Drug delivery strategies to enhance the permeability of the blood-brain barrier for treatment of glioma

Gliomas are amongst the most insidious and destructive types of brain cancer and are associated with a poor prognosis, frequent recurrences, and extremely high lethality despite combination treatment of surgery, radiotherapy, and chemotherapy. The existence of the blood-brain barrier (BBB) restricts...

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Veröffentlicht in:Drug design, development and therapy development and therapy, 2015-01, Vol.9, p.2089-2100
Hauptverfasser: Zhang, Fang, Xu, Chun-Lei, Liu, Chun-Mei
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description Gliomas are amongst the most insidious and destructive types of brain cancer and are associated with a poor prognosis, frequent recurrences, and extremely high lethality despite combination treatment of surgery, radiotherapy, and chemotherapy. The existence of the blood-brain barrier (BBB) restricts the delivery of therapeutic molecules into the brain and offers the clinical efficacy of many pharmaceuticals that have been demonstrated to be effective for other kinds of tumors. This challenge emphasizes the need to be able to deliver drugs effectively across the BBB to reach the brain parenchyma. Enhancement of the permeability of the BBB and being able to transport drugs across it has been shown to be a promising strategy to improve drug absorption and treatment efficacy. This review highlights the innovative technologies that have been introduced to enhance the permeability of the BBB and to obtain an optimal distribution and concentration of drugs in the brain to treat gliomas, such as nanotechniques, hyperthermia techniques, receptor-mediated transport, cell-penetrating peptides, and cell-mediated delivery.
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source Taylor & Francis Open Access; MEDLINE; DOVE Medical Press Journals; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Antineoplastic Agents - administration & dosage
Antineoplastic Agents - therapeutic use
Bioavailability
Blood
Blood-brain barrier
Blood-Brain Barrier - drug effects
Brain
Brain cancer
Brain Neoplasms - drug therapy
Brain tumors
Cancer therapies
Cell adhesion & migration
cell-mediated delivery
cell-penetrating peptides
Chemotherapy
Chinese medicine
Drug delivery
Drug delivery systems
Drug Delivery Systems - adverse effects
Drug therapy
Drugs
Gene therapy
Glioma
Glioma - drug therapy
Gliomas
Humans
Hyperthermia
Lethality
Membrane permeability
Nanoparticles
Nanotechnology
Parenchyma
Peptides
Permeability
Permeability - drug effects
Physiological aspects
Prognosis
Radiation therapy
receptor-mediated transport
Review
Stem cells
Surgery
Testing
Transport
Tumors
Vehicles
title Drug delivery strategies to enhance the permeability of the blood-brain barrier for treatment of glioma
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