Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou 215123, PR China.
Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou 215123, PR China.
Adv Drug Deliv Rev. 2021 Nov;178:113969. doi: 10.1016/j.addr.2021.113969. Epub 2021 Sep 9.
Ovarian cancer is a high-mortality malignancy in women. The contemporary clinical chemotherapy with classic cytotoxic drugs, targeted molecular inhibitors would mostly fail when ovarian cancer cells become drug-resistant or metastasize through the body or when patients bare no more toleration because of strong adverse effects. The past decade has spotted varying targeted delivery systems including antibody-drug conjugates (ADCs), peptide/folate/aptamer-drug conjugates, polymer-drug conjugates, ligand-functionalized nanomedicines, and dual-targeted nanomedicines that upgrade ovarian cancer chemo- and molecular therapy effectively in preclinical/clinical settings via endowing therapeutic agents selectivity and bypassing drug resistance as well as lessening systemic toxicity. The targeted delivery approaches further provide means to potentiate emergent treatment modalities such as molecular therapy, gene therapy, protein therapy, photodynamic therapy, dual-targeting therapy and combination therapy for ovarian cancer. This review highlights up-to-date development of targeted drug delivery strategies toward advanced, metastatic, relapsed, and drug resistant ovarian cancers.
卵巢癌是女性高死亡率的恶性肿瘤。当卵巢癌细胞产生耐药性或通过身体转移,或由于强烈的副作用患者不再耐受时,当代临床使用经典细胞毒性药物和靶向分子抑制剂的化疗大多会失败。过去十年中已经出现了各种靶向递药系统,包括抗体药物偶联物(ADCs)、肽/叶酸/适体-药物偶联物、聚合物-药物偶联物、配体功能化纳米药物和双靶向纳米药物,它们通过赋予治疗剂的选择性、绕过耐药性以及减轻全身毒性,在临床前/临床环境中有效提升卵巢癌的化疗和分子治疗效果。这些靶向递药方法还为新兴的治疗方式提供了手段,如分子治疗、基因治疗、蛋白治疗、光动力治疗、双靶向治疗和联合治疗等。本综述重点介绍了针对晚期、转移性、复发性和耐药性卵巢癌的靶向药物递药策略的最新进展。