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基于纳米颗粒的载铂药物给药系统克服癌症耐药性。

Nanoparticle-based drug delivery systems with platinum drugs for overcoming cancer drug resistance.

机构信息

Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.

Department of Biomedical Engineering, Tufts University, Medford, MA 02155, USA.

出版信息

J Mater Chem B. 2021 Jul 7;9(26):5173-5194. doi: 10.1039/d1tb00753j.

Abstract

Platinum drugs are commonly used in cancer therapy, but their therapeutic outcomes have been significantly compromised by the drug resistance of cancer cells. To this end, intensive efforts have been made to develop nanoparticle-based drug delivery systems for platinum drugs, due to their multifunctionality in delivering drugs, in modulating the tumor microenvironment, and in integrating additional genes, proteins, and small molecules to overcome chemoresistance in cancers. To facilitate the clinical application of these promising nanoparticle-based platinum drug delivery systems, this paper summarizes the common mechanisms for chemoresistance towards platinum drugs, the advantages of nanoparticles in drug delivery, and recent strategies of nanoparticle-based platinum drug delivery. Furthermore, we discuss how to design delivery platforms more effectively to overcome chemoresistance in cancers, thereby improving the efficacy of platinum-based chemotherapy.

摘要

铂类药物在癌症治疗中被广泛应用,但癌细胞的耐药性显著影响了其治疗效果。为此,人们致力于开发基于纳米粒子的铂类药物传递系统,因为它们在递药、调节肿瘤微环境以及整合额外的基因、蛋白质和小分子以克服癌症的化疗耐药性方面具有多功能性。为了促进这些有前途的基于纳米粒子的铂类药物传递系统的临床应用,本文总结了铂类药物耐药的常见机制、纳米粒子在药物传递方面的优势以及基于纳米粒子的铂类药物传递的最新策略。此外,我们还讨论了如何更有效地设计递药平台以克服癌症的化疗耐药性,从而提高铂类化疗的疗效。

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