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采用天然物质的囊泡系统作为神经胶质瘤中 MMP 抑制的有前途的药物候选物:一种纳米技术方法。

Vesicular systems employing natural substances as promising drug candidates for MMP inhibition in glioblastoma: A nanotechnological approach.

机构信息

Bio Nano Electronics Research Center, Graduate School of Interdisciplinary New Science, Toyo University, Kawagoe, Saitama 350-8585, Japan.

Bio Nano Electronics Research Center, Graduate School of Interdisciplinary New Science, Toyo University, Kawagoe, Saitama 350-8585, Japan.

出版信息

Int J Pharm. 2018 Nov 15;551(1-2):339-361. doi: 10.1016/j.ijpharm.2018.09.033. Epub 2018 Sep 17.

Abstract

Glioblastoma multiforme (GBM), one of the most lethal Brain tumors, characterized by its high invasive nature and increased mortality rates forms a major bottleneck in transport of therapeutics across the Blood Brain Barrier (BBB). Matrix metalloproteinases (MMPs) are classified as enzymes, which are found to be up regulated in the Glioma tumor microenvironment and thus can be considered as a target for inhibition for curbing GBM. Many chemotherapeutics and techniques have been employed for inhibiting MMPs till now but all of them failed miserably and were withdrawn in clinical trials due to their inability in restricting the tumor growth or increasing the overall survival rates. Thus, the quest for finding the suitable MMP inhibitor is still on and there is a critical need for identification of novel compounds which can alter the BBB permeability, restrain tumor growth and prevent tumor recurrence. Currently, naturally derived substances are gaining widespread attention as tumor inhibitors and many studies have been reported by far highlighting their importance in restricting MMP expression thus serving as chemotherapeutics for cancer due to their minimal toxicity. These substances may serve as probable candidates for inhibiting MMP expression in GBM. However, targeting and delivering the inhibitor to its target site is an issue that needs to be overcome in order to attain maximum specificity and sustained release. The birth of nanotechnology served as a boon in delivering drugs to the most complicated areas thus paving way for Nano drug delivery. An efficient Nano carrier with ability to cross the BBB and competently kill the Glioma cells forms the prerequisite for GBM chemotherapy. Vesicular drug delivery systems are one such class of carriers, which have the capacity to release the drug at a predetermined rate at the target site thus minimizing any undesirable side effects. Exploiting vesicular systems as promising Nano drug carriers to formulate naturally derived substances, that can bypass the BBB and act as an inhibitor against MMPs in GBM is the main theme of this review.

摘要

多形性胶质母细胞瘤(GBM)是最致命的脑肿瘤之一,其具有高度侵袭性和较高的死亡率,这成为了治疗药物穿过血脑屏障(BBB)的主要瓶颈。基质金属蛋白酶(MMPs)被归类为酶,在神经胶质瘤肿瘤微环境中发现其上调,因此可以被认为是抑制 GBM 的靶点。迄今为止,已经采用了许多化疗药物和技术来抑制 MMPs,但由于它们无法限制肿瘤生长或提高总生存率,所有这些方法都在临床试验中惨遭失败并被撤回。因此,寻找合适的 MMP 抑制剂的探索仍在继续,迫切需要确定可以改变 BBB 通透性、抑制肿瘤生长和预防肿瘤复发的新型化合物。目前,天然衍生物质作为肿瘤抑制剂受到广泛关注,迄今为止,许多研究报告强调了它们在限制 MMP 表达方面的重要性,因此由于其最小的毒性,它们可以作为癌症的化疗药物。这些物质可能是抑制 GBM 中 MMP 表达的候选药物。然而,为了达到最大的特异性和持续释放,需要克服靶向和将抑制剂递送到靶位点的问题。纳米技术的诞生为将药物递送到最复杂的区域提供了福音,从而为纳米药物输送铺平了道路。具有穿过 BBB 并能够有效杀死神经胶质瘤细胞的能力的高效纳米载体是 GBM 化疗的前提。囊泡药物递送系统是一类具有在预定速率下在靶部位释放药物的能力的载体,从而最大限度地减少任何不良的副作用。利用囊泡系统作为有前途的纳米药物载体来配制可以绕过 BBB 并作为 GBM 中 MMP 抑制剂的天然衍生物质是本综述的主要主题。

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