Rizwanullah Md, Ahmad Mohammad Zaki, Ghoneim Mohammed M, Alshehri Sultan, Imam Syed Sarim, Md Shadab, Alhakamy Nabil A, Jain Keerti, Ahmad Javed
Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, India.
Department of Pharmaceutics, College of Pharmacy, Najran University, Najran 11001, Saudi Arabia.
Pharmaceutics. 2021 Nov 29;13(12):2039. doi: 10.3390/pharmaceutics13122039.
Breast cancer therapeutic intervention continues to be ambiguous owing to the lack of strategies for targeted transport and receptor-mediated uptake of drugs by cancer cells. In addition to this, sporadic tumor microenvironment, prominent restrictions with conventional chemotherapy, and multidrug-resistant mechanisms of breast cancer cells possess a big challenge to even otherwise optimal and efficacious breast cancer treatment strategies. Surface-modified nanomedicines can expedite the cellular uptake and delivery of drug-loaded nanoparticulate constructs through binding with specific receptors overexpressed aberrantly on the tumor cell. The present review elucidates the interesting yet challenging concept of targeted delivery approaches by exploiting different types of nanoparticulate systems with multiple targeting ligands to target overexpressed receptors of breast cancer cells. The therapeutic efficacy of these novel approaches in preclinical models is also comprehensively discussed in this review. It is concluded from critical analysis of related literature that insight into the translational gap between laboratories and clinical settings would provide the possible future directions to plug the loopholes in the process of development of these receptor-targeted nanomedicines for the treatment of breast cancer.
由于缺乏癌细胞靶向转运和受体介导的药物摄取策略,乳腺癌的治疗干预仍然不明确。除此之外,散发性肿瘤微环境、传统化疗的显著局限性以及乳腺癌细胞的多药耐药机制,即使对于其他方面最优且有效的乳腺癌治疗策略也构成了巨大挑战。表面修饰的纳米药物可以通过与肿瘤细胞上异常过表达的特定受体结合,加速载药纳米颗粒构建体的细胞摄取和递送。本综述阐述了一个有趣但具有挑战性的概念,即通过利用带有多种靶向配体的不同类型纳米颗粒系统来靶向乳腺癌细胞过表达的受体,实现靶向递送方法。本综述还全面讨论了这些新方法在临床前模型中的治疗效果。通过对相关文献的批判性分析得出结论,深入了解实验室与临床环境之间的转化差距,将为填补这些用于治疗乳腺癌的受体靶向纳米药物开发过程中的漏洞提供可能的未来方向。