Modulation of the blood-tumor barrier to enhance drug delivery and efficacy for brain metastases

被引:17
作者
Blethen, Kathryn E. [1 ]
Arsiwala, Tasneem A. [1 ]
Fladeland, Ross A. [1 ]
Sprowls, Samuel A. [1 ]
Panchal, Dhruvi M. [1 ,2 ]
Adkins, Chris E. [4 ]
Kielkowski, Brooke N. [1 ]
Earp, Leland E. [3 ]
Glass, Morgan J. [1 ]
Pritt, Trenton A. [1 ]
Cabuyao, Yssabela M. [1 ]
Aulakh, Sonikpreet [3 ]
Lockman, Paul R. [1 ]
机构
[1] West Virginia Univ, Sch Pharm, Dept Basic Pharmaceut Sci, 108 Biomed Dr, Morgantown, WV 26506 USA
[2] West Virginia Univ, Benjamin M Statler Coll Engn & Mineral Resources, Dept Chem & Biomed Engn, Morgantown, WV 26506 USA
[3] West Virginia Univ, Sch Med, Dept Canc Cell Biol, Morgantown, WV 26506 USA
[4] South Univ, Sch Pharm, Dept Pharmaceut Sci, Savannah, GA USA
关键词
blood-brain barrier; brain metastases; breast cancer; drug delivery; CELL LUNG-CANCER; RESISTANCE PROTEIN ABCG2; P-GLYCOPROTEIN ABCB1; BREAST-CANCER; INHIBITOR VEMURAFENIB; RADIATION-THERAPY; RANDOMIZED-TRIAL; PERMEABILITY; BEVACIZUMAB; RADIOTHERAPY;
D O I
10.1093/noajnl/vdab123
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The blood-brain barrier is the selectively permeable vasculature of the brain vital for maintaining homeostasis and neurological function. Low permeability is beneficial in the presence of toxins and pathogens in the blood. However, in the presence of metastatic brain tumors, it is a challenge for drug delivery. Although the blood-tumor barrier is slightly leaky, it still is not permissive enough to allow the accumulation of therapeutic drug concentrations in brain metastases. Herein, we discuss the differences between primary brain tumors and metastatic brain tumors vasculature, effects of therapeutics on the blood-tumor barrier, and characteristics to be manipulated for more effective drug delivery.
引用
收藏
页码:V133 / V143
页数:11
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