纳米载体作为治疗白血病的神奇子弹。

Nanocarriers as Magic Bullets in the Treatment of Leukemia.

作者信息

Houshmand Mohammad, Garello Francesca, Circosta Paola, Stefania Rachele, Aime Silvio, Saglio Giuseppe, Giachino Claudia

机构信息

Department of Clinical and Biological Sciences, University of Torino, 10043 Torino, Italy.

Molecular and Preclinical Imaging Centres, Department of Molecular Biotechnology and Health Sciences, University of Torino, 10126 Torino, Italy.

出版信息

Nanomaterials (Basel). 2020 Feb 6;10(2):276. doi: 10.3390/nano10020276.

Abstract

Leukemia is a type of hematopoietic stem/progenitor cell malignancy characterized by the accumulation of immature cells in the blood and bone marrow. Treatment strategies mainly rely on the administration of chemotherapeutic agents, which, unfortunately, are known for their high toxicity and side effects. The concept of targeted therapy as magic bullet was introduced by Paul Erlich about 100 years ago, to inspire new therapies able to tackle the disadvantages of chemotherapeutic agents. Currently, nanoparticles are considered viable options in the treatment of different types of cancer, including leukemia. The main advantages associated with the use of these nanocarriers summarized as follows: i) they may be designed to target leukemic cells selectively; ii) they invariably enhance bioavailability and blood circulation half-life; iii) their mode of action is expected to reduce side effects. FDA approval of many nanocarriers for treatment of relapsed or refractory leukemia and the desired results extend their application in clinics. In the present review, different types of nanocarriers, their capability in targeting leukemic cells, and the latest preclinical and clinical data are discussed.

摘要

白血病是一种造血干细胞/祖细胞恶性肿瘤,其特征是未成熟细胞在血液和骨髓中积聚。治疗策略主要依赖于化疗药物的使用,不幸的是,这些药物以其高毒性和副作用而闻名。大约100年前,保罗·埃尔利希提出了靶向治疗这一神奇子弹的概念,以激发能够克服化疗药物缺点的新疗法。目前,纳米颗粒被认为是治疗包括白血病在内的不同类型癌症的可行选择。使用这些纳米载体的主要优点总结如下:i)它们可以被设计成选择性地靶向白血病细胞;ii)它们总是能提高生物利用度和血液循环半衰期;iii)它们的作用方式有望减少副作用。许多纳米载体已获美国食品药品监督管理局批准用于治疗复发或难治性白血病,且取得了理想效果,这扩大了它们在临床上的应用。在本综述中,将讨论不同类型的纳米载体、它们靶向白血病细胞的能力以及最新的临床前和临床数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c381/7075174/b1d992880ef8/nanomaterials-10-00276-g001.jpg

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