Abstract
Background: Drug delivery to cancerous brain is a challenging task as it is surrounded by an efficient protective barrier. The main hurdles for delivery of bioactive molecules to cancerous brain are blood brain barrier (BBB), the invasive nature of gliomas, drug resistance, and difficult brain interstitium transportation. Therefore, treatment of brain cancer with the available drug regimen is difficult and has shown little improvement in recent years.
Methods: We searched about recent advancements in the use of nanomedicine for effective treatment of the brain cancer. We focused on the use of liposomes, nanoparticles, polymeric micelles, and dendrimers to improve brain cancer therapy.
Results: Nanomedicines are well suited for the treatment of brain cancer owing to their highly acceptable biological, chemical, and physical properties. Smaller size of nanomedicines also enhances their anticancer potential and penetration into blood brain barrier (BBB).
Conclusion: Recently, nanomedicine based approaches have been developed and investigated for effective treatment of brain cancer. Some of these have been translated into clinical practice, in order to attain therapeutic needs of gliomas. Future advancements in nanomedicines will likely produce significant changes in methods and practice of brain cancer therapy.
Keywords: Blood Brain Barrier (BBB), gliomas, interstitium, nanomedicine, nanoparticles, brain cancer.
Graphical Abstract
[http://dx.doi.org/10.1016/S0163-7258(03)00014-7] [PMID: 12667889]
[http://dx.doi.org/10.3322/caac.21349] [PMID: 27253694]
[http://dx.doi.org/10.1093/neuonc/nou283] [PMID: 25313193]
[http://dx.doi.org/10.1023/A:1006436624862] [PMID: 11245272]
[http://dx.doi.org/10.1016/S0165-5728(99)00203-9] [PMID: 10695732]
[http://dx.doi.org/10.1097/CCO.0b013e3282f0313b] [PMID: 17906459]
[http://dx.doi.org/10.4155/tde.13.38] [PMID: 23738667]
[http://dx.doi.org/10.1016/j.nbd.2003.12.016] [PMID: 15207256]
[http://dx.doi.org/10.1038/nrd1414] [PMID: 15173839]
[http://dx.doi.org/10.1002/1520-6017(200011)89:11<1371:AID-JPS1>3.0.CO;2-D] [PMID: 11015683]
[http://dx.doi.org/10.2174/1877912304666140707184721]
[http://dx.doi.org/10.1038/nrd2368] [PMID: 17667956]
[http://dx.doi.org/10.1227/01.NEU.0000182739.84734.6E] [PMID: 16237291]
[PMID: 15688744]
[http://dx.doi.org/10.2174/157488709787047567] [PMID: 19149762]
[http://dx.doi.org/10.1056/NEJMct0806951] [PMID: 20335588]
[http://dx.doi.org/10.1007/s00066-014-0648-7] [PMID: 24715242]
[http://dx.doi.org/10.1016/j.apradiso.2013.11.109] [PMID: 24355301]
[http://dx.doi.org/10.1586/era.09.23] [PMID: 19445578]
[http://dx.doi.org/10.1016/S0090-3019(99)00103-2] [PMID: 10555843]
[http://dx.doi.org/10.4103/1817-1745.174454] [PMID: 26962338]
[http://dx.doi.org/10.1007/s11910-008-0036-8] [PMID: 18541119]
[http://dx.doi.org/10.1097/00019052-200012000-00002] [PMID: 11148660]
[http://dx.doi.org/10.1517/17425240903167942] [PMID: 19732031]
[http://dx.doi.org/10.2174/157488407781668767] [PMID: 18690866]
[http://dx.doi.org/10.1200/JCO.2006.09.9861] [PMID: 17538176]
[http://dx.doi.org/10.2214/ajr.185.3.01850763] [PMID: 16120931]
[http://dx.doi.org/10.1016/j.jconrel.2005.09.053] [PMID: 16318895]
[http://dx.doi.org/10.1200/JCO.2007.11.8554] [PMID: 17827463]
[http://dx.doi.org/10.1016/S0169-409X(00)00122-8] [PMID: 11251246]
[http://dx.doi.org/10.1186/1479-5876-6-80] [PMID: 19094226]
[http://dx.doi.org/10.1096/fj.04-2747rev] [PMID: 15746175]
[PMID: 11356986]
[http://dx.doi.org/10.2174/156720106776359230] [PMID: 16611008]
[http://dx.doi.org/10.1016/j.biomaterials.2007.06.011] [PMID: 17716726]
[http://dx.doi.org/10.1016/j.jconrel.2008.08.017] [PMID: 18805446]
[http://dx.doi.org/10.1016/j.ijpharm.2005.03.031] [PMID: 15896933]
[http://dx.doi.org/10.1002/jgm.255] [PMID: 11933219]
[http://dx.doi.org/10.1006/mthe.2002.0633] [PMID: 12095305]
[http://dx.doi.org/10.3892/ijo.23.2.461] [PMID: 12851696]
[http://dx.doi.org/10.1158/1078-0432.CCR-03-0740] [PMID: 15173073]
[http://dx.doi.org/10.1023/B:NEON.0000024743.56415.4b] [PMID: 15174514]
[http://dx.doi.org/10.1158/1078-0432.CCR-05-1365] [PMID: 16361575]
[http://dx.doi.org/10.1158/0008-5472.CAN-05-3535] [PMID: 16510602]
[http://dx.doi.org/10.1016/j.jconrel.2006.07.024] [PMID: 16963144]
[http://dx.doi.org/10.1158/1535-7163.MCT-06-0480] [PMID: 17172420]
[http://dx.doi.org/10.1007/s00262-006-0273-0] [PMID: 17219149]
[http://dx.doi.org/10.1016/j.biomaterials.2008.12.010] [PMID: 19121537]
[http://dx.doi.org/10.1158/1535-7163.MCT-08-0853] [PMID: 19276162]
[http://dx.doi.org/10.1016/j.jconrel.2009.09.020] [PMID: 19799948]
[http://dx.doi.org/10.3109/10717540903271391] [PMID: 19839788]
[http://dx.doi.org/10.1016/j.ejps.2010.06.008] [PMID: 20600880]
[http://dx.doi.org/10.1016/j.ijpharm.2011.09.008] [PMID: 21945185]
[http://dx.doi.org/10.1007/s11095-012-0723-7] [PMID: 22399388]
[http://dx.doi.org/10.1088/0957-4484/24/40/405101] [PMID: 24029287]
[http://dx.doi.org/10.1186/1476-4598-13-191] [PMID: 25128329]
[http://dx.doi.org/10.5582/ddt.2015.01016] [PMID: 26193943]
[http://dx.doi.org/10.1016/j.colsurfb.2016.05.037] [PMID: 27236510]
[PMID: 27528362]
[http://dx.doi.org/10.4155/tde-2016-0051] [PMID: 27834624]
[http://dx.doi.org/10.1615/CritRevTherDrugCarrierSyst.2016015273] [PMID: 27651101]
[http://dx.doi.org/10.18632/oncotarget.8553] [PMID: 27056889]
[http://dx.doi.org/10.1016/S0378-4274(01)00456-8] [PMID: 11751017]
[http://dx.doi.org/10.1016/j.jconrel.2004.07.006] [PMID: 15380635]
[http://dx.doi.org/10.1038/srep16589] [PMID: 26567528]
[http://dx.doi.org/10.1080/02652040600788080] [PMID: 16980278]
[http://dx.doi.org/10.1016/j.ejpb.2008.04.018] [PMID: 18555675]
[http://dx.doi.org/10.1016/j.brainres.2009.01.011] [PMID: 19401168]
[http://dx.doi.org/10.1016/j.ijpharm.2011.08.052] [PMID: 21920419]
[http://dx.doi.org/10.1007/s11095-011-0624-1] [PMID: 22167349]
[http://dx.doi.org/10.1016/j.ijpharm.2012.03.047] [PMID: 22486964]
[http://dx.doi.org/10.1016/j.biomaterials.2012.07.046] [PMID: 22889488]
[http://dx.doi.org/10.1016/j.ijpharm.2012.07.062] [PMID: 22890189]
[http://dx.doi.org/10.1002/jbm.a.34442] [PMID: 23065812]
[http://dx.doi.org/10.1021/nn504210g] [PMID: 25259648]
[http://dx.doi.org/10.1016/j.ijpharm.2015.01.002] [PMID: 25562639]
[http://dx.doi.org/10.1109/TNB.2016.2612340] [PMID: 28029617]
[http://dx.doi.org/10.1016/j.msec.2016.05.119] [PMID: 27524099]
[http://dx.doi.org/10.1016/j.chemphyslip.2014.03.006] [PMID: 24717692]
[http://dx.doi.org/10.2174/138920012800166526] [PMID: 22443536]
[http://dx.doi.org/10.1179/016164107X187017] [PMID: 17509234]
[http://dx.doi.org/10.4155/ppa.13.56] [PMID: 24237240]
[http://dx.doi.org/10.1016/j.biomaterials.2011.01.048] [PMID: 21296415]
[http://dx.doi.org/10.1016/j.colsurfb.2011.02.011] [PMID: 21411296]
[http://dx.doi.org/10.1016/j.ejpb.2013.08.011] [PMID: 23994244]
[http://dx.doi.org/10.1002/jps.24002] [PMID: 24824141]
[http://dx.doi.org/10.1016/j.ijpharm.2014.08.003] [PMID: 25102112]
[http://dx.doi.org/10.1002/jps.24388] [PMID: 25694089]
[http://dx.doi.org/10.1016/j.ijpharm.2016.01.018] [PMID: 26775062]
[http://dx.doi.org/10.2217/cns.14.2] [PMID: 25055017]
[http://dx.doi.org/10.2174/0929867321666140716101921] [PMID: 25039774]
[http://dx.doi.org/10.2174/1389201015666140608143719] [PMID: 24910011]
[http://dx.doi.org/10.1016/j.jconrel.2009.12.020] [PMID: 20056123]
[http://dx.doi.org/10.1016/j.jconrel.2011.08.110] [PMID: 22195914]
[http://dx.doi.org/10.2217/nnm.11.111] [PMID: 22329606]
[http://dx.doi.org/10.1016/j.ijpharm.2012.05.015] [PMID: 22609127]
[http://dx.doi.org/10.3109/1061186X.2014.913052] [PMID: 24806516]
[http://dx.doi.org/10.3892/mmr.2014.3017] [PMID: 25434368]
[http://dx.doi.org/10.1016/j.nano.2016.02.004] [PMID: 26970027]
[http://dx.doi.org/10.1016/j.drudis.2016.02.006] [PMID: 26891979]
[PMID: 21284258]
[http://dx.doi.org/10.2741/2774] [PMID: 17981642]
[http://dx.doi.org/10.1080/09205063.2015.1133155] [PMID: 26928261]
[http://dx.doi.org/10.1016/j.ejpb.2011.03.025] [PMID: 21496485]
[http://dx.doi.org/10.1016/j.biomaterials.2010.09.002] [PMID: 20934215]
[http://dx.doi.org/10.3892/or.2013.2283] [PMID: 23404538]
[http://dx.doi.org/10.1016/j.biomaterials.2014.06.042] [PMID: 25023394]
[http://dx.doi.org/10.1016/j.jconrel.2014.06.006] [PMID: 24933602]
[http://dx.doi.org/10.1016/j.jconrel.2015.09.003] [PMID: 26362697]