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间充质干细胞作为胶质瘤治疗载体

英文原题:Mesenchymal stem cells as therapeutic vehicles for glioma.

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Mesenchymal stem cells as therapeutic vehicles for glioma.

PubMed 2024/04/23(内容时间) Cancer Gene Ther Q1 · IF 6.4(JCR 2025)

研究概要

尽管已有多种治疗手段,胶质瘤仍是一种预后不良的疾病,迫切需要开发新型疗法。

中文摘要

尽管已有多模式治疗,胶质瘤预后仍差,亟需开发新疗法。胶质瘤治疗面临的挑战包括全身给药时药物难以穿过血脑屏障,以及局部给药时药物扩散不佳。间充质干细胞具有穿过血脑屏障、迁移至肿瘤细胞并耐受免疫系统的能力,因此在胶质瘤治疗中具有优势,已被探索用作多种治疗药物的载体。负载化疗药物的间充质干细胞可提高药物穿透能力和肿瘤蓄积。基因治疗方面,间充质干细胞可作为自杀基因载体,开展所谓的基因导向酶/前药疗法。近年来也尝试基于间充质干细胞的溶瘤病毒治疗,以增强病毒对肿瘤的感染、复制及病毒颗粒分布。间充质干细胞在胶质瘤中的功能和行为仍有许多不确定性。不过,促进其迁移至胶质瘤的策略可能改善治疗药物递送并增强抗肿瘤作用,显示出用于患者治疗的潜力。

展开英文摘要原文

Glioma is a disease with a poor prognosis despite the availability of multimodality treatments, and the development of novel therapies is urgently needed. Challenges in glioma treatment include the difficulty for drugs to cross the blood-brain barrier when administered systemically and poor drug diffusion when administered locally. Mesenchymal stem cells exhibit advantages for glioma therapy because of their ability to pass through the blood-brain barrier and migrate to tumor cells and their tolerance to the immune system. Therefore, mesenchymal stem cells have been explored as vehicles for various therapeutic agents for glioma treatment. Mesenchymal stem cells loaded with chemotherapeutic drugs show improved penetration and tumor accumulation. For gene therapy, mesenchymal stem cells can be used as vehicles for suicide genes, the so-called gene-directed enzyme prodrug therapy. Mesenchymal stem cell-based oncolytic viral therapies have been attempted in recent years to enhance the efficacy of infection against the tumor, viral replication, and distribution of viral particles. Many uncertainties remain regarding the function and behavior of mesenchymal stem cells in gliomas. However, strategies to increase mesenchymal stem cell migration to gliomas may improve the delivery of therapeutic agents and enhance their anti-tumor effects, representing promising potential for patient treatment.

论文信息

作者
Oishi T、Koizumi S、Kurozumi K
第一作者单位
Department of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.Japan
通讯作者单位
Department of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan. kurozu20@hama-med.ac.jp.Japan
文献类型
综述
期刊
Cancer gene therapy2024 Sep
原文标识
PubMed 38654128 · DOI 10.1038/s41417-024-00775-7