Evidence map›Paper›PMID 39267113›Full record

ArticleRadiation oncology (London, England)2024

A multifunctional targeted nano-delivery system with radiosensitization and immune activation in glioblastoma.

Xin Wen, Zhiying Shao, Xueting Chen, Hongmei Liu, Hui Qiu, Xin Ding, Debao Qu, Hui Wang, Andrew Z Wang, Longzhen Zhang

Abstract read
In one paragraph

Article in Radiation oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Xin Wen *Cancer Institute of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Zhiying Shao *Cancer Institute of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xueting Chen *Cancer Institute of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Hongmei LiuDepartment of Biomedical Engineering, Southern University of Science and Technology, 1088 Xueyuan Avenue, Shenzhen, Guangdong, China.
Hui QiuDepartment of Radiation Oncology, Affiliated Hospital of Xuzhou Medical University, Kunpeng North Road No. 9, Xuzhou, 221000, Jiangsu, China.
Xin DingDepartment of Radiation Oncology, Affiliated Hospital of Xuzhou Medical University, Kunpeng North Road No. 9, Xuzhou, 221000, Jiangsu, China.
Debao QuCancer Institute of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Hui WangCancer Institute of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Andrew Z WangDepartment of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA. Andrew.Wang2@UTSouthwestern.edu.
Longzhen ZhangCancer Institute of Xuzhou Medical University, Xuzhou, Jiangsu, China. jsxyfyzlz@126.com.

Funding

National Natural Science Foundation of China 81972845Specialist Team in Clinical Medicine of Xuzhou 2019TD003Xuzhou special fund in scientific and technological innovation promotion KC23266
6 · The paper itself

Abstract

Glioblastoma (GBM), the most common primary brain malignancy in adults, is notoriously difficult to treat due to several factors: tendency to be radiation resistant, the presence of the blood brain barrier (BBB) which limits drug delivery and immune-privileged status which hampers effective immune responses. Traditionally, high-dose irradiation (8 Gy) is known to effectively enhance anti-tumor immune responses, but its application is limited by the risk of severe brain damage. Currently, conventional dose segmentation (2 Gy) is the standard radiotherapy method, which does not fully exploit the potential of high-dose irradiation for immune activation. The hypothesis of our study posits that instead of directly applying high doses of radiation, which is risky, a strategy could be developed to harness the immune-stimulating benefits of high-dose irradiation indirectly. This involves using nanoparticles to enhance antigen presentation and immune responses in a safer manner. Angiopep-2 (A2) was proved a satisfactory BBB and brain targeting and Dbait is a small molecule that hijack DNA double strand break damage (DSB) repair proteins to make cancer cells more sensitive to radiation. In view of that, the following two nanoparticles were designed to combine immunity of GBM, radiation resistance and BBB innovatively. One is cationic liposome nanoparticle interacting with Dbait (A2-CL/Dbait NPs) for radiosensitization effect; the other is PLGA-PEG-Mal nanoparticle conjugated with OX40 antibody (A2-PLGA-PEG-Mal/anti-OX40 NPs) for tumor-derived protein antigens capture and optimistic immunoregulatory effect of anti-OX40 (which is known to enhance the activation and proliferation T cells). Both types of nanoparticles showed favorable targeting and low toxicity in experimental models. Specifically, the combination of A2-CL/Dbait NPs and A2-PLGA-PEG-Mal/anti-OX40 NPs led to a significant extension in the survival time and a significant tumor shrinkage of mice with GBM. The study demonstrates that combining these innovative nanoparticles with conventional radiotherapy can effectively address key challenges in GBM treatment. It represents a significant step toward more effective and safer therapeutic options for GBM patients.

Indexed as

Brain NeoplasmsGlioblastomaRadiation-Sensitizing AgentsAnimalsBlood-Brain BarrierCell Line, TumorDrug Delivery SystemsHumansMiceNanoparticle Drug Delivery SystemNanoparticlesNanoparticle Drug Delivery SystemRadiation-Sensitizing AgentsBlood brain barrier (BBB)GlioblastomaImmuneNanoparticleOX40Radiosensitization

Identifiers

PMID39267113
PMCPMC11395210

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.