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基于纳米技术的 siRNA 递药策略治疗三阴性乳腺癌。

Nanotechnology-based siRNA delivery strategies for treatment of triple negative breast cancer.

机构信息

Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, India.

Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, India.

出版信息

Int J Pharm. 2021 Aug 10;605:120835. doi: 10.1016/j.ijpharm.2021.120835. Epub 2021 Jun 28.

Abstract

Triple negative breast cancer (TNBC) is a subtype of breast cancer characterized by absence of estrogen (ER) receptor, progesterone (PR) receptor, and human epidermal growth factor-2 (HER-2) receptor. TNBC is an aggressive disease that develops early Chemoresistance. The major pitfall associated is its poor prognosis, low overall survival, high relapse, and mortality as compared to other types of breast cancer. Chemotherapy could be helpful but do not contribute to an increase in survival of patient. To overcome such obstacles, in our article we explored advanced therapy using genes and nanocarrier along with its conjugation to achieve high therapeutic profile with reduced side effect. siRNAs are one of the class of RNA associated with gene silencing. They also regulate the expression of certain proteins that are involved in development of tumor cells. But they are highly unstable. So, for efficient delivery of siRNA, very intelligent, efficient delivery systems are required. Several nanotechnologies based non-viral vectors such as liposome, micelles, nanoparticles, dendrimers, exosomes, nanorods and nanobubbles etc. offers enormous unique properties such as nanometric size range, targeting potential with the capability to link with several targeting moieties for the gene delivery. These non-viral vectors are much safer, effective and efficient system for the delivery of genes along with chemotherapeutics. This review provides an overview of TNBC, conventional and advanced treatment approach of TNBC along with understanding of current status of several nanocarriers used for the delivery of siRNA for the treatment of TNBC.

摘要

三阴性乳腺癌(TNBC)是一种乳腺癌亚型,其特征是缺乏雌激素(ER)受体、孕激素(PR)受体和人表皮生长因子-2(HER-2)受体。TNBC 是一种侵袭性疾病,早期易发生化疗耐药。其主要缺点是预后差、总生存率低、复发率和死亡率高,与其他类型的乳腺癌相比。化疗可能有帮助,但不能提高患者的生存率。为了克服这些障碍,在我们的文章中,我们探索了使用基因和纳米载体的先进治疗方法,以及将其与共轭物结合,以实现高治疗效果和降低副作用。siRNA 是与基因沉默相关的 RNA 之一。它们还调节某些参与肿瘤细胞发育的蛋白质的表达。但它们极不稳定。因此,为了有效地递送 siRNA,需要非常智能、高效的递送系统。几种基于纳米技术的非病毒载体,如脂质体、胶束、纳米颗粒、树枝状大分子、外泌体、纳米棒和纳米气泡等,提供了巨大的独特特性,如纳米级尺寸范围、靶向潜力,以及与几个靶向部分结合的能力,用于基因递送。这些非病毒载体是用于递送基因和化疗药物的更安全、有效和高效的系统。本文综述了 TNBC、TNBC 的常规和先进治疗方法,以及目前用于 TNBC 治疗的几种纳米载体的研究现状。

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