Neurosurgical review

Improving brain cancer treatment by targeting the blood-brain barrier for better outcomes and personalized care

Updated

Abstract

Recent advancements in therapies targeting the Blood-Brain Barrier (BBB) offer new strategies for treating brain tumors.

  • Convection-Enhanced Delivery (CED) and RNA-based therapeutics may enhance drug delivery directly to tumor sites while reducing systemic toxicity.
  • Theranostic nanoparticles and CRISPR-Cas9 gene editing could provide real-time monitoring and precision-targeted therapy for brain cancer.
  • Techniques like magnetic nanoparticles, intranasal drug administration, and focused ultrasound with microbubbles are being refined to improve drug penetration across the BBB.
  • Peptide-based delivery systems and small molecules that mimic natural transport pathways may accelerate the discovery of more effective brain cancer therapies.
  • Combination therapies that integrate BBB-penetrant drugs with conventional treatments are being explored to potentially enhance treatment efficacy.

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