Nanoparticles have been explored in
glioblastomas as they can traverse the blood-brain barrier and target
glioblastoma selectively. However, direct observation of nanoparticle trafficking into
glioblastoma cells and their underlying intracellular fate after systemic administration remains uncharacterized. Here, based on high-resolution transmission electron microscopy experiments of an intracranial
glioblastoma model, it is shown that
ligand-modified nanoparticles can traverse the blood-brain barrier, endocytose into the lysosomes of
glioblastoma cells, and undergo endolysosomal escape upon photochemical ionization. Moreover, an optimal dose of metronomic
chemotherapy using dual-drug-loaded nanocarriers can induce an augmented antitumor effect directly on
tumors, which has not been recognized in previous studies. Metronomic
chemotherapy enhances antitumor effects 3.5-fold compared with the standard
chemotherapy regimen using the same accumulative dose in vivo. This study provides a conceptual framework that can be used to develop metronomic nanoparticle regimens as a safe and viable therapeutic strategy for treating
glioblastomas and other advanced-stage solid
tumors.