
- The blood-brain barrier presents a significant challenge for delivering anti-cancer drugs to brain tumors.
- Aptamers, as synthetic molecules, show promise for targeted drug delivery and therapeutic intervention.
Purpose of the Study:
- To review aptamer-based drug development strategies for glioblastoma.
- To highlight the potential of aptamers in overcoming the blood-brain barrier.
- To discuss successful aptamer applications and their implications for glioblastoma therapy.
Main Methods:
- Review of existing literature on aptamer development and glioblastoma treatment.
- Analysis of aptamer targeting strategies, including EGFR and CXCL-12.
- Examination of clinical data for aptamer-based therapies and antibody-drug conjugates.
Main Results:
- Aptamers can be engineered to target glioblastoma cells and deliver cytotoxic agents.
- NOX-A12, an aptamer targeting CXCL-12, reduces glioblastoma cell resistance to irradiation.
- Antibody-drug conjugates like trastuzumab-emtansine and trastuzumab-deruxtecan show efficacy against HER-2 positive breast cancer brain metastases.
Conclusions:
- Aptamer-based therapies represent a promising avenue for glioblastoma treatment.
- Conjugating aptamers with cytotoxic agents like emtansine or deruxtecan holds potential for treating glioblastoma.
- Further research and clinical trials are warranted to fully realize the therapeutic potential of aptamers in neuro-oncology.
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