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基于脂质体的纳米药物载体治疗脑肿瘤的最新方法和进展。

Recent Approaches and Success of Liposome-Based Nano Drug Carriers for the Treatment of Brain Tumor.

机构信息

Department of Pharmaceutical Technology, JIS University, Kolkata, West Bengal, India.

Department of Pharmaceutical Technology, University of North Bengal, West Bengal, India.

出版信息

Curr Drug Deliv. 2022;19(8):815-829. doi: 10.2174/1567201818666211213102308.

Abstract

Brain tumors are nothing but a collection of neoplasms that originate either from areas within the brain or from systemic metastasized tumors of other organs spread to the brain. It is a leading cause of death worldwide. The presence of the blood-brain barrier (BBB), blood-brain tumor barrier (BBTB), and some other factors may limit the entry of many potential therapeutics into the brain tissues in the tumor area at the therapeutic concentration required for satisfying effectiveness. Liposomes play an active role in delivering many drugs through BBB into the tumor due to their nanosize and physiological compatibility. The surface of the liposomes can be modified with various ligands that are very specific to the numerous receptors overexpressed onto the BBB as well as onto the diseased tumor surface site (i.e., BBTB) to deliver selective drugs into the tumor site. Further, this colloidal carrier can encapsulate both lipophilic and hydrophilic drugs due to its unique structure. Moreover, the enhanced permeability and retention (EPR) effect can be an added advantage for nanosize liposomes to concentrate into the tumor microenvironment through relatively leaky vasculature of solid tumor in the brain where no penetration restriction applies compared to normal BBB. Here in this review, we have tried to compile the recent advancement along with the associated challenges of liposomes containing different anti-cancer chemotherapeutics across the BBB/BBTB for the treatment of gliomas that will be very helpful for the readers for better understanding of different trends of brain tumor targeted liposomes-based drug delivery and for pursuing fruitful research on the similar research domain.

摘要

脑肿瘤是由起源于脑内区域或其他器官转移到脑内的系统性肿瘤的肿瘤组成的。它是全球死亡的主要原因。血脑屏障 (BBB)、血脑肿瘤屏障 (BBTB) 和其他一些因素的存在可能会限制许多潜在治疗药物进入肿瘤区域的脑组织,使其达到令人满意的疗效所需的治疗浓度。由于其纳米尺寸和生理相容性,脂质体在通过 BBB 将许多药物递送至肿瘤方面发挥着积极作用。脂质体的表面可以用各种配体进行修饰,这些配体对 BBB 以及病变肿瘤表面部位 (即 BBTB) 上过度表达的众多受体非常特异,从而将选择性药物递送至肿瘤部位。此外,由于其独特的结构,这种胶体载体可以包封亲脂性和亲水性药物。此外,增强的通透性和保留 (EPR) 效应可以使纳米脂质体更有利于通过脑内实体肿瘤相对渗漏的血管集中到肿瘤微环境中,与正常 BBB 相比,在脑内没有渗透限制。在这篇综述中,我们试图编译了包含不同抗癌化疗药物的脂质体通过 BBB/BBTB 治疗神经胶质瘤的最新进展以及相关挑战,这将对读者非常有帮助,有助于更好地了解脑肿瘤靶向脂质体药物传递的不同趋势,并对类似的研究领域进行富有成效的研究。

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