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癌症治疗中化疗药物传递的进展。

Advances in Delivery of Chemotherapeutic Agents for Cancer Treatment.

机构信息

Department of Biotechnology, Jaypee Institute of Information Technology, Noida, U.P, India.

Jubilant Pharma Limited - Jubilant HollisterStier3525, N Regal Street, Spokane, Washington, 99207, USA.

出版信息

AAPS PharmSciTech. 2021 Dec 14;23(1):25. doi: 10.1208/s12249-021-02174-9.

Abstract

Presently, most of the treatment strategies for cancer are focused on the surgical removal of cancerous tumors, along with physical and chemical treatment such as radiotherapy and chemotherapy, respectively. The primary issue associated with these methods is the inhibition of normal cell growth and serious side effects associated with systemic toxicity. The traditional chemotherapeutics which were delivered systemically were inadequate and had serious dose limiting side effects. Recent advances in the development of chemotherapeutics have simultaneously paved the way for efficient targeted drug delivery. Despite the advances in the field of oncogenic drugs, several limitations remain, such as early blood clearance, acquired resistance against cytotoxic agents, toxicity associated with chemotherapeutics, and site-specific drug delivery. Hence, this review article focuses on the recent scientific advancements made in different types of drug delivery systems, including, organic nanocarriers (polymers, albumins, liposomes, and micelles), inorganic nanocarriers (mesoporous silica nanoparticles, gold nanoparticles, platinum nanoparticles, and carbon nanotubes), aptamers, antibody-drug conjugates, and peptides. These targeted drug delivery approaches offer numerous advantages such as site-specific drug delivery, minimal toxicity, better bioavailability, and an increased overall efficacy of the chemotherapeutics. Graphical abstract.

摘要

目前,大多数癌症治疗策略都集中在手术切除癌性肿瘤上,并分别进行物理和化学治疗,如放疗和化疗。这些方法主要存在的问题是抑制正常细胞生长和全身毒性相关的严重副作用。传统的全身性化疗药物不够有效,且具有严重的剂量限制副作用。最近在化疗药物开发方面的进展为高效靶向药物输送铺平了道路。尽管在致癌药物领域取得了进展,但仍存在一些限制,例如早期血液清除、对细胞毒性药物的获得性耐药性、化疗药物相关的毒性以及特定部位的药物输送。因此,本文重点介绍了不同类型药物输送系统的最新科学进展,包括有机纳米载体(聚合物、白蛋白、脂质体和胶束)、无机纳米载体(介孔硅纳米粒子、金纳米粒子、铂纳米粒子和碳纳米管)、适体、抗体-药物偶联物和肽。这些靶向药物输送方法具有许多优点,如特定部位的药物输送、最小毒性、更好的生物利用度以及提高化疗药物的整体疗效。

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