Hema Soundararajan, Thambiraj Selvarathinam, Shankaran Dhesingh Ravi
National Centre for Nanoscience and Nanotechnology, University of Madras, Chennai 600025, Tamil Nadu, India.
J Nanosci Nanotechnol. 2018 Aug 1;18(8):5171-5191. doi: 10.1166/jnn.2018.15420.
Cancer is the second leading causes of death worldwide and it is one of the fatal diseases that kill millions of people every year. It is characterized by uncontrolled proliferation of cells and loss of apoptosis that generates an abnormal mass of cells or tumors. Prostate cancer (PCa) is one of the most common cancers in men and the risk is higher over the age of 55-65. Currently, PCa is the second most common cancer, which causes death in men has a high prevalence with relatively lower cancer mortality risk compared to lung and colon cancer. Management of cancer remains an ongoing challenge in oncology as it is a pathophysiological and heterogeneous disease. The current treatment options such as surgery, chemotherapy, radiation therapy available for cancer therapies are inadequate due to the heterogeneity characteristics of cancer and spur demand for improved technologies. Nanotechnology is an emerging and potential platform that uses nanoparticles for the disease diagnosis to targeted drug delivery system (DDS). One of the most important active research fields of nanotechnology is nanomedicine, which provides solutions to the difficulties of conventional chemotherapy. Nanoformulation based drug delivery enhances the properties to improve the pharmacokinetics profile, bioavailability and these drug carriers increases the therapeutic efficiency compared to the regular chemotherapeutic drugs. Moreover, nanoformulated drugs help to overcome the lack of selectivity and adverse side effects of conventional chemotherapy. This review provides an overview of PCa drug delivery systems. A special emphasis is given to research work around the world in the development of nanoformulations for targeted drug delivery to PCa.
癌症是全球第二大致死原因,是每年导致数百万人死亡的致命疾病之一。其特征是细胞不受控制地增殖以及细胞凋亡缺失,从而产生异常的细胞团或肿瘤。前列腺癌(PCa)是男性中最常见的癌症之一,55 - 65岁以上的男性患病风险更高。目前,PCa是第二常见的癌症,与肺癌和结肠癌相比,其在男性中的患病率高,但癌症死亡风险相对较低。癌症的治疗仍然是肿瘤学中一个持续存在的挑战,因为它是一种病理生理且异质性的疾病。由于癌症的异质性特征以及对改进技术的迫切需求,目前用于癌症治疗的手术、化疗、放射治疗等治疗选择并不充分。纳米技术是一个新兴的潜在平台,它利用纳米颗粒实现疾病诊断以及靶向给药系统(DDS)。纳米技术最重要的活跃研究领域之一是纳米医学,它为传统化疗的难题提供了解决方案。基于纳米制剂的药物递送增强了药物性能,改善了药代动力学特征、生物利用度,并且与常规化疗药物相比,这些药物载体提高了治疗效率。此外,纳米制剂药物有助于克服传统化疗缺乏选择性和副作用的问题。本综述概述了前列腺癌的药物递送系统。特别强调了世界各地在开发用于前列腺癌靶向给药的纳米制剂方面的研究工作。