{"id":23218,"date":"2022-08-09T16:02:40","date_gmt":"2022-08-09T10:17:40","guid":{"rendered":"https:\/\/www.revoscience.com\/en\/?p=23218"},"modified":"2022-08-09T16:06:00","modified_gmt":"2022-08-09T10:21:00","slug":"new-injectable-gel-offers-promise-for-tough-to-treat-brain-tumors","status":"publish","type":"post","link":"https:\/\/www.revoscience.com\/en\/new-injectable-gel-offers-promise-for-tough-to-treat-brain-tumors\/","title":{"rendered":"New injectable gel offers promise for tough-to-treat brain tumors"},"content":{"rendered":"\n<p>By<strong> Nicole Sweeney Etter<\/strong><\/p>\n\n\n\n<p>MADISON \u2014 Like the hardiest weed, glioblastoma almost always springs back \u2014 usually within months after a patient\u2019s initial brain tumor is surgically removed. That is why survival rates for this cancer are just 25 percent at one year and plummet to 5 percent by the five-year mark.<\/p>\n\n\n\n<p>One of the challenges of treating this disease is that surgeons can\u2019t always remove every bit of tumor or glioma stem cells that might linger in the brain.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" src=\"https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2022\/08\/Quanyin-Hu.jpg\" alt=\"\" class=\"wp-image-23219\" width=\"842\" height=\"561\" title=\"\" srcset=\"https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2022\/08\/Quanyin-Hu.jpg 500w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2022\/08\/Quanyin-Hu-174x116.jpg 174w\" \/><figcaption>Quanyin Hu<\/figcaption><\/figure>\n\n\n\n<p>\u201cOne characteristic of glioblastoma is that the tumor cells are very aggressive, and they will infiltrate the surrounding tissues. So the surgeon can\u2019t clearly feel the boundaries between the tumor and the normal tissue, and you cannot remove as much as possible because all the tissues in the brain are extremely important \u2014 you certainly don\u2019t want to remove too much,\u201d explains Quanyin Hu, an assistant professor in the University of Wisconsin\u2013Madison School of Pharmacy\u2019s Pharmaceutical Sciences Division. \u201cSo the tumor will come back again, and that sharply decreases the survival rate after treatment.\u201d<\/p>\n\n\n\n<p>But Hu\u2019s Cell-Inspired Personalized Therapeutic (CIPT) Lab has developed a powerful immunity-boosting postoperative treatment that could transform the odds for patients with glioblastoma. Hu and his collaborators published their research on the treatment\u2019s use in mouse models of human glioblastoma this month in the Journal Science Translational Medicine.<\/p>\n\n\n\n<p>\u201cIt provides hope for preventing glioblastoma relapse,\u201d Hu says. \u201cWe prove that it can actually eradicate these glioma stem cells, which can eventually prevent the glioblastoma from coming back. We can significantly improve survival.\u201d<\/p>\n\n\n\n<p>Hu\u2019s lab developed a hydrogel that can be injected into the brain cavity left behind by the excised tumor. The hydrogel delivery method works well because it completely fills the brain cavity, slowly releases the medicine into the surrounding tissue, and promotes the cancer-killing immune response, Hu notes.<\/p>\n\n\n\n<p>The hydrogel is packed with nanoparticles designed to enter and reprogram certain types of immune cells called macrophages. These immune cells normally clean up infectious invaders in the body, but in the tumor environment, they can change into a form that instead suppresses the immune system and promotes cancer growth. And because of the inflammation created by surgery, these rogue macrophages flock to the surgical site, potentially fueling cancer relapse.<\/p>\n\n\n\n<p>\u201cWe want to take advantage of these macrophages and turn them from enemy to ally,\u201d Hu says.<\/p>\n\n\n\n<p>To do that, the nanoparticles can engineer the macrophages to target a glycoprotein called CD133, a marker for cancer stem cells. Hu\u2019s team also added an antibody, CD47, that blocks a \u201cdon\u2019t-eat-me\u201d signal to promote macrophages to recognize the cancer cells.<\/p>\n\n\n\n<p>The preclinical results in mice models show that the hydrogel treatment successfully generated glioma stem cell-specific chimeric antigen receptor (CAR) macrophages \u2014 essentially engineering the immune cells on-site to target and kill any lingering glioma stem cells.<\/p>\n\n\n\n<p>If effective in humans, the hydrogel treatment could eliminate the need for postsurgical chemotherapy or radiation, reducing toxic side effects while also improving patient outcomes.<\/p>\n\n\n\n<p>Hu\u2019s next step is testing the hydrogel in larger animal models and also monitoring long-term efficacy and toxicity beyond the four- to six-month period he previously studied.<\/p>\n\n\n\n<p>\u201cWe have a lot of work to do before it can be potentially translated into the clinic, but we feel confident that this is a very promising approach for bringing new hope to patients with glioblastoma so they can recover after surgery,\u201d Hu says. \u201cWe hope we can do our work to be able to advance this technology to the clinic.\u201d<\/p>\n\n\n\n<p>While Hu\u2019s team is initially focused on glioblastoma, the treatment approach could also be applied to other aggressive solid tumors, including breast cancer, he notes. \u201cOur approach is taking advantage of the macrophages in the postsurgical areas and to locally engineer these macrophages,\u201d he says. \u201cIn this scenario, we can confidently say that it will apply to the majority of solid tumors with high invasive characteristics.\u201d<\/p>\n\n\n\n<p>Earlier this year, Hu published results on a different cancer-fighting gel, a collaboration with School of Pharmacy Professor Seungpyo Hong and colleagues in the UW School of Medicine and Public Health.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Like the hardiest weed, glioblastoma almost always springs back \u2014 usually within months after a patient\u2019s initial brain tumor is surgically removed. 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