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Cerna et al. J Cancer Metastasis Treat 2016;2:407-16                                Journal of
           DOI: 10.20517/2394-4722.2015.95
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Review                                                                              Open Access

           Nanocarrier drugs in the treatment of brain
           tumors




           Tereza Cerna , Marie Stiborova , Vojtech Adam , Rene Kizek , Tomas Eckschlager 4
                                                                3
                       1,4
                                       1
                                                     2
           1 Department of Biochemistry, Faculty of Science, Charles University, Albertov 2030, CZ-128 40 Prague 2, Czech Republic.
           2 Department of Chemistry and Biochemistry, Laboratory metallomics and nanotechnology, Mendel University in Brno and Central European Institute of
           Technology, Brno University of Technology, Zemědělská 1, CZ-613 00 Brno, Czech Republic.
           3 Department of Human Pharmacology and Toxicology, Faculty of Pharmacology, University of Veterinary and Pharmaceutical Sciences Brno, Palackeho 1,
           CZ 612 42 Brno, Czech Republic.
           4 Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University, and University Hospital Motol, V Uvalu 84, CZ-150 06
           Prague 5, Czech Republic.
           Correspondence to: Prof. Tomas Eckschlager, Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University,
           and University Hospital Motol, V Uvalu 84, CZ-150 06 Prague 5, Czech Republic. E-mail: tomas.eckschlager@lfmotol.cuni.cz

           How to cite this article: Cerna T, Stiborova M, Adam V, Kizek R, Eckschlager T. Nanocarrier drugs in the treatment of brain tumors. J Cancer
           Metastasis Treat 2016;2:407-16.

                             Prof. Tomas Eckschlager, Deputy head for education, head of Laboratory of biology of solid tumors, works in
                             Department of Pediatric Heamatology and Oncology, 2nd Medical Faculty, Charles University and University
                             Hospital Motol. His main interests are: molecular biology and genetics of pediatric cancer; experimental
                             therapy of cancer and research of cancer cell chemoresistance; clinical pediatric oncology and late effects of
                             children cancer therapy.




                                         ABSTRACT
            Article history:              Nanoparticle-mediated targeted delivery of drugs might significantly reduce the dosage
            Received: 23-12-2015          and optimize their release properties, increase specificity and bioavailability, improve shelf
            Accepted: 25-09-2016          life, and reduce toxicity. Some nanodrugs are able to overcome the blood-brain barrier that
            Published: 31-10-2016         is an obstacle to treatment of brain tumors. Vessels in tumors have abnormal architecture
                                          and are highly permeable; moreover, tumors also have poor lymphatic drainage, allowing
            Key words:                    for accumulation of macromolecules greater than approximately 40 kDa within the tumor
            Brain tumors,                 microenvironment. Nanoparticles exploit this feature, known as the enhanced permeability
            nanoparticles,                and retention effect, to target solid tumors. Active targeting, i.e. surface modification of
            enhanced permeability and     nanoparticles, is a way to decrease uptake in normal tissue and increase accumulation in
            retention effect,             a tumor, and it usually involves targeting surface membrane proteins that are upregulated
            active targeting,             in cancer cells. The targeting molecules are typically antibodies or their fragments;
            blood-brain barrier           aptamers; oligopeptides or small molecules. There are currently several FDA-approved
                                          nanomedicines, but none approved for brain tumor therapy. This review, based both on the
                                          study of literature and on the authors own experimental work describes a comprehensive
                                          overview of preclinical and clinical research of nanodrugs in therapy of brain tumors.

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