Department of Pharmaceutical Sciences, University of Toronto, 144 College Street, Toronto, Ontario, M5S-3M2, Canada.
Drug Deliv. 2010 Aug;17(6):365-75. doi: 10.3109/10717541003762854.
Cancer has become one of the most difficult health challenges of our time, accounting for millions of deaths yearly. Systemic chemotherapy is the most common therapeutic approach; however, considerable limitations exist including toxicities to healthy tissues and low achievable drug concentrations at tumor sites. More than 85% of human cancers are solid tumors, which can greatly benefit from localized delivery. This approach allows for high drug concentrations at the target site, lower systemic toxicity, and extended drug exposure which may be beneficial for cell cycle-specific drugs. Polymers have been widely considered in the development of localized delivery systems. This review focuses on both natural and synthetic biodegradable polymers that have been explored for localized chemotherapy, exploring their advantages, disadvantages, and clinical potential while citing examples of their use in pre-clinical development.
癌症已经成为我们这个时代最具挑战性的健康问题之一,每年导致数百万人死亡。全身性化疗是最常见的治疗方法;然而,存在着相当大的局限性,包括对健康组织的毒性和肿瘤部位可达到的低药物浓度。超过 85%的人类癌症是实体瘤,它们可以从局部递药中大大受益。这种方法可以在靶部位达到高药物浓度,降低全身毒性,并延长药物暴露时间,这可能对细胞周期特异性药物有益。聚合物在局部递药系统的开发中得到了广泛的考虑。这篇综述主要关注天然和合成可生物降解聚合物在局部化疗中的应用,探讨了它们的优缺点和临床潜力,并引用了它们在临床前开发中的应用实例。