Heidarli Elmira, Dadashzadeh Simin, Haeri Azadeh
Department of Pharmaceutics, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Protein Technology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Pharm Res. 2017 Fall;16(4):1273-1304.
Specific delivery of therapeutic agents to solid tumors and their bioavailability at the target site are the most clinically important and challenging goals in cancer therapy. Liposomes are promising nanocarriers and have been well investigated for cancer therapy. In spite of preferred accumulation in tumors via the enhanced permeability and retention (EPR) effect, inefficient drug release at the target site and endosomal entrapment of long circulating liposomes are very important obstacles for achieving maximum anticancer efficacy. Thus, additional strategies such as stimulus-sensitive drug release are necessary to improve efficacy. Stimuli-sensitive liposomes are stable in blood circulation, however, activated by responding to external or internal stimuli and control the cargo release at the target site. This review focuses on state of the art of stimuli-responsive liposomes. Both external stimuli-responsive liposomes, including hyperthermia (HT), magnetic, light, and ultrasound-sensitive liposomes and internal stimuli (pH, reduction, and enzyme) responsive liposomes are covered.
将治疗剂特异性递送至实体瘤及其在靶部位的生物利用度是癌症治疗中临床上最重要且最具挑战性的目标。脂质体是很有前景的纳米载体,并且已针对癌症治疗进行了充分研究。尽管通过增强的渗透和滞留(EPR)效应在肿瘤中具有优先蓄积,但靶部位药物释放效率低下以及长循环脂质体的内体截留是实现最大抗癌疗效的非常重要的障碍。因此,需要诸如刺激敏感药物释放等额外策略来提高疗效。刺激敏感脂质体在血液循环中稳定,然而,通过对外部或内部刺激作出反应而被激活,并在靶部位控制货物释放。本综述聚焦于刺激响应脂质体的最新进展。涵盖了外部刺激响应脂质体,包括热疗(HT)、磁、光和超声敏感脂质体以及内部刺激(pH、还原和酶)响应脂质体。