Desai Preshita, Ann David, Wang Jeffrey, Prabhu Sunil
Department of Pharmaceutical Sciences, College of Pharmacy, Western University of Health Sciences, Pomona, California, USA.
Crit Rev Ther Drug Carrier Syst. 2019;36(1):59-91. doi: 10.1615/CritRevTherDrugCarrierSyst.2018025459.
Pancreatic cancer is the fourth leading cause of death in the United States and has a 5-year life expectancy of ~8%. Currently, only a few drugs have been approved by the United States Food and Drug Administration for pancreatic cancer treatment. Despite available drug therapy and ongoing clinical investigations, the high prevalence and mortality associated with pancreatic cancer mean that there is an unmet chemopreventive and therapeutic need. From ongoing studies with various novel formulations, it is evident that the development of smart drug delivery systems will improve delivery of drug cargo to the pancreatic target site to ensure and enhance the therapeutic/chemoprevention efficacy of existing drugs and newly designed drugs in the future. With this in view, nanotechnology is emerging as a promising avenue to enhance drug delivery to the pancreas via both passive and active targeting mechanisms. Research in this field has grown extensively over the past decade, as is evident from available scientific literature. This review summarizes the recent advances that have brought nanotechnology-based formulations to the forefront of pancreatic cancer treatment.
胰腺癌是美国第四大致死原因,其5年生存率约为8%。目前,美国食品药品监督管理局仅批准了少数几种药物用于胰腺癌治疗。尽管有可用的药物疗法和正在进行的临床研究,但胰腺癌的高发病率和死亡率意味着存在未满足的化学预防和治疗需求。从正在进行的各种新型制剂研究来看,智能药物递送系统的开发将改善药物载体向胰腺靶位点的递送,以确保并提高现有药物和未来新设计药物的治疗/化学预防效果。有鉴于此,纳米技术正成为一种有前景的途径,可通过被动和主动靶向机制增强药物向胰腺的递送。从现有科学文献中可以明显看出,过去十年该领域的研究有了广泛的发展。本综述总结了最近的进展,这些进展使基于纳米技术的制剂处于胰腺癌治疗的前沿。