Jul 2026· Wiley Interdisciplinary Reviews: Nanomedicine and Nanobiotechnology· Vol 18 4, pp.
e70071
· 1 citation· 119 references
Medicine
TL;DR
This review systematically summarizes recent advances in nanomedicine enabled GBM therapy from four interrelated perspectives: the optimization of nanomaterial properties, the development of goal-oriented targeting strategies, the rationalization of delivery routes, and the engineering of smart stimuli-responsive nano-systems.
Abstract
Glioblastoma (GBM) remains one of the most aggressive primary brain tumors, with poor prognosis, high recurrence, and limited therapeutic options. Although substantial progress has been made in drug development, effective clinical translation is still constrained by inefficient delivery across the blood brain barrier (BBB) and blood brain tumor barrier (BBTB), insufficient tumor accumulation, intratumoral heterogeneity, acquired therapeutic resistance, and dose limiting systemic toxicity. Nanomedicine offers a promising strategy to address these barriers through tunable physicochemical properties, flexible surface functionalization, improved pharmacokinetics, and controllable drug release. In this review, we systematically summarize recent advances in nanomedicine enabled GBM therapy from four interrelated perspectives: the optimization of nanomaterial properties, the development of goal-oriented targeting strategies, the rationalization of delivery routes, and the engineering of smart stimuli-responsive nano-systems. Rather than only cataloguing representative nanoplatforms, we emphasize how material parameters, biological targeting mechanisms, delivery routes, and release behaviors are mechanistically linked to BBB or BBTB penetration, tumor accumulation, therapeutic efficacy, and translational feasibility. Importantly, we also incorporate a key failure case analysis of representative clinical and preclinical studies, highlighting why promising nanotherapeutic concepts may fail because of inadequate intratumoral distribution, insufficient survival benefit, poor patient selection, manufacturing complexity, safety concerns, or impractical trial design. By integrating delivery mechanisms, cross platform comparison, translational barriers, and future optimization principles, this review provides a critical and forward looking framework for the rational design of precise, effective, and clinically translatable nanomedicine strategies for GBM treatment.
Glioblastoma (GBM) remains one of the most lethal brain malignancies, characterized by aggressive invasion, therapeutic resistance and poor prognosis. Conventional treatment approaches are limited by systemic toxicity, poor blood–brain barrier (BBB) penetration and lack of tumor specificity. Nanoparticle-based therapeutics offer a transformative paradigm redefining drug delivery, diagnostics and multimodal strategies in GBM. In this review, we critically explore a diverse variety of advanced nanocarrier platforms designed for anti-proliferative, radiosensitizing and immunomodulatory interventions. These systems enhance BBB penetration, tumor localization and enable co-delivery of chemotherapeutics, gene therapies and imaging agents with high precision. Innovative approaches show efficacy against glioma stem cells, modulate the tumor microenvironment and address resistance mechanisms. Integration with radiotherapy and immunotherapy yields synergistic tumor suppression and immune activation, advancing personalized nanomedicine. Despite these advancements, translational hurdles remain nanogenotoxicity, long-term biosafety, immune responses and regulatory barriers. This review emphasizes such challenges while identifying opportunities for strategic innovation in GBM nanotherapy. By uniquely bridging preclinical advances with emerging clinical perspectives, we highlight its distinct contribution within the field. By bridging nanotechnology, molecular oncology and bioengineering, we highlight how rational nanoparticle design can shift GBM management toward targeted, multimodal precision therapy, offering renewed hope against one of oncology’s most intractable diseases.
Keywords: Glioblastoma, Nanoparticles, Blood-Brain Barrier, Nanotechnology, Nanomedicine, Nanotherapeutics.
Glioblastoma remains one of the most lethal brain malignancies, characterized by aggressive proliferation and
high recurrence rates despite multimodal treatment approaches. While paclitaxel demonstrates potent anticancer
activity, its clinical utility in glioblastoma management is severely hampered by its inability to cross the bloodbrain barrier, coupled with poor aqueous solubility and P-glycoprotein-mediated efflux. Current standard care,
based on surgical resection combined with radiotherapy and chemotherapy, yields disappointing median survival
rates of only 12-15 months, underscoring the urgent need for innovative therapeutic strategies. Nanotechnologybased drug delivery systems have emerged as a promising approach to circumvent these limitations. Polymeric
nanoparticles, including PLGA, PLA, PCL, and chitosan-based formulations, can effectively encapsulate
paclitaxel while protecting it from efflux mechanisms and enhancing cellular uptake through receptor-mediated
pathways. Surface functionalization strategies such as PEGylation, peptide conjugation, and targeting ligand
attachment significantly improve blood-brain barrier penetration and tumor-specific accumulation. Despite
promising preclinical results demonstrating substantial improvements in brain drug concentrations and tumor
growth suppression, several obstacles persist in advancing these systems to clinical practice. These include
manufacturing scalability, formulation stability, regulatory requirements, and standardization of quality control
parameters. Furthermore, tumor heterogeneity and variable receptor expression patterns necessitate personalized
therapeutic approaches. This review highlights recent progress in BBB-targeted paclitaxel nanoparticle systems,
outlines key technological advances, addresses current limitations, and identifies future research priorities
essential for successful clinical translation in glioblastoma therapy.
Preeti Sah, Pratik Patel, Rikita Patel et al.· International Journal of Dru...· 0 citations
Cancer remains one of the leading causes of morbidity and mortality worldwide despite substantial advances in diagnosis and treatment. Conventional therapeutic approaches, including chemotherapy, radiotherapy, surgery, and immunotherapy, are often limited by poor tumor selectivity, systemic toxicity, multidrug resistance, and inadequate drug accumulation at the disease site. Nanomedicine has emerged as a transformative strategy in oncology, offering innovative solutions for targeted drug delivery, improved pharmacokinetics, enhanced therapeutic efficacy, and reduced off-target toxicity. Owing to their unique physicochemical properties, nanoparticles can be engineered to overcome biological barriers associated with tumor progression and facilitate precise delivery of therapeutic and diagnostic agents. This review comprehensively discusses the fundamental principles of cancer nanomedicine, including tumor biology, barriers to drug delivery, and critical design considerations for nanocarrier development. Various classes of nanomaterials, including polymeric nanoparticles, lipid-based systems, inorganic nanomaterials, and emerging biomimetic platforms, are examined with respect to their structural characteristics, therapeutic applications, and translational potential. Particular emphasis is placed on tumor-targeting strategies, encompassing passive, active, and microenvironment-responsive approaches, as well as on the development of smart stimuli-responsive nanocarriers capable of controlled, site-specific drug release. Furthermore, recent advances in nanotechnology-enabled chemotherapy, combination therapy, gene and RNA delivery, immuno-nanomedicine, and theranostic platforms are highlighted. The integration of diagnostic imaging and therapeutic functions within multifunctional nanocarriers has enabled real-time monitoring of treatment response and personalized cancer management. In addition, challenges associated with safety, toxicity, large-scale manufacturing, regulatory approval, and clinical translation are critically evaluated. Emerging innovations, including artificial intelligence-driven nanocarrier design, biomimetic nanomedicines, and precision oncology approaches, are also explored as future directions for the field.Overall, cancer nanomedicine has evolved from a simple drug-delivery concept into a multifunctional therapeutic platform integrating targeted therapy, molecular imaging, immunomodulation, gene therapy, and personalized medicine. Continued interdisciplinary collaboration and technological innovation are expected to accelerate the clinical translation of next-generation nanomedicines, ultimately improving treatment outcomes and advancing precision cancer care.
Fouzan Arif Mulla Mulla, Mo Saad Sanaullah Khan Khan, Irfan Nizamuddin Mansuri Mansuri et al.· Journal of Pharmacology, Gen...· 0 citations
The therapeutic landscape of targeted therapies in glioblastomas is summarized, spanning major target classes including receptor tyrosine kinases, intracellular signalling proteins, cell-cycle dysregulation and synthetic-lethal vulnerabilities and emerging strategies targeting genome integrity and telomeres, epigenetic modulators, and tumour-neural circuitry are examined.
E. Aquilanti, M. Touat, P. French et al.· Nature Reviews Clinical Onco...· 0 citations
Brain metastasis originating from breast cancer is an uncommon but clinically significant complication that poses substantial therapeutic challenges and is associated with poor patient prognosis. Traditional treatment modalities-including surgical resection, whole-brain radiation therapy, stereotactic radiosurgery, and systemic chemotherapy-often fail to achieve satisfactory long-term control due to the protective nature of the blood-brain barrier (BBB), tumor heterogeneity, and the aggressive biology of metastatic lesions. This comprehensive review delves into recent advances in modern therapeutic approaches that aim to enhance the efficacy of conventional treatments for rare brain metastases from breast cancer (BC). We systematically evaluate emerging strategies such as advanced drug delivery technologies, including nanoparticles (NPs), polymeric NPs, and liposomal formulations, which are designed to overcome pharmacokinetic limitations and improve the penetration and retention of chemotherapeutic agents within the central nervous system (CNS). The review also explores the integration of immunotherapies, particularly immune checkpoint inhibitors and adoptive cell therapies-with traditional modalities to potentiate antitumor immune responses in the brain microenvironment. Moreover, we discuss the development and application of novel radiosensitizers and combination regimens aimed at overcoming the inherent and acquired radioresistance of metastatic tumors. The synthesis of current preclinical models and clinical trial data provides critical insights into the potential of these combined approaches to enhance patient survival and quality of life. Finally, we identify key challenges, including the need for personalized treatment protocols and the management of therapy-related toxicities, and propose future directions for research.
Ghazala Muteeb, Aya Y El-Sayed, Mohamed S. AboHoussien et al.· SLAS discovery : advancing l...· 0 citations