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用于将化疗药物递送至肿瘤的纳米颗粒。

Nanoparticles for delivery of chemotherapeutic agents to tumors.

作者信息

Vijayaraghavalu Sivakumar, Raghavan Derek, Labhasetwar Vinod

机构信息

Department of Biomedical Engineering, Lerner Research Institute, Cleveland OH, USA.

出版信息

Curr Opin Investig Drugs. 2007 Jun;8(6):477-84.

Abstract

Despite decades of research, progress in cancer chemotherapy is relatively slow, hampered, in part, by the lack of appropriate mechanisms to deliver anticancer drugs selectively to tumor tissues. This is a challenging task, as various cellular, anatomical and physiological barriers impede effective delivery of drugs to tumors. Systemic or oral administration can cause severe toxicity, which limits the therapeutic potential of anticancer drugs. Therefore, the most important goal of drug delivery is to minimize the exposure of normal tissues to these drugs while maintaining their therapeutic concentration in tumors. Furthermore, the risk of subtherapeutic dosing of anticancer drugs is significant as tumors may develop drug resistance as a result of biochemical changes, drug export mechanisms, or limitations in mechanisms of cellular drug importation. As the field of cancer nanomedicine advances, it is anticipated that many drug delivery-related issues concerning cancer chemotherapeutics will be resolved. This review discusses the current status of nanoparticle-mediated cancer drug delivery, challenges to its utilization, and potential implications of its use in cancer therapy.

摘要

尽管经过了数十年的研究,但癌症化疗的进展相对缓慢,部分原因是缺乏将抗癌药物选择性地输送到肿瘤组织的适当机制。这是一项具有挑战性的任务,因为各种细胞、解剖学和生理学屏障阻碍了药物向肿瘤的有效输送。全身给药或口服给药会导致严重的毒性,这限制了抗癌药物的治疗潜力。因此,药物输送的最重要目标是在维持肿瘤中治疗浓度的同时,尽量减少正常组织对这些药物的暴露。此外,由于肿瘤可能因生化变化、药物外排机制或细胞药物导入机制的限制而产生耐药性,抗癌药物剂量不足的风险很大。随着癌症纳米医学领域的发展,预计许多与癌症化疗药物输送相关的问题将得到解决。本文综述了纳米颗粒介导的癌症药物输送的现状、应用面临的挑战及其在癌症治疗中的潜在意义。

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