新型脂质体药物治疗癌症的安全性:进展与展望。
Safety of novel liposomal drugs for cancer treatment: Advances and prospects.
机构信息
Key Laboratory of Environmental Medicine Engineering, Jiangsu Key Laboratory for Biomaterials and Devices, Collaborative Innovation Center of Suzhou Nano Science and Technology, School of Public Health, Southeast University, Nanjing 210009, China.
Key Laboratory of Environmental Medicine Engineering, Jiangsu Key Laboratory for Biomaterials and Devices, Collaborative Innovation Center of Suzhou Nano Science and Technology, School of Public Health, Southeast University, Nanjing 210009, China.
出版信息
Chem Biol Interact. 2018 Nov 1;295:13-19. doi: 10.1016/j.cbi.2017.09.006. Epub 2017 Sep 15.
Liposome is a kind of prospective abiotic drug delivery system for cancer treatment. Novel liposomes modified with PEG, cationic lipids and highly selective molecules achieve better stability, half-life and selectivity as well as less severe side effects. However, novel liposomes are still not nontoxic. PEG on the surface of liposomes interfere the combination of cancer cells and drugs. Cationic liposomes can induce oxidative damage and cytotoxicity to normal tissues. To further improve the safety of liposomal drugs, liposomal drugs must be highly selective to cancer tissues and cancer cells, at the same time, induce minimum damage to normal cells. It is necessary to gather several advantages of novel liposomes. The ideal targeted drug delivery system is like a multistage rocket. Firstly, the liposomal drugs should be sensitive to the specific environment of cancer tissues and accumulate in there. Secondly, the liposomes could selectively combine with cancer cells by surface modification. Lastly, in cancer cells, drugs release from the carriers rapidly. What's more, form the records of clinical researches, the side effects induced by liposomal drugs, such as acute infusion reaction and hand-foot syndrome(HFS), are also unignorable. More attention should be paid to these safety problems in new liposomal drugs research and development.
脂质体是一种有前途的用于癌症治疗的非生物药物传递系统。新型脂质体经 PEG、阳离子脂质体和高选择性分子修饰后,具有更好的稳定性、半衰期和选择性,以及更少的严重副作用。然而,新型脂质体仍然不是无毒的。脂质体表面的 PEG 会干扰癌细胞与药物的结合。阳离子脂质体可诱导正常组织的氧化损伤和细胞毒性。为了进一步提高脂质体药物的安全性,脂质体药物必须对癌症组织和癌细胞具有高度选择性,同时对正常细胞造成最小的损伤。这就需要汇集新型脂质体的几个优点。理想的靶向药物传递系统就像多级火箭。首先,脂质体药物应该对癌症组织的特定环境敏感,并在其中积累。其次,通过表面修饰,脂质体可以选择性地与癌细胞结合。最后,在癌细胞中,药物从载体中迅速释放。此外,从临床研究记录来看,脂质体药物引起的副作用,如急性输注反应和手足综合征(HFS),也是不可忽视的。在新型脂质体药物的研发中,应更加关注这些安全问题。