Zhang Meng, Liu Ergang, Cui Yanna, Huang Yongzhuo
Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.
University of Chinese Academy of Sciences, Beijing 100049, China.
Cancer Biol Med. 2017 Aug;14(3):212-227. doi: 10.20892/j.issn.2095-3941.2017.0054.
Multidrug resistance (MDR) is a major obstacle to successful cancer treatment and is crucial to cancer metastasis and relapse. Combination therapy is an effective strategy for overcoming MDR. However, the different pharmacokinetic (PK) profiles of combined drugs often undermine the combination effect , especially when greatly different physicochemical properties (e.g., those of macromolecules and small drugs) combine. To address this issue, nanotechnology-based codelivery techniques have been actively explored. They possess great advantages for tumor targeting, controlled drug release, and identical drug PK profiles. Thus, a powerful tool for combination therapy is provided, and the translation from to is facilitated. In this review, we present a summary of various combination strategies for overcoming MDR and the nanotechnology-based combination therapy.
多药耐药(MDR)是癌症治疗成功的主要障碍,对癌症转移和复发至关重要。联合治疗是克服MDR的有效策略。然而,联合用药不同的药代动力学(PK)特征常常会削弱联合治疗效果,尤其是当物理化学性质差异很大的药物(如大分子药物和小分子药物)联合使用时。为了解决这个问题,人们积极探索基于纳米技术的共递送技术。它们在肿瘤靶向、药物控释和相同的药物PK特征方面具有很大优势。因此,提供了一种强大的联合治疗工具,并促进了从[原文此处可能有缺失信息]到[原文此处可能有缺失信息]的转化。在本综述中,我们总结了克服MDR的各种联合策略以及基于纳米技术的联合治疗。