Inserm U646, Université d'Angers, 10 rue André Boquel, F-49100 Angers, France.
Int J Pharm. 2009 Sep 11;379(2):201-9. doi: 10.1016/j.ijpharm.2009.04.026. Epub 2009 May 4.
Nanomedicine, an emerging new field created by the fusion of nanotechnology and medicine, is one of the most promising pathways for the development of effective targeted therapies with oncology being the earlier and the most notable beneficiary to date. Indeed, drug-loaded nanoparticles provide an ideal solution to overcome the low selectivity of the anticancer drugs towards the cancer cells in regards to normal cells and the induced severe side-effects, thanks to their passive and/or active targeting to cancer tissues. Liposome-based systems encapsulating drugs are already used in some cancer therapies (e.g. Myocet, Daunoxome, Doxil). But liposomes have some important drawbacks: they have a low capacity to encapsulate lipophilic drugs (even though it exists), they are manufactured through processes involving organic solvents, and they are leaky, unstable in biological fluids and more generally in aqueous solutions for being commercialized as such. We have developed new nano-cargos, the lipid nanocapsules, with sizes below the endothelium fenestration (phi<100 nm), that solve these disadvantages. They are prepared according to a solvent-free process and they are stable for at least one year in suspension ready for injection, which should reduce considerably the cost and convenience for treatment. Moreover, these new nano-cargos have the ability to encapsulate efficiently lipophilic drugs, offering a pharmaceutical solution for their intravenous administration. The lipid nanocapsules (LNCs) have been prepared according to an original method based on a phase-inversion temperature process recently developed and patented. Their structure is a hybrid between polymeric nanocapsules and liposomes because of their oily core which is surrounded by a tensioactive rigid membrane. They have a lipoprotein-like structure. Their size can be adjusted below 100 nm with a narrow distribution. Importantly, these properties confer great stability to the structure (physical stability>18 months). Blank or drug-loaded LNCs can be prepared, with or without PEG (polyethyleneglycol)ylation that is a key parameter that affects the vascular residence time of the nano-cargos. Other hydrophilic tails can also be grafted. Different anticancer drugs (paclitaxel, docetaxel, etoposide, hydroxytamoxifen, doxorubicin, etc.) have been encapsulated. They all are released according to a sustained pattern. Preclinical studies on cell cultures and animal models of tumors have been performed, showing promising results.
纳米医学是纳米技术与医学融合而产生的新兴领域,是开发有效靶向治疗方法的最有前途的途径之一,肿瘤学是迄今为止最早和最显著的受益者。事实上,载药纳米颗粒为克服抗癌药物对正常细胞的低选择性和诱导的严重副作用提供了理想的解决方案,这要归功于它们对癌症组织的被动和/或主动靶向。基于脂质体的系统封装药物已经用于一些癌症治疗(例如 Myocet、Daunoxome、Doxil)。但是脂质体有一些重要的缺点:它们对脂溶性药物的包封能力低(尽管存在),它们是通过涉及有机溶剂的过程制造的,并且它们是漏的,在生物流体中不稳定,更一般地说,在作为商品销售的水溶液中不稳定。我们开发了新型纳米载体,即脂质纳米胶囊,其尺寸小于内皮窗(phi<100nm),解决了这些缺点。它们是根据无溶剂工艺制备的,在可注射悬浮液中至少稳定一年,这应该大大降低治疗成本和便利性。此外,这些新型纳米载体能够有效地包封脂溶性药物,为其静脉给药提供了一种药物解决方案。脂质纳米胶囊(LNC)是根据最近开发并获得专利的相转变温度过程的原创方法制备的。它们的结构是聚合物纳米胶囊和脂质体之间的混合体,因为它们的油性核心被表面活性剂刚性膜包围。它们具有脂蛋白样结构。它们的尺寸可以调整到 100nm 以下,分布较窄。重要的是,这些特性赋予了结构很大的稳定性(物理稳定性>18 个月)。可以制备空白或载药的 LNC,可以进行 PEG(聚乙二醇)化或不进行 PEG 化,这是影响纳米载体血管驻留时间的关键参数。也可以接枝其他亲水尾巴。已经封装了不同的抗癌药物(紫杉醇、多西紫杉醇、依托泊苷、羟他莫昔芬、阿霉素等)。它们都根据持续模式释放。已经在细胞培养和肿瘤动物模型上进行了临床前研究,显示出有希望的结果。