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胰腺癌治疗的新型药物载体系统与疗法的当前观点:最新全面综述

Current Perspectives on Novel Drug Carrier Systems and Therapies for Management of Pancreatic Cancer: An Updated Inclusive Review.

作者信息

Bhosale Rohit Rajendra, Gangadharappa Hosahalli Veerabhadrappa, Gowda Devegowda Vishakante, Osmani Riyaz Ali Mahafez Ali, Vaghela Rudra, Kulkarni Parthasarathi Keshavarao, Sairam Koganti Venkata, Gurupadayya Bannimath

机构信息

Department of Pharmaceutics, JSS Academy of Higher Education and Research, Mysuru 570015, Karnataka, India.

Department of Pharmaceutical Chemistry, JSS Academy of Higher Education and Research, Mysuru 570015, Karnataka, India.

出版信息

Crit Rev Ther Drug Carrier Syst. 2018;35(3):195-292. doi: 10.1615/CritRevTherDrugCarrierSyst.2018019429.

Abstract

Pancreatic cancer (PC) is one of the most fatal solid tumors, resulting in more than 250,000 deaths per year globally. It is the eighth leading cause of death from cancer in men and women throughout the world and is now third leading cause of cancer-related deaths in the United States. In addition, the worldwide occurrence of PC ranges from 1 to 10 cases per 100,000 people, indicating a higher incidence in developed countries. Most patients with locally advanced or metastatic disease are not candidates for curative resection due to enormously poor prognosis. Substantial efforts have been taken during the past decade to distinguish better treatments in the absence of efficient screening methods. Regardless of wide-ranging efforts, various systems and therapies have shown insufficient efficacy for PC patients. Therefore, the development of novel drug delivery systems, strategies, and diverse therapeutic approaches to improve the range of active molecules for the treatment of PC is critical. Currently, cancer research focuses on improving the treatment of PC via diverse novel drug delivery systems of chemotherapeutic agents. These novel drug delivery systems consist of nanoparticles and liposomes. Strategies or therapeutic approaches intended for PC include radiation therapy, ablation therapy, and gene therapy. These systems and approaches can carry the drug molecules to targeted cancer cells to enhance the effectiveness of tumor penetration. The present review encloses existing novel drug carrier systems and approaches for PC management.

摘要

胰腺癌(PC)是最致命的实体瘤之一,全球每年有超过25万人死于该病。它是全球男性和女性癌症死亡的第八大主要原因,在美国现已成为癌症相关死亡的第三大主要原因。此外,全球胰腺癌的发病率为每10万人中有1至10例,表明在发达国家发病率更高。大多数局部晚期或转移性疾病患者由于预后极差,不适合进行根治性切除。在过去十年中,尽管缺乏有效的筛查方法,但人们仍付出了巨大努力来寻找更好的治疗方法。尽管进行了广泛的努力,但各种系统和疗法对胰腺癌患者的疗效仍显不足。因此,开发新型药物递送系统、策略和多种治疗方法以扩大用于治疗胰腺癌的活性分子范围至关重要。目前,癌症研究集中在通过多种化疗药物新型递送系统来改善胰腺癌的治疗。这些新型药物递送系统包括纳米颗粒和脂质体。针对胰腺癌的策略或治疗方法包括放射治疗、消融治疗和基因治疗。这些系统和方法可以将药物分子输送到靶向癌细胞,以提高肿瘤渗透的有效性。本综述涵盖了现有的用于胰腺癌治疗的新型药物载体系统和方法。

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