Pharmacy Discipline, School of Clinical Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, QLD 4000, Australia.
Institute of Health Biomedical Innovation (IHBI), Queensland University of Technology, Brisbane, QLD, Australia.
Curr Cancer Drug Targets. 2019;19(3):162-178. doi: 10.2174/1568009618666180525083451.
Local delivery of drug to the target organ via inhalation offers enormous benefits in the management of many diseases. Lung cancer is the most common of all cancers and it is the leading cause of death worldwide. Currently available treatment systems (intravenous or oral drug delivery) are not efficient in accumulating the delivered drug into the target tumor cells and are usually associated with various systemic and dose-related adverse effects. The pulmonary drug delivery technology would enable preferential accumulation of drug within the cancer cell and thus be superior to intravenous and oral delivery in reducing cancer cell proliferation and minimising the systemic adverse effects. Site-specific drug delivery via inhalation for the treatment of lung cancer is both feasible and efficient. The inhaled drug delivery system is non-invasive, produces high bioavailability at a low dose and avoids first pass metabolism of the delivered drug. Various anticancer drugs including chemotherapeutics, proteins and genes have been investigated for inhalation in lung cancers with significant outcomes. Pulmonary delivery of drugs from dry powder inhaler (DPI) formulation is stable and has high patient compliance. Herein, we report the potential of pulmonary drug delivery from dry powder inhaler (DPI) formulations inhibiting lung cancer cell proliferation at very low dose with reduced unwanted adverse effects.
通过吸入将药物递送到目标器官的局部给药在许多疾病的治疗中具有巨大的优势。肺癌是所有癌症中最常见的一种,也是全球死亡的主要原因。目前可用的治疗系统(静脉内或口服药物递送)在将递送到的药物积累到靶肿瘤细胞中效率不高,并且通常与各种全身和剂量相关的不良反应相关。肺部药物递送技术将能够使药物优先在癌细胞内积累,从而在减少癌细胞增殖和最小化全身不良反应方面优于静脉内和口服递送。通过吸入进行针对肺癌的靶向药物递送既可行又有效。吸入药物递送系统是非侵入性的,以低剂量产生高生物利用度,并避免递送到的药物的首过代谢。已经研究了各种抗癌药物,包括化疗药物、蛋白质和基因,用于肺癌的吸入治疗,取得了显著的效果。干粉吸入器(DPI)制剂的肺部药物递送稳定,患者顺应性高。在此,我们报告了干粉吸入器(DPI)制剂从肺部药物递送中抑制肺癌细胞增殖的潜力,以非常低的剂量,减少不必要的不良反应。
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