Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, Svkm's Nmims , Mumbai, India.
Expert Opin Drug Deliv. 2021 Jan;18(1):103-118. doi: 10.1080/17425247.2021.1832989. Epub 2020 Oct 14.
Nonsmall cell lung cancer (NSCLC) accounts for 80-85% of the cases of lung cancer. The conventional therapeutic effective dosage forms used to treat NSCLC are associated with rigid administration schedules, adverse effects, and may be associated with acquired resistance to therapy. Nanocarriers may provide a suitable alternative to regular formulations to overcome inherent drawbacks and provide better treatment modalities for the patient.
The article explores the application of drug loaded nanocarriers for lung cancer treatment. Drug-loaded nanocarriers can be modified to achieve controlled delivery at the desired tumor infested site. The type of nanocarriers employed are diverse based on polymers, liposomes, metals and a combination of two or more different base materials (hybrids). These may be designed for systemic delivery or local delivery to the lung compartment (via inhalation).
Nanocarriers can improve pharmacokinetics of the drug payload by improving its delivery to the desired location and can reduce associated systemic toxicities. Through nanocarriers, a wide variety of therapeutics can be administered and targeted to the cancerous site. Some examples of the utilities of nanocarriers are codelivery of drugs, gene delivery, and delivery of other biologics. Overall, the nanocarriers have promising potential in improving therapeutic efficacy of drugs used in NSCLC.
非小细胞肺癌(NSCLC)占肺癌病例的 80-85%。用于治疗 NSCLC 的常规治疗有效剂型与严格的给药时间表、不良反应相关,并且可能与治疗获得性耐药相关。纳米载体可以为常规制剂提供合适的替代品,以克服固有缺陷,并为患者提供更好的治疗方式。
本文探讨了载药纳米载体在肺癌治疗中的应用。载药纳米载体可以进行修饰,以实现在所需肿瘤侵袭部位的控制释放。所使用的纳米载体的类型多种多样,基于聚合物、脂质体、金属以及两种或更多种不同基础材料(混合物)的组合。这些可以设计为全身给药或局部给药至肺部(通过吸入)。
纳米载体可以通过将药物递送至所需位置来改善药物的药代动力学,从而减少相关的全身毒性。通过纳米载体,可以对多种治疗药物进行靶向给药。纳米载体的一些应用实例包括药物共递送、基因递送和其他生物制剂的递送。总体而言,纳米载体在提高 NSCLC 中使用的药物的治疗效果方面具有广阔的应用前景。