Stemness, invasion, and immunosuppression modulation in recurrent glioblastoma using nanotherapy

胶质母细胞瘤 纳米医学 医学 胶质瘤 放射治疗 免疫抑制 疾病 干细胞 肿瘤科 癌症 癌症研究 内科学 生物 纳米颗粒 纳米技术 材料科学 遗传学
作者
Shrita Sarkar,Jessica Greer,Nathaniel J. Marlowe,Angeline Medvid,Michael E. Ivan,Nagesh Kolishetti,Shanta Dhar
出处
期刊:Wiley Interdisciplinary Reviews-nanomedicine and Nanobiotechnology [Wiley]
卷期号:16 (4)
标识
DOI:10.1002/wnan.1976
摘要

Abstract The recurrent nature of glioblastoma negatively impacts conventional treatment strategies leading to a growing need for nanomedicine. Nanotherapeutics, an approach designed to deliver drugs to specific sites, is experiencing rapid growth and gaining immense popularity. Having potential in reaching the hard‐to‐reach disease sites, this field has the potential to show high efficacy in combatting glioblastoma progression. The presence of glioblastoma stem cells (GSCs) is a major factor behind the poor prognosis of glioblastoma multiforme (GBM). Stemness potential, heterogeneity, and self‐renewal capacity, are some of the properties that make GSCs invade across the distant regions of the brain. Despite advances in medical technology and MRI‐guided maximal surgical resection, not all GSCs residing in the brain can be removed, leading to recurrent disease. The aggressiveness of GBM is often correlated with immune suppression, where the T‐cells are unable to infiltrate the cancer initiating GSCs. Standard of care therapies, including surgery and chemotherapy in combination with radiation therapy, have failed to tackle all the challenges of the GSCs, making it increasingly important for researchers to develop strategies to tackle their growth and proliferation and reduce the recurrence of GBM. Here, we will focus on the advancements in the field of nanomedicine that has the potential to show positive impact in managing glioblastoma tumor microenvironment. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease

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