Miatmoko Andang, Mianing Ester Adelia, Sari Retno, Hendradi Esti
Department of Pharmaceutical Sciences, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia.
Stem Cell Research and Development Center, Universitas Airlangga, Surabaya, Indonesia.
Front Pharmacol. 2021 Dec 24;12:787226. doi: 10.3389/fphar.2021.787226. eCollection 2021.
Ursolic acid is a natural pentacyclic triterpenoid that exerts a potent anticancer effect. Furthermore, it is classified as a BCS class IV compound possessing low permeability and water solubility, consequently demonstrating limited bioavailability in addition to low therapeutic effectiveness. Nanoparticles are developed to modify the physical characteristics of drug and can often be produced in the range of 30-200 nm, providing highly effective cancer therapy due to the Enhanced Permeation and Retention (EPR) Effect. This study aims to provide a review of the efficacy and safety of various types of Ursolic Acid-loading nanoparticles within the setting of preclinical and clinical anticancer studies. This literature study used scoping review method, where the extracted data must comply with the journal inclusion criteria of within years of 2010-2020. The identification stage produced 237 suitable articles. Duplicate screening was then conducted followed by the initial selection of 18 articles that had been reviewed and extracted for data analysis. Based on this review, the use of nanoparticles can be seen to increase the anticancer efficacy of Ursolic Acid in terms of several parameters including pharmacokinetic data, survival rates and inhibition rates, as well as the absence of serious toxicity in preclinical and clinical trials in terms of several parameters including body weight, blood clinical chemistry, and organ histipathology. Based on this review, the use of nanoparticles has been able to increase the anticancer efficacy of Ursolic Acid, as well as show the absence of serious toxicity in preclinical and clinical trials. Evenmore, the liposome carrier provides development data that has reached the clinical trial phase I. The use of nanoparticle provides high potential for Ursolic Acid delivery in cancer therapy.
熊果酸是一种天然的五环三萜类化合物,具有强大的抗癌作用。此外,它被归类为BCS IV类化合物,具有低渗透性和水溶性,因此除了治疗效果低之外,生物利用度也有限。纳米颗粒的开发是为了改变药物的物理特性,通常可以在30 - 200纳米的范围内生产,由于增强渗透和滞留(EEEPR)效应,可提供高效的癌症治疗。本研究旨在综述各类负载熊果酸纳米颗粒在临床前和临床抗癌研究中的疗效和安全性。这项文献研究采用了范围综述方法,提取的数据必须符合2010 - 2020年期间的期刊纳入标准。识别阶段产生了237篇合适的文章。随后进行了重复筛选,然后初步选择了18篇经过评审并提取用于数据分析的文章。基于此综述,可以看出纳米颗粒的使用在包括药代动力学数据、生存率和抑制率等几个参数方面提高了熊果酸的抗癌疗效,并且在包括体重、血液临床化学和器官组织病理学等几个参数方面的临床前和临床试验中没有严重毒性。基于此综述,纳米颗粒的使用能够提高熊果酸的抗癌疗效,并且在临床前和临床试验中也没有显示出严重毒性。此外,脂质体载体提供了已进入I期临床试验阶段的研发数据。纳米颗粒的使用为熊果酸在癌症治疗中的递送提供了很高的潜力。