Pharmaceutics Research Projects Laboratory, Department of Pharmaceutical Sciences, Dr. Harisingh Gour Vishwavidyalaya, Sagar (M.P.), 470 003, India.
Curr Pharm Des. 2020;26(42):5430-5440. doi: 10.2174/1381612826666200429095503.
Cancer accounts for the second major cause of death globally. Conventional cancer therapies lead to systemic toxicity that forbids their long term application. Besides, tumor resistance and recurrence have been observed in the majority of cases. Thus, the development of such therapy, which will pose minimum side effects, is the need of the hour. Curcumin or diferuloylmethane (CUR) is a natural polyphenol bioactive (obtained from Curcuma longa) which possesses anti-cancer and chemo-preventive activity. It acts by modulating various components of signaling cascades that are involved in cancer cell proliferation, invasion, and apoptosis process. It interacts with the adaptive and innate immune systems of our body and causes tumor regression. This may be the reason behind the attainment of in vivo anti-tumor activity at a very low concentration. Its ease of availability, safety profile, low cost, and multifaceted role in cancer prevention and treatment has made it a promising agent for chemoprevention of many cancers. Regardless of the phenomenal properties, its clinical utility is haltered due to its low aqueous solubility, poor bioavailability, rapid metabolism, and low cellular uptake. In the last few years, a variety of novel drug carriers have been fabricated to enhance the bioavailability and pharmacokinetic profile of CUR to attain better targeting of cancer. In this review, the recent developments in the arena of nanoformulations, like liposomes, polymeric NPs, solid lipid NPs (SNPs), polymeric micelles, nanoemulsions, microspheres, nanogels, etc. in anticancer therapy have been discussed along with a brief overview of the molecular targets for CUR in cancer therapy and role of CUR in cancer immunotherapy.
癌症是全球第二大死亡原因。传统的癌症疗法会导致全身性毒性,从而禁止长期应用。此外,在大多数情况下,已经观察到肿瘤耐药性和复发。因此,开发这种副作用最小的治疗方法是当务之急。姜黄素或二芳基甲烷(CUR)是一种天然多酚生物活性物质(从姜黄中提取),具有抗癌和化学预防作用。它通过调节参与癌细胞增殖、侵袭和凋亡过程的信号级联的各种成分起作用。它与我们身体的适应性和先天免疫系统相互作用,导致肿瘤消退。这可能是其在非常低的浓度下在体内获得抗肿瘤活性的原因。其易于获得、安全性、低成本以及在癌症预防和治疗中的多方面作用使其成为许多癌症化学预防的有前途的药物。尽管具有显著的特性,但由于其低水溶解度、生物利用度差、快速代谢和低细胞摄取,其临床应用受到阻碍。在过去的几年中,已经制造了各种新型药物载体来提高 CUR 的生物利用度和药代动力学特性,以实现更好的癌症靶向。在这篇综述中,讨论了纳米制剂(如脂质体、聚合物 NPs、固体脂质 NPs(SNPs)、聚合物胶束、纳米乳液、微球、纳米凝胶等)在抗癌治疗中的最新进展,以及 CUR 在癌症治疗中的分子靶点概述和 CUR 在癌症免疫治疗中的作用。