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纳米治疗学克服传统癌症化疗的局限性。

Nanotherapeutics to overcome conventional cancer chemotherapy limitations.

机构信息

Department of Pharmacy, Annamalai University, Annamalai Nagar, Chidambaram, Tamil Nadu, India.

出版信息

J Pharm Pharm Sci. 2011;14(1):67-77. doi: 10.18433/j30c7d.

Abstract

Cancer is one of the major causes of death worldwide and chemotherapy is a major therapeutic approach for the treatment which may be used alone or combined with other forms of therapy. However, conventional chemotherapy suffers lack of aqueous solubility, lack of selectivity and multidrug resistance. Nanotherapeutics is rapidly progressing aimed to solve several limitations of conventional drug delivery systems. Nonspecific target of cancer chemotherapy leads to damage rapidly proliferating normal cells and can be significantly reduced through folate and transferrin mediated nanotherapeutics which are aimed to target cancerous cells. Multidrug resistance is challenge in cancer chemotherapy which can be significantly reversed by solid lipid nanoparticles, polymeric nanoparticles, mesoporous silica nanoparticles, nanoparticulated chemosensitizer, nanoparticluated poloxamer and magnetic nanoparticles. Hydrophobic nature of chemotherapeutics leads to poor aqueous solubility and low bioavailability which can be overcome by nanocrystals, albumin based nanoparticles, liposomal formulation, polymeric micelles, cyclodextrin and chitosan based nanoparticles. This review focuses the role of nanotherapeutics to overcome lack of selectivity, multidrug resistance and lack of aqueous solubility of conventional cancer chemotherapy.

摘要

癌症是全球主要死亡原因之一,化疗是治疗癌症的主要方法之一,可单独使用或与其他形式的治疗联合使用。然而,传统的化疗存在水溶性差、缺乏选择性和多药耐药性等问题。纳米治疗学旨在解决传统药物输送系统的几个局限性,正在迅速发展。癌症化疗的非特异性靶向导致对快速增殖的正常细胞的损伤,通过叶酸和转铁蛋白介导的纳米治疗可以显著减少这种损伤,这些纳米治疗旨在靶向癌细胞。多药耐药性是癌症化疗的一个挑战,可以通过固体脂质纳米粒、聚合物纳米粒、介孔硅纳米粒、纳米载化疗增敏剂、纳米载泊洛沙姆和磁性纳米粒来显著逆转。化疗药物的疏水性导致其水溶性差和生物利用度低,纳米晶体、白蛋白纳米粒、脂质体制剂、聚合物胶束、环糊精和壳聚糖纳米粒可以克服这些问题。本文综述了纳米治疗学在克服传统癌症化疗缺乏选择性、多药耐药性和水溶性差方面的作用。

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