[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.

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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