Department of Biochemistry and Molecular Biology, Miller School of Medicine, University of Miami, Miami, FL, 33136, USA.
Department of Biochemistry and Molecular Biology, Miller School of Medicine, University of Miami, Miami, FL, 33136, USA; Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL, 33136, USA.
Mol Aspects Med. 2022 Feb;83:101043. doi: 10.1016/j.mam.2021.101043. Epub 2021 Dec 14.
In order to combat an evolving, multidimensional disease such as cancer, research has been aimed at synthesizing more efficient and effective versions of popular chemotherapeutic drugs. Despite these efforts, there remains a necessity for the development of suitable delivery vehicles that can both harness the chemotherapeutic effects meanwhile reducing some of the known issues when using these drugs such as unwanted side-effects, acquired drug resistance, and associated difficulties with drug delivery. Synthetic drug discovery approaches focusing on modification of the native structure of these chemotherapeutic drugs often face challenges such as loss of efficacy, as well as a potential worsening of side-effects. Synthetic chemists are then left with increasingly narrow choices for possible chemistry they could implement to achieve the desired therapy. The emergence of targeted therapies using controlled-release nanomaterials can provide many opportunities for conventional chemotherapeutic drugs to be delivered to specific target sites, ultimately leading to reduced side-effects and improved efficacy. Logically, it may prove advantageous to consider nano-delivery systems as a likely candidate for circumventing some of the barriers associated with creating viable drug therapies. In this review, we summarize controlled release nanoformulations of the three most widely used and approved chemotherapeutics, doxorubicin, paclitaxel, and cisplatin as an alternative therapeutic approach against different cancer types.
为了对抗癌症这种不断演变的多维疾病,研究一直致力于合成更有效和高效的流行化疗药物版本。尽管做出了这些努力,但仍有必要开发合适的输送载体,既能利用化疗效果,同时又能减少使用这些药物时已知的一些问题,如不良反应、获得性耐药性以及与药物输送相关的困难。专注于修饰这些化疗药物的天然结构的合成药物发现方法通常面临着诸如疗效丧失等挑战,以及不良反应恶化的潜在风险。合成化学家在可能实施的化学方面的选择越来越窄,以实现所需的治疗效果。使用控释纳米材料的靶向治疗的出现为将传统化疗药物递送到特定靶位提供了许多机会,最终导致不良反应减少和疗效提高。从逻辑上讲,考虑将纳米递药系统作为一种可能的候选方案来克服与创建可行药物治疗相关的一些障碍可能是有利的。在这篇综述中,我们总结了三种最广泛使用和批准的化疗药物,多柔比星、紫杉醇和顺铂的控释纳米制剂,作为针对不同癌症类型的替代治疗方法。