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P20.02 Graphene in neurosurgery: a potential and innovative strategy in the treatment of cerebral gliomas

机译:P20.02石墨烯在神经外科中的应用:脑神经胶质瘤治疗的一种潜在创新方法

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摘要

Gliomas account for around 45% of primary brain tumors. The treatment of malignant gliomas depend on the person’s age, the type of tumor, and the location of the tumor. These tumors tend to grow into the normal brain tissue, with the result that complete surgical removal can be very difficult to reach. Current therapy is unsatisfactory due to low therapeutic efficiency and strong systemic side effects of chemo- and/or radiotherapy protocols.The standard protocol includes maximal surgical resection with postoperative combination of radiation therapy with concomitant and adjuvant chemotherapy. Surgical treatment represents the first initial treatment. However, in spite of the recent innovations in surgical techniques, including intraoperative mapping, we only got a slight improvement of the prognosis. Additionally, radiation therapy is also used to treat gliomas in locations where surgery is not safe and for recurrent gliomas. Chemotherapy is recommended for some high-grade gliomas after surgery and radiation therapy. The presence of the blood-brain barrier impedes the passage of a large number of molecules into the brain. However, most of the current drugs show limited solubility, high toxicity and have a nonspecific delivery. Targeted drugs delivery systems can convey drugs more effectively and increase patient compliance. Recent advances in molecular and biological techniques have evidence new glioma-associated biomarkers and their implications for gliomas progression. The possibility to block contemporary more pathways into glioma by molecular-based targeted approaches, using a nanocarrier loaded with anticancer agent, represent a promising therapeutic strategy.Nanomedicine holds great promise for evolutionizing medical treatments, imaging and drug delivery. Nanoparticles provide better penetration of therapeutic agents and a reduced risk in comparison to conventional treatments. By using nanotechnology it is possible to deliver the drug to the targeted tissue across the blood-brain barrier and release the drug at a controlled rate. Graphene is a versatile two-dimensional nanomaterial thanks to its unique physical and chemical characteristics. Numerous experimental studies have also been made to employ graphene as a vehicle for antitumoral therapies. We think that, using the intrinsic capacity of graphene, should be very interesting to structure a new nanoparticle-based molecular approach against molecular targets, contemporary. In our laboratories, we are trying to create a carrier loaded with an antisense molecule against hypoxic ischemic factor-1α (HIF-1 α) and IL-8. However, there is currently no definitive study regarding the therapeutic potentialities or risks of graphene nanoparticles. They offer many opportunities for cancer therapy, but their interaction with biological tissues has not yet been fully elucidated.
机译:神经胶质瘤约占原发性脑肿瘤的45%。恶性神经胶质瘤的治疗取决于患者的年龄,肿瘤类型和肿瘤位置。这些肿瘤倾向于生长到正常的脑组织中,结果很难完全切除手术。由于化学疗法和/或放疗方案的治疗效率低以及强烈的系统性副作用,当前的治疗方法并不令人满意。标准方案包括最大手术切除,以及放射治疗与伴随化疗和辅助化疗的术后结合。手术治疗是第一个初始治疗。然而,尽管最近在外科手术技术(包括术中标测)方面进行了创新,但我们的预后仅略有改善。另外,放射疗法还用于在手术不安全的地方和复发性神经胶质瘤中治疗神经胶质瘤。手术和放疗后,建议对某些高级神经胶质瘤进行化学疗法。血脑屏障的存在阻碍了许多分子进入大脑。然而,大多数当前药物显示出有限的溶解度,高毒性并且具有非特异性递送。靶向药物输送系统可以更有效地输送药物并提高患者依从性。分子和生物学技术的最新进展已证明新的胶质瘤相关生物标志物及其对胶质瘤进展的影响。使用载有抗癌剂的纳米载体,通过基于分子的靶向方法阻断当代更多途径进入神经胶质瘤的可能性代表了一种有前途的治疗策略。纳米医学在发展医学治疗,影像学和药物递送方面具有广阔的前景。与常规治疗相比,纳米颗粒提供了更好的治疗剂渗透性并降低了风险。通过使用纳米技术,可以将药物跨过血脑屏障输送到目标组织,并以受控的速率释放药物。石墨烯由于其独特的物理和化学特性而成为一种通用的二维纳米材料。还已经进行了许多实验研究以将石墨烯用作抗肿瘤疗法的载体。我们认为,利用石墨烯的固有容量,构建一种针对当代分子目标的基于纳米粒子的新分子方法应该非常有趣。在我们的实验室中,我们正在尝试创建一种载有针对缺氧缺血因子-1α(HIF-1α)和IL-8的反义分子的载体。但是,目前尚无关于石墨烯纳米颗粒的治疗潜力或风险的明确研究。它们为癌症治疗提供了许多机会,但它们与生物组织的相互作用尚未得到充分阐明。

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