Drug Delivery Research Laboratory, Department of Pharmaceutical Sciences, Dr. H. S. Gour Vishwavidyalaya, Sagar-470003 M.P., India.
Curr Mol Med. 2013 Jan;13(1):179-204.
Inspite of demanding research that has been undertaken for cancer treatment, cancer is a major cause of mortality. Available conventional treatment options of solid tumor are associated with serious side effects. Nanomedicines mediated fascinating approach may be effectively utilized for efficient tumor targeting by avoiding all the problems associated with conventional chemotherapy. Polymeric nanomedicines such as polymer micelles, polymeric nanoparticles, polymersomes and polymer conjugates currently developed for solid tumor treatment have proved to be efficacious cancer therapeutics. These polymeric nanostructures are able to reach tumor tissue or angiogenic endothelial cells either passively or actively. To date, more advancement in the tumor targeting field includes stimuli sensitive polymeric nanocarriers that pass through the intracellular delivery barriers and release the bioactives in response to the microenvironmental trigger of tumor cell. This review discusses the molecular aspects of solid tumor pathophysiology and its dramatic impact on research for innovative and novel therapeutic approaches linked with tumor-targeting polymeric nanomedicines.
尽管已经进行了大量的癌症治疗研究,但癌症仍然是导致死亡的主要原因之一。现有的实体瘤常规治疗方案存在严重的副作用。纳米医学介导的迷人方法可通过避免与传统化疗相关的所有问题,有效地用于高效肿瘤靶向。目前已经开发出用于实体瘤治疗的聚合物纳米药物,如聚合物胶束、聚合物纳米粒、聚合物囊泡和聚合物偶联物,已被证明是有效的癌症治疗药物。这些聚合物纳米结构能够被动或主动到达肿瘤组织或血管生成的内皮细胞。迄今为止,在肿瘤靶向领域的更多进展包括对刺激敏感的聚合物纳米载体,这些载体可以穿透细胞内递药障碍,并在响应肿瘤细胞的微环境触发时释放生物活性物质。本文综述了实体瘤病理生理学的分子方面及其对创新和新型治疗方法的研究的巨大影响,这些方法与肿瘤靶向聚合物纳米药物有关。