College of Pharmacy, Anhui University of Chinese Medicine and Anhui Academy of Chinese Medicine, Hefei, 230012, China; Engineering Technology Research Center of Modernized Pharmaceutics, Education Office of Anhui Province, Hefei, 230012, China.
College of Pharmacy, Anhui University of Chinese Medicine and Anhui Academy of Chinese Medicine, Hefei, 230012, China.
Biomaterials. 2021 May;272:120790. doi: 10.1016/j.biomaterials.2021.120790. Epub 2021 Apr 1.
The clinical application of taxane (including paclitaxel, docetaxel, and cabazitaxel)-based formulations is significantly impeded by their off-target distribution, unsatisfactory release, and acquired resistance/metastasis. Recent decades have witnessed a dramatic progress in the development of high-efficiency, low-toxicity nanotaxanes via the use of novel biomaterials and nanoparticulate drug delivery systems (nano-DDSs). Thus, in this review, the achievements of nanotaxanes-targeted delivery and stimuli-responsive nano-DDSs-in preclinical or clinical trials have been outlined. Then, emerging nanotherapeutics against tumor resistance and metastasis have been overviewed, with a particular emphasis on synergistic therapy strategies (e.g., combination with surgery, chemotherapy, radiotherapy, biotherapy, immunotherapy, gas therapy, phototherapy, and multitherapy). Finally, the latest oral nanotaxanes have been briefly discussed.
紫杉烷(包括紫杉醇、多西他赛和卡巴他赛)制剂的临床应用受到其非靶分布、释放不理想和获得性耐药/转移的显著阻碍。近几十年来,通过使用新型生物材料和纳米颗粒药物递送系统(nano-DDSs),高效、低毒的纳米紫杉烷的开发取得了显著进展。因此,在这篇综述中,概述了纳米紫杉烷靶向递药和刺激响应型 nano-DDSs 在临床前或临床试验中的成果。然后,综述了针对肿瘤耐药和转移的新兴纳米疗法,特别强调了协同治疗策略(例如,与手术、化疗、放疗、生物疗法、免疫疗法、气体疗法、光疗和多疗法相结合)。最后,简要讨论了最新的口服纳米紫杉烷。