4.2 Review

Multifunctional lipidic nanocarriers for effective therapy of glioblastoma: recent advances in stimuli-responsive, receptor and subcellular targeted approaches

Journal

JOURNAL OF PHARMACEUTICAL INVESTIGATION
Volume 52, Issue 1, Pages 49-74

Publisher

SPRINGERNATURE
DOI: 10.1007/s40005-021-00548-6

Keywords

Glioblastoma multiforme; Blood-brain barrier; Lipid-based nanocarriers; Lipid-polymer hybrid nanoparticles; Targeted drug delivery

Funding

  1. Manipal Academy of Higher Education, Manipal

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In-depth research on lipid-based nanoparticles for GBM drug delivery is essential for advancing neuro-oncology research and improving outcomes in brain tumor patients. These nanoparticles show potential for both passive and active drug targeting, crossing or bypassing the BBB while minimizing toxicity and enhancing pharmacological parameters. However, further studies are needed to fully understand and utilize these nanocarriers for the treatment of GBM.
Background Glioblastoma, or glioblastoma multiforme (GBM), remains a fatal cancer type despite the remarkable progress in understanding the genesis and propagation of the tumor. Current treatment modalities, comprising mainly of surgery followed by adjuvant chemoradiation, are insufficient for improving patients' survival owing to existing hurdles, including the blood-brain barrier (BBB). In contemporary practice, the prospect of long-term survival or cure continues to be a challenge for patients suffering from GBM. This review provides an insight into the drug delivery strategies and the significant efforts made in lipid-based nanoplatform research to circumvent the challenges in optimal drug delivery in GBM. Area covered Owing to the unique properties of lipid-based nanoplatforms and advancements in clinical translation, this article describes the application of various stimuli-responsive lipid nanocarriers and tumor subcellular organelle-targeted therapy to give an idea about the strategies that can be applied to enhance site-specific drug delivery for GBM. Furthermore, active targeting of drugs via surface-modified lipid-based nanostructures and recent findings in alternative therapeutic platforms such as gene therapy, immunotherapy, and multimodal therapy have also been overviewed. Expert opinion Lipid-based nanoparticles stand out among the other nanocarriers explored for GBM drug delivery, as they support both passive and active drug targeting by crossing/bypassing the BBB at the same time minimizing toxicity and projects better pharmacological parameters. Although these nanocarriers could be a plausible choice for treating GBM, in-depth research is essential to advance neuro-oncology research and enhance outcomes in patients with brain tumors.

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