刺激响应型纳米架构药物传递系统对实体瘤微环境:过去、现在和未来的展望。

Stimuli-Responsive Nano-Architecture Drug-Delivery Systems to Solid Tumor Micromilieu: Past, Present, and Future Perspectives.

机构信息

Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy , Egyptian Russian University , Badr City , Cairo 63514 , Egypt.

Department of Pharmaceutical Sciences, College of Pharmacy , Gulf Medical University , Ajman , United Arab Emirates.

出版信息

ACS Nano. 2018 Nov 27;12(11):10636-10664. doi: 10.1021/acsnano.8b06104. Epub 2018 Oct 23.

Abstract

The microenvironment characteristics of solid tumors, renowned as barriers that harshly impeded many drug-delivery approaches, were precisely studied, investigated, categorized, divided, and subdivided into a complex diverse of barriers. These categories were further studied with a particular perspective, which makes all barriers found in solid-tumor micromilieu turn into different types of stimuli, and were considered triggers that can increase and hasten drug-release targeting efficacy. This review gathers data concerning the nature of solid-tumor micromilieu. Past research focused on the treatment of such tumors, the recent efforts employed for engineering smart nanoarchitectures with the utilization of the specified stimuli categories, the possibility of combining more than one stimuli for much-greater targeting enhancement, examples of the approved nanoarchitectures that already translated clinically as well as the obstacles faced by the use of these nanostructures, and, finally, an overview of the possible future implementations of smart-chemical engineering for the design of more-efficient drug delivery and theranostic systems and for making nanosystems with a much-higher level of specificity and penetrability features.

摘要

实体瘤的微环境特征被认为是许多药物输送方法的严重障碍,本研究对其进行了深入研究、分类、划分和细分,将其分为多种不同的障碍。进一步从特定角度研究这些类别,将实体瘤微环境中发现的所有障碍转化为不同类型的刺激物,并将其视为可以提高和加速药物释放靶向效果的触发因素。本综述收集了有关实体瘤微环境性质的资料。过去的研究集中在治疗这类肿瘤上,最近的研究致力于利用特定的刺激类别来设计智能纳米结构,探讨多种刺激联合使用以提高靶向效果的可能性,已经临床转化的纳米结构的例子,以及使用这些纳米结构所面临的障碍,最后概述了智能化学工程在设计更高效的药物输送和治疗系统以及制造具有更高特异性和穿透性的纳米系统方面的可能未来应用。

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