Yan Jing-Jun, Liao Jia-Zhi, Lin Ju-Sheng, He Xing-Xing
Institute of Liver Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095# Jie-Fang Avenue, Wuhan, 430030, China.
Tumour Biol. 2015 Jan;36(1):55-67. doi: 10.1007/s13277-014-2855-3. Epub 2014 Nov 26.
Patients with hepatocellular carcinoma (HCC) usually present at advanced stages and do not benefit from surgical resection, so drug therapy should deserve a prominent place in unresectable HCC treatment. But chemotherapy agents, such as doxorubicin, cisplatin, and paclitaxel, frequently encounter important problems such as low specificity and non-selective biodistribution. Recently, the development of nanotechnology led to significant breakthroughs to overcome these problems. Decorating the surfaces of nanoparticulate-based drug carriers with homing devices has demonstrated its potential in concentrating chemotherapy agents specifically to HCC cells. In this paper, we reviewed the current status of active targeting strategies for nanoparticulate systems based on various receptors such as asialoglycoprotein receptor, transferrin receptor, epidermal growth factor receptor, folate receptor, integrin, and CD44, which are abundantly expressed on the surfaces of hepatocytes or liver cancer cells. Furthermore, we pointed out their merits and defects and provided theoretical references for further research.
肝细胞癌(HCC)患者通常在疾病晚期才出现症状,无法从手术切除中获益,因此药物治疗在不可切除的HCC治疗中应占据重要地位。但是化疗药物,如阿霉素、顺铂和紫杉醇,经常会遇到诸如特异性低和生物分布非选择性等重要问题。最近,纳米技术的发展带来了重大突破,以克服这些问题。用归巢装置修饰基于纳米颗粒的药物载体表面,已证明其在将化疗药物特异性富集到HCC细胞方面的潜力。在本文中,我们综述了基于各种受体(如去唾液酸糖蛋白受体、转铁蛋白受体、表皮生长因子受体、叶酸受体、整合素和CD44)的纳米颗粒系统主动靶向策略的现状,这些受体在肝细胞或肝癌细胞表面大量表达。此外,我们指出了它们的优缺点,并为进一步研究提供了理论参考。