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注射型温敏水凝胶系统在癌症治疗中的应用进展。

Advances in the Application of Injectable Thermosensitive Hydrogel Systems for Cancer Therapy.

出版信息

J Biomed Nanotechnol. 2020 Oct 1;16(10):1427-1453. doi: 10.1166/jbn.2020.2988.

Abstract

Systemic administration of anticancer therapeutic agents remains a crucial strategy for clinical cancer therapy. However, poor drug accumulation at tumor sites and severe side effects to normal tissues induced by off-target effects lower their therapeutic efficiency and limit their deep application in clinical settings. How to overcome these issues has continuously raised concerns. Reportedly, injectable thermosensitive hydrogels are good carriers for local drug delivery systems, demonstrating a flowable and injectable sol state at room temperature, easily loading therapeutic agents with large loading contents. Under normal body temperature, these hydrogels are stimulated to undergo a phase transition to an immobile gel state, which serves as a drug reservoir at local injection sites. After intratumoral or peritumoral injection, the localized hydrogel reservoir shows a slow and sustained drug release behavior, and can also targeted deliver therapeutic agents to cancer cells instead of normal cells, improving the therapeutic efficiency and reducing systemic side effects. This review summarizes the development of injectable thermosensitive hydrogel systems, reviews the research application advances of these systems in different therapy strategies for cancer, discusses the present issues and awaits their future in clinical applications.

摘要

系统给药仍然是临床癌症治疗的关键策略。然而,抗癌治疗药物在肿瘤部位的积累效果差,以及由于脱靶效应引起的正常组织的严重副作用,降低了它们的治疗效果,并限制了它们在临床中的深入应用。如何克服这些问题一直备受关注。据报道,可注射温敏水凝胶是局部药物传递系统的良好载体,在室温下呈现出可流动和可注射的溶胶状态,很容易实现大载药量的药物装载。在正常体温下,这些水凝胶受到刺激发生相转变,形成不流动的凝胶状态,充当局部注射部位的药物储库。在肿瘤内或肿瘤周围注射后,局部水凝胶储库表现出缓慢且持续的药物释放行为,并且还可以将治疗药物靶向递送到癌细胞而不是正常细胞,从而提高治疗效果并减少全身副作用。本综述总结了可注射温敏水凝胶系统的发展,综述了这些系统在不同癌症治疗策略中的研究应用进展,讨论了目前存在的问题,并期待它们在临床应用中的未来。

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