Fudan University, School of Pharmacy, Department of Pharmaceutics, Key Laboratory of Smart Drug Delivery, Ministry of Education & PLA, China.
Expert Opin Drug Deliv. 2012 Jun;9(6):671-86. doi: 10.1517/17425247.2012.682726.
Brain tumors represent one of the most challenging and difficult areas in unmet medical needs. Fortunately, the past decade has seen momentous developments in brain tumor research in terms of brain tumor-targeted novel nano-drug delivery systems with significant important superiority over conventional formulations with respect to decreased toxicity and improved pharmacokinetics/pharmacodynamics.
This review first introduces the characteristics of the two major obstacles in brain-tumor targeted delivery, blood-brain barrier (BBB) and blood-brain tumor barrier (BBTB), and then reviews recent advances in brain tumor-targeted novel nano-drug delivery systems according to their targeting strategies aimed at different stages of brain tumor development and growth.
Based on continuously changing vascular characteristics of brain tumors at different development and growth stages, we propose the concept of 'whole-process targeting' for brain tumor for nano-drug delivery systems, referring to a series of overall targeted drug delivery strategies aimed at key points during the whole development of brain tumors.
脑肿瘤是医学未满足需求领域中最具挑战性和困难的领域之一。幸运的是,过去十年中,脑肿瘤靶向新型纳米药物递送系统在脑肿瘤研究方面取得了重大进展,相对于传统制剂,其具有降低毒性和改善药代动力学/药效学的显著优势。
本文首先介绍了脑肿瘤靶向递药的两大主要障碍——血脑屏障(BBB)和血脑肿瘤屏障(BBTB)的特点,然后根据针对脑肿瘤不同发展和生长阶段的靶向策略,综述了脑肿瘤靶向新型纳米药物递送系统的最新进展。
基于不同发展和生长阶段脑肿瘤不断变化的血管特征,我们提出了脑肿瘤纳米药物递送系统的“全程靶向”概念,指的是一系列针对脑肿瘤整个发展过程关键节点的整体靶向药物递送策略。