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耐多药癌症纳米递送系统筛选过程中的障碍

Hurdles in selection process of nanodelivery systems for multidrug-resistant cancer.

作者信息

Thakur P S, Khan A M, Talegaonkar S, Ahmad F J, Iqbal Z

机构信息

Department of Pharmaceutics, Faculty of Pharmacy, Jamia Hamdard, New Delhi, India.

出版信息

J Cancer Res Clin Oncol. 2016 Oct;142(10):2073-106. doi: 10.1007/s00432-016-2167-7. Epub 2016 Apr 26.

Abstract

PURPOSE

Most of the nanomedicines for treatment of multidrug-resistant cancer do not reach Phase III trials and many are terminated or withdrawn or are in an indeterminate state since long without any study results being presented. Extensive perusal of nanomedicine development research revealed that one of the critical aspects influencing clinical outcomes and which requires diligent scrutiny is selection process of nanodelivery system.

METHODS

Research papers and articles published on development of nanodelivery systems for treatment of multidrug-resistant cancer were analyzed. Observations and conclusions noted by these researchers which might shed some light on poor clinical performance of nanocarriers were collated and summarized under observation section. Further research articles were studied to find possible solutions which may be applied to these particular problems for resolving them. The inferences of these findings were composed in Result section.

RESULT

Plausible solutions for the observed obstacles were noted as examples of novel formulations that can yield the following: better in vivo imaging, precise targeting and dosing of a specific site and specific cell type in a particular cancer, modulation of tumor surroundings, intonation of systemic effects and high reproducibility.

CONCLUSION

The angle of approach to the development of best nanosystem for a specific type of tumor needs to be spun around. Some of these changes can be brought about by individual scientists, some need to be established by collated efforts of scientists globally and some await advent of better technologies. Regardless of the stratagem, it can be said decisively that the schematics of development phase need rethinking.

摘要

目的

大多数用于治疗多药耐药癌症的纳米药物未能进入III期试验,许多药物被终止、撤回或长期处于不确定状态,没有任何研究结果公布。对纳米药物开发研究的广泛研读表明,影响临床结果且需要仔细审查的关键因素之一是纳米递送系统的选择过程。

方法

分析了发表的关于用于治疗多药耐药癌症的纳米递送系统开发的研究论文和文章。这些研究人员所指出的可能有助于解释纳米载体临床性能不佳的观察结果和结论,在观察部分进行了整理和总结。进一步研究了相关文章,以寻找可能适用于解决这些特定问题的解决方案。这些研究结果的推论在结果部分进行了阐述。

结果

针对观察到的障碍提出了合理的解决方案,例如新型制剂可实现以下目标:更好的体内成像、特定癌症中特定部位和特定细胞类型的精确靶向和给药、肿瘤周围环境的调节、全身效应的调节以及高重现性。

结论

针对特定类型肿瘤开发最佳纳米系统的方法需要转变。其中一些改变可由个别科学家实现,一些需要全球科学家共同努力来确立,还有一些则有待更好技术的出现。无论采取何种策略,可以肯定地说,开发阶段的方案需要重新思考。

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