State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China.
State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Department of Pharmaceutics, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China.
Adv Drug Deliv Rev. 2017 Jun 1;115:82-97. doi: 10.1016/j.addr.2017.06.004. Epub 2017 Jun 15.
Anticancer therapy has always been a vital challenge for the development of nanomedicine. Repeated single therapeutic agent may lead to undesirable and severe side effects, unbearable toxicity and multidrug resistance due to complex nature of tumor. Nanomedicine-based combination anticancer therapy can synergistically improve antitumor outcomes through multiple-target therapy, decreasing the dose of each therapeutic agent and reducing side effects. There are versatile combinational anticancer strategies such as chemotherapeutic combination, nucleic acid-based co-delivery, intrinsic sensitive and extrinsic stimulus combinational patterns. Based on these combination strategies, various nanocarriers and drug delivery systems were engineered to carry out the efficient co-delivery of combined therapeutic agents for combination anticancer therapy. This review focused on illustrating nanomedicine-based combination anticancer therapy between nucleic acids and small-molecular drugs for synergistically improving anticancer efficacy.
抗癌治疗一直是纳米医学发展的一个重要挑战。由于肿瘤的复杂性,重复使用单一治疗剂可能会导致不良的、严重的副作用、难以忍受的毒性和多药耐药性。基于纳米医学的联合抗癌治疗可以通过多靶点治疗协同提高抗肿瘤效果,减少每种治疗剂的剂量,降低副作用。有多种联合抗癌策略,如化疗联合、核酸共递药、内在敏感和外在刺激联合模式。基于这些联合策略,设计了各种纳米载体和药物传递系统,以有效地共递联合治疗剂进行联合抗癌治疗。本综述重点阐述了基于纳米医学的核酸和小分子药物联合抗癌治疗,以协同提高抗癌疗效。