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Remodeling the blood–brain barrier microenvironment by natural products for brain tumor therapy
  • 分类:R739.4[医药卫生—肿瘤;医药卫生—临床医学]
  • 作者机构:Murad Research Center for Modernized Chinese Medicine, Institute of Interdisciplinary Integrative Medicine Research,Shanghai University of Traditional Chinese Medicine, Key Laboratory of Smart Drug Delivery, Fudan University, Ministry of Education
  • 相关基金:supported by the Shanghai Rising-Star Program of China (13QA1403400);Shanghai Talent Development Funds (201665);Natural Science Foundation of China (81773909);Excellent Youth Program of Shanghai Municipal Commission of Health and Family Planning (2017YQ060);Medical Profession Scholarship of Shanghai University of Traditional Chinese Medicine;The Open Project Program of Key Lab of Smart Drug Delivery, Fudan University (SDD2017-01)
中文摘要:

Brain tumor incidence shows an upward trend in recent years; brain tumors account for 5% of adult tumors, while in children, this figure has increased to 70%. Moreover, 20%–30% of malignant tumors will eventually metastasize into the brain. Both benign and malignant tumors can cause an increase in intracranial pressure and brain tissue compression, leading to central nervous system(CNS) damage which endangers the patients’ lives. Despite the many approaches to treating brain tumors and the progress that has been made, only modest gains in survival time of brain tumor patients have been achieved. At present, chemotherapy is the treatment of choice for many cancers, but the special structure of the blood–brain barrier(BBB) limits most chemotherapeutic agents from passing through the BBB and penetrating into tumors in the brain. The BBB microenvironment contains numerous cell types, including endothelial cells, astrocytes, peripheral cells and microglia, and extracellular matrix(ECM). Many chemical components of natural products are reported to regulate the BBB microenvironment near brain tumors and assist in their treatment. This review focuses on the composition and function of the BBB microenvironment under both physiological and pathological conditions, and the current research progress in regulating the BBB microenvironment by natural products to promote the treatment of brain tumors.

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