UCL Centre for Nanotechnolology and Regenerative Medicine, Division of Surgery and Interventional Science, University College London, London, UK.
Curr Opin Pharmacol. 2012 Aug;12(4):414-9. doi: 10.1016/j.coph.2012.02.011. Epub 2012 Mar 30.
A major focus in translational cancer research is the study of nanocarriers as novel delivery systems for chemotherapeutics. Organic vesicular nanocarriers, such as liposomes and micelles, have the advantage of low toxicity and the versatility to carry diverse drugs and conjugate to targeting agents. This offers the potential for combining treatment and diagnosis (theranostics). Successful incorporation into these nanoformulations has been demonstrated for classical chemotherapeutic drugs that are mostly hydrophobic, small interfering RNA, biological therapeutics and specific nanoparticles, such as superparamagnetic nanoparticles. Liposomes and micelles appear to take advantage of the enhanced permeability and retention (EPR) effect in solid tumours to increase accumulation at the target site (passive targeting). This translates to the clinic, where liposomal drug formulations are reported to exhibit higher efficacy and less side effects. Multidrug formulations and combinations with other treatments, for example, radiation or radiofrequency ablation, to trigger drug release from the nanocarrier at the target site, are mostly at the pre-clinical stage. More complex formulations that incorporate treatment agents together with targeting (active targeting) and imaging molecules have also been investigated in in vivo models with encouraging results.
癌症转化研究的一个主要重点是研究纳米载体作为化疗药物的新型递药系统。有机囊泡纳米载体,如脂质体和胶束,具有低毒性的优势,并且能够携带多种药物并与靶向剂结合。这为治疗和诊断(治疗学)的结合提供了可能。已经证明,将这些纳米制剂成功地用于大多数疏水性、小干扰 RNA、生物治疗剂和特定的纳米颗粒(如超顺磁纳米颗粒)等经典化疗药物中。脂质体和胶束似乎利用了实体瘤中增强的通透性和保留(EPR)效应来增加靶部位的积累(被动靶向)。这转化为临床,其中报道脂质体药物制剂表现出更高的疗效和更少的副作用。多药物制剂和与其他治疗方法(例如,辐射或射频消融)的联合应用,以触发纳米载体在靶部位释放药物,大多处于临床前阶段。更复杂的制剂,将治疗剂与靶向(主动靶向)和成像分子结合在一起,也已经在体内模型中进行了研究,结果令人鼓舞。
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