Blood-Brain Barrier Modulation to Improve Glioma Drug Delivery.

Blood-Brain Barrier Modulation to Improve Glioma Drug Delivery.
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血脑屏障调节以改善脑胶质瘤药物输送。

DOI:
10.3390/pharmaceutics12111085
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发表时间:
2020-11-12
期刊:
影响因子:
5.4
通讯作者:
Shusta EV
Shusta EV
中科院分区:
医学2区
文献类型:
--
作者:
Luo H;Shusta EV

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血脑屏障(BBB)是由脑微血管内皮细胞形成的,这些细胞由紧密连接密封,使其成为大多数脑治疗的重要障碍。因此,新开发的治疗剂的不良BBB渗透在限制其临床成功方面发挥了主要作用。一个特别具有挑战性的治疗目标是神经胶质瘤,这是最常见的恶性脑肿瘤。因此,为了增强肿瘤中的治疗吸收,研究人员一直在开发调节BBB通透性的策略。然而,大多数常规的BBB开放策略难以应用于临床环境,这是由于它们对BBB的广泛、非特异性调节,这可能导致对正常脑组织的损伤。在这篇综述中,我们总结了可能用于选择性和有效地调节肿瘤血脑屏障以更有效地治疗胶质瘤的策略。
The blood–brain barrier (BBB) is formed by brain microvascular endothelial cells that are sealed by tight junctions, making it a significant obstacle for most brain therapeutics. The poor BBB penetration of newly developed therapeutics has therefore played a major role in limiting their clinical success. A particularly challenging therapeutic target is glioma, which is the most frequently occurring malignant brain tumor. Thus, to enhance therapeutic uptake in tumors, researchers have been developing strategies to modulate BBB permeability. However, most conventional BBB opening strategies are difficult to apply in the clinical setting due to their broad, non-specific modulation of the BBB, which can result in damage to normal brain tissue. In this review, we have summarized strategies that could potentially be used to selectively and efficiently modulate the tumor BBB for more effective glioma treatment.
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