靶向核酸递送至肿瘤:癌症治疗的新途径
Targeted nucleic acid delivery into tumors: new avenues for cancer therapy.
作者信息
Wagner Ernst, Kircheis Ralf, Walker Greg F
机构信息
Pharmaceutical Biology-Biotechnology, Department of Pharmacy, Ludwig-Maximilians-Universität München, Butenandtstr. 5-13, 81377 Munich, Germany.
出版信息
Biomed Pharmacother. 2004 Apr;58(3):152-61. doi: 10.1016/j.biopha.2004.01.003.
Unique properties of tumors, such as abnormalities in the cell cycle and apoptosis, migration and metastasis, neoangiogenesis or unique antigen profiles are targets for therapeutic anti-cancer strategies. Beyond the selection of such strategies, additional specificity for the targeted tumor tissue can be accomplished in cancer gene therapy in several ways. Upon systemic administration, appropriately packaged therapeutic nucleic acid may be preferentially transported into the tumor tissue (targeted delivery); formulation can mediate the intracellular uptake of the nucleic acid into the nucleus of target cells only (transductional targeting); and/or the use of specific promotor/enhancer elements can restrict transcription of therapeutic genes to the target cells only (transcriptional targeting). Options for physical and biological targeting of nucleic acid formulations into tumors and therapeutic approaches are reviewed.
肿瘤的独特特性,如细胞周期和细胞凋亡异常、迁移和转移、新生血管生成或独特的抗原谱,是抗癌治疗策略的靶点。除了选择这些策略外,在癌症基因治疗中,还可以通过几种方式实现对靶向肿瘤组织的额外特异性。全身给药后,适当包装的治疗性核酸可能会优先转运到肿瘤组织中(靶向递送);制剂可以介导核酸仅在细胞内摄取到靶细胞的细胞核中(转导靶向);和/或使用特定的启动子/增强子元件可以将治疗基因的转录仅限制在靶细胞中(转录靶向)。本文综述了将核酸制剂物理和生物靶向肿瘤的选择以及治疗方法。