Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA 02114, USA; Department of Dermatology, Harvard Medical School, Boston, MA 02114, USA.
Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA 02114, USA.
Adv Drug Deliv Rev. 2014 May;71:98-114. doi: 10.1016/j.addr.2013.05.010. Epub 2013 Jun 7.
Techniques for controlling the rate and duration of drug delivery, while targeting specific locations of the body for treatment, to deliver the cargo (drugs or DNA) to particular parts of the body by what are becoming called "smart drug carriers" have gained increased attention during recent years. Using such smart carriers, researchers have also been investigating a number of physical energy forces including: magnetic fields, ultrasound, electric fields, temperature gradients, photoactivation or photorelease mechanisms, and mechanical forces to enhance drug delivery within the targeted cells or tissues and also to activate the drugs using a similar or a different type of external trigger. This review aims to cover a number of such physical energy modalities. Various advanced techniques such as magnetoporation, electroporation, iontophoresis, sonoporation/mechnoporation, phonophoresis, optoporation and thermoporation will be covered in the review. Special emphasis will be placed on photodynamic therapy owing to the experience of the authors' laboratory in this area, but other types of drug cargo and DNA vectors will also be covered. Photothermal therapy and theranostics will also be discussed.
近年来,人们越来越关注控制药物输送速率和持续时间的技术,同时针对身体的特定部位进行治疗,通过所谓的“智能药物载体”将货物(药物或 DNA)递送到身体的特定部位。使用这种智能载体,研究人员还研究了多种物理能量力,包括:磁场、超声波、电场、温度梯度、光激活或光释放机制以及机械力,以增强靶向细胞或组织内的药物输送,并使用类似或不同类型的外部触发器激活药物。本综述旨在涵盖多种此类物理能量方式。各种先进技术,如磁转染、电穿孔、离子电渗、声孔/机械孔、声孔、光孔和热孔,将在综述中介绍。鉴于作者实验室在该领域的经验,将特别强调光动力疗法,但也将涵盖其他类型的药物货物和 DNA 载体。光热疗法和治疗学也将进行讨论。