Faculty of Pharmaceutical Sciences, Teikyo University, Suarashi, Midori-ku, Sagamihara, Japan.
Adv Drug Deliv Rev. 2011 Mar 18;63(3):161-9. doi: 10.1016/j.addr.2010.09.003. Epub 2010 Oct 28.
The success of an effective drug delivery system using liposomes for solid tumor targeting based on EPR effects is highly dependent on both size ranging from 100-200 nm in diameter and prolonged circulation half-life in the blood. A major development was the synthesis of PEG-liposomes with a prolonged circulation time in the blood. Active targeting of immunoliposomes to the solid tumor tissue can be achieved by the Fab' fragment which is better than whole IgG in terms of designing PEG-immunoliposomes with prolonged circulation. For intracellular targeting delivery to solid tumors based on EPR effects, transferrin-PEG-liposomes can stay in blood circulation for a long time and extravasate into the extravascular of tumor tissue by the EPR effect as PEG-liposomes. The extravasated transferrin-PEG-liposomes can maintain anti cancer drugs in interstitial space for a longer period, and deliver them into the cytoplasm of tumor cells via transferrin receptor-mediated endocytosis. Transferrin-PEG-liposomes improve the safety and efficacy of anti cancer drug by both passive targeting by prolonged circulation and active targeting by transferrin.
基于 EPR 效应的用于实体瘤靶向的脂质体有效药物递送系统的成功高度依赖于直径为 100-200nm 的大小范围和在血液中的延长循环半衰期。一个主要的发展是合成具有延长血液循环时间的 PEG-脂质体。通过 Fab'片段可以实现免疫脂质体对实体瘤组织的主动靶向,与 IgG 相比,设计具有延长循环时间的 PEG-免疫脂质体时,Fab'片段更好。对于基于 EPR 效应的实体瘤内靶向递药,转铁蛋白-PEG-脂质体可以通过 EPR 效应长时间留在血液循环中,并渗出到肿瘤组织的血管外。渗出的转铁蛋白-PEG-脂质体可以将抗癌药物在细胞外间隙中维持更长时间,并通过转铁蛋白受体介导的内吞作用将它们递送到肿瘤细胞的细胞质中。转铁蛋白-PEG-脂质体通过延长循环的被动靶向和转铁蛋白的主动靶向提高了抗癌药物的安全性和疗效。