Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomas

Due to the special physiological and pathological characteristics of gliomas, most therapeutic drugs are prevented from entering the brain. To improve the poor prognosis of existing therapies, researchers have been continuously developing non-invasive methods to overcome barriers to gliomas therapy....

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Main Authors: Jiwei Cui, Yuanxin Xu, Haiyan Tu, Huacong Zhao, Honglan Wang, Liuqing Di, Ruoning Wang
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Acta Pharmaceutica Sinica B
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211383521003038
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author Jiwei Cui
Yuanxin Xu
Haiyan Tu
Huacong Zhao
Honglan Wang
Liuqing Di
Ruoning Wang
author_facet Jiwei Cui
Yuanxin Xu
Haiyan Tu
Huacong Zhao
Honglan Wang
Liuqing Di
Ruoning Wang
author_sort Jiwei Cui
collection DOAJ
description Due to the special physiological and pathological characteristics of gliomas, most therapeutic drugs are prevented from entering the brain. To improve the poor prognosis of existing therapies, researchers have been continuously developing non-invasive methods to overcome barriers to gliomas therapy. Although these strategies can be used clinically to overcome the blood‒brain barrier (BBB), the accurate delivery of drugs to the glioma lesions cannot be ensured. Nano-drug delivery systems (NDDS) have been widely used for precise drug delivery. In recent years, researchers have gathered their wisdom to overcome barriers, so many well-designed NDDS have performed prominently in preclinical studies. These meticulous designs mainly include cascade passing through BBB and targeting to glioma lesions, drug release in response to the glioma microenvironment, biomimetic delivery systems based on endogenous cells/extracellular vesicles/protein, and carriers created according to the active ingredients of traditional Chinese medicines. We reviewed these well-designed NDDS in detail. Furthermore, we discussed the current ongoing and completed clinical trials of NDDS for gliomas therapy, and analyzed the challenges and trends faced by clinical translation of these well-designed NDDS.
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spelling doaj.art-68224d0ddb79409495ce4c4d98b223ec2022-12-21T23:14:32ZengElsevierActa Pharmaceutica Sinica B2211-38352022-03-0112311001125Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomasJiwei Cui0Yuanxin Xu1Haiyan Tu2Huacong Zhao3Honglan Wang4Liuqing Di5Ruoning Wang6College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Jiangsu Provincial TCM Engineering Technology, Research Center of High Efficient Drug Delivery System, Nanjing 210023, ChinaCollege of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Jiangsu Provincial TCM Engineering Technology, Research Center of High Efficient Drug Delivery System, Nanjing 210023, ChinaCollege of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Jiangsu Provincial TCM Engineering Technology, Research Center of High Efficient Drug Delivery System, Nanjing 210023, ChinaCollege of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Jiangsu Provincial TCM Engineering Technology, Research Center of High Efficient Drug Delivery System, Nanjing 210023, ChinaCollege of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Jiangsu Provincial TCM Engineering Technology, Research Center of High Efficient Drug Delivery System, Nanjing 210023, ChinaCollege of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Jiangsu Provincial TCM Engineering Technology, Research Center of High Efficient Drug Delivery System, Nanjing 210023, ChinaCollege of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Jiangsu Provincial TCM Engineering Technology, Research Center of High Efficient Drug Delivery System, Nanjing 210023, China; Corresponding author. Tel./fax: +86 15852937869.Due to the special physiological and pathological characteristics of gliomas, most therapeutic drugs are prevented from entering the brain. To improve the poor prognosis of existing therapies, researchers have been continuously developing non-invasive methods to overcome barriers to gliomas therapy. Although these strategies can be used clinically to overcome the blood‒brain barrier (BBB), the accurate delivery of drugs to the glioma lesions cannot be ensured. Nano-drug delivery systems (NDDS) have been widely used for precise drug delivery. In recent years, researchers have gathered their wisdom to overcome barriers, so many well-designed NDDS have performed prominently in preclinical studies. These meticulous designs mainly include cascade passing through BBB and targeting to glioma lesions, drug release in response to the glioma microenvironment, biomimetic delivery systems based on endogenous cells/extracellular vesicles/protein, and carriers created according to the active ingredients of traditional Chinese medicines. We reviewed these well-designed NDDS in detail. Furthermore, we discussed the current ongoing and completed clinical trials of NDDS for gliomas therapy, and analyzed the challenges and trends faced by clinical translation of these well-designed NDDS.http://www.sciencedirect.com/science/article/pii/S2211383521003038GliomaBlood‒brain barrierNon-invasive strategiesNano-drug delivery systemsCascade targetingResponsive delivery and release
spellingShingle Jiwei Cui
Yuanxin Xu
Haiyan Tu
Huacong Zhao
Honglan Wang
Liuqing Di
Ruoning Wang
Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomas
Acta Pharmaceutica Sinica B
Glioma
Blood‒brain barrier
Non-invasive strategies
Nano-drug delivery systems
Cascade targeting
Responsive delivery and release
title Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomas
title_full Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomas
title_fullStr Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomas
title_full_unstemmed Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomas
title_short Gather wisdom to overcome barriers: Well-designed nano-drug delivery systems for treating gliomas
title_sort gather wisdom to overcome barriers well designed nano drug delivery systems for treating gliomas
topic Glioma
Blood‒brain barrier
Non-invasive strategies
Nano-drug delivery systems
Cascade targeting
Responsive delivery and release
url http://www.sciencedirect.com/science/article/pii/S2211383521003038
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