Ying Kangkang, Bai Bingjun, Gao Xing, Xu Yuzi, Wang Hangxiang, Xie Binbin
The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
National Health Commission (NHC), Key Laboratory of Combined Multi-Organ Transplantation, Hangzhou, China.
Front Bioeng Biotechnol. 2021 Jul 7;9:670124. doi: 10.3389/fbioe.2021.670124. eCollection 2021.
Colorectal cancer (CRC) is one of the most common and lethal human malignancies worldwide; however, the therapeutic outcomes in the clinic still are unsatisfactory due to the lack of effective and safe therapeutic regimens. Orally administrable and CRC-targetable drug delivery is an attractive approach for CRC therapy as it improves the efficacy by local drug delivery and reduces systemic toxicity. Currently, chemotherapy remains the mainstay modality for CRC therapy; however, most of chemo drugs have low water solubility and are unstable in the gastrointestinal tract (GIT), poor intestinal permeability, and are susceptible to P-glycoprotein (P-gp) efflux, resulting in limited therapeutic outcomes. Orally administrable nanoformulations hold the great potential for improving the bioavailability of poorly permeable and poorly soluble therapeutics, but there are still limitations associated with these regimes. This review focuses on the barriers for oral drug delivery and various oral therapeutic nanoparticles for the management of CRC.
结直肠癌(CRC)是全球最常见且致命的人类恶性肿瘤之一;然而,由于缺乏有效且安全的治疗方案,临床上的治疗效果仍不尽人意。可口服且靶向CRC的药物递送是一种有吸引力的CRC治疗方法,因为它通过局部药物递送提高疗效并降低全身毒性。目前,化疗仍然是CRC治疗的主要方式;然而,大多数化疗药物水溶性低,在胃肠道(GIT)中不稳定,肠道通透性差,并且易受P-糖蛋白(P-gp)外排的影响,导致治疗效果有限。可口服的纳米制剂在提高低渗透性和低溶解性治疗药物的生物利用度方面具有巨大潜力,但这些方案仍存在局限性。本综述重点关注口服药物递送的障碍以及用于治疗CRC的各种口服治疗性纳米颗粒。