Biomedical Polymers Laboratory, and Jiangsu Key Laboratory of Advanced Functional Polymer Design and Application, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection , Soochow University , Suzhou 215123 , China.
Biomacromolecules. 2019 Dec 9;20(12):4299-4311. doi: 10.1021/acs.biomac.9b01291. Epub 2019 Nov 7.
Nanomedicines are deemed as the most promising treatment modality for malignant cancers. Particularly, cancer nanomedicines based on synthetic polypeptides have gained interest because they possess excellent safety, unique hierarchical structure, and tailorable functionalities to suit for delivery of diverse drugs including synthetic drugs, peptides, proteins, and nucleic acids. A few polypeptide-based nanoformulations (e.g., NK105, NC6004, NK911, CT2103) are under phases I-III clinical investigation for treating patients with advanced solid tumors. In recent years, progress has been made in the development of robust and high drug loading, tumor-targeting, membrane-disrupting, and stimuli-sensitive nanomedicines from de novo functional polypeptides, which afford not only better safety and reduced adverse effects, but also further improved anticancer efficacy over clinical formulations. Moreover, virus-mimicking vehicles have been devised from polypeptides for efficient nonviral delivery of highly potent peptides, proteins, and nucleic acids, greatly advancing biotherapy for cancers. In this Perspective, we highlight the state-of-the-art design and fabrication of cancer nanomedicines based on synthetic polypeptides and, at the end, give our viewpoints on their future development for targeted cancer therapy and potential challenges for clinical translation.
纳米药物被认为是治疗恶性癌症最有前途的治疗方式。特别是,基于合成多肽的癌症纳米药物引起了人们的兴趣,因为它们具有出色的安全性、独特的层次结构和可定制的功能,适用于输送各种药物,包括合成药物、肽、蛋白质和核酸。一些基于多肽的纳米制剂(例如,NK105、NC6004、NK911、CT2103)正在进行 I-III 期临床试验,用于治疗晚期实体瘤患者。近年来,在开发从新功能多肽中获得的稳健、高载药量、肿瘤靶向、破坏细胞膜和刺激敏感的纳米药物方面取得了进展,这些纳米药物不仅提供了更好的安全性和减少了不良反应,而且还提高了临床制剂的抗癌疗效。此外,还设计了病毒模拟载体,用于高效非病毒递送电高活性肽、蛋白质和核酸,极大地推进了癌症的生物治疗。在本观点中,我们重点介绍了基于合成多肽的癌症纳米药物的最新设计和制造,并在最后对它们在靶向癌症治疗中的未来发展以及临床转化的潜在挑战提出了看法。