Materials Synthesis and Characterization Laboratory, Institute of Advanced Technology (ITMA), Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia.
Laboratory of Vaccine and Immunotherapeutics, Institute of Bioscience Universiti, Putra 43400, Malaysia.
Int J Nanomedicine. 2020 Mar 3;15:1437-1456. doi: 10.2147/IJN.S236927. eCollection 2020.
The development of therapeutics and theranostic nanodrug delivery systems have posed a challenging task for the current researchers due to the requirement of having various nanocarriers and active agents for better therapy, imaging, and controlled release of drugs efficiently in one platform. The conventional liver cancer chemotherapy has many negative effects such as multiple drug resistance (MDR), high clearance rate, severe side effects, unwanted drug distribution to the specific site of liver cancer and low concentration of drug that finally reaches liver cancer cells. Therefore, it is necessary to develop novel strategies and novel nanocarriers that will carry the drug molecules specific to the affected cancerous hepatocytes in an adequate amount and duration within the therapeutic window. Therapeutics and theranostic systems have advantages over conventional chemotherapy due to the high efficacy of drug loading or drug encapsulation efficiency, high cellular uptake, high drug release, and minimum side effects. These nanocarriers possess high drug accumulation in the tumor area while minimizing toxic effects on healthy tissues. This review focuses on the current research on nanocarrier-based therapeutics and theranostic drug delivery systems excluding the negative consequences of nanotechnology in the field of drug delivery systems. However, clinical developments of theranostics nanocarriers for liver cancer are considered outside of the scope of this article. This review discusses only the recent developments of nanocarrier-based drug delivery systems for liver cancer therapy and diagnosis. The negative consequences of individual nanocarrier in the drug delivery system will also not be covered in this review.
治疗学和治疗诊断学纳米药物递送系统的发展对当前的研究人员提出了一项具有挑战性的任务,因为需要各种纳米载体和活性药物,以便在一个平台上更有效地进行治疗、成像和药物的控制释放。传统的肝癌化疗有许多负面影响,如多药耐药性(MDR)、高清除率、严重的副作用、药物在肝癌的特定部位分布不当以及最终到达肝癌细胞的药物浓度低。因此,有必要开发新的策略和新型纳米载体,以便在治疗窗内以足够的数量和持续时间将药物分子特异性地递送到受影响的肝癌细胞中。治疗学和治疗诊断系统具有优于传统化疗的优势,因为其载药或药物包封效率高、细胞摄取率高、药物释放率高、副作用最小。这些纳米载体在肿瘤区域具有高药物蓄积,同时最大限度地减少对健康组织的毒性作用。本综述重点介绍了当前基于纳米载体的治疗学和治疗诊断药物递送系统的研究,不包括纳米技术在药物递送系统领域的负面影响。然而,治疗学纳米载体在肝癌中的临床发展被认为超出了本文的范围。本文仅讨论了基于纳米载体的药物递送系统在肝癌治疗和诊断方面的最新进展。本综述也不会涵盖药物递送系统中个别纳米载体的负面影响。
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