Li Jie, Tan Tiantian, Zhao Liping, Liu Mengmeng, You Yu, Zeng Yiying, Chen Dajing, Xie Tian, Zhang Lele, Fu Chaomei, Zeng Zhaowu
Holistic Integrative Pharmacy Institutes, Hangzhou Normal University, Hangzhou 311121, Zhejiang, China.
College of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, Sichuan, China.
ACS Appl Bio Mater. 2020 Sep 21;3(9):5500-5528. doi: 10.1021/acsabm.0c00705. Epub 2020 Sep 10.
Malignant tumors represent some of the most intractable diseases that endanger human health. A glioma is a tumor of the central nervous system that is characterized by severe invasiveness, blurred boundaries between the tumor and surrounding normal tissue, difficult surgical removal, and high recurrence. Moreover, the blood-brain barrier (BBB) and multidrug resistance (MDR) are important factors that contribute to the lack of efficacy of chemotherapy in treating gliomas. A liposome is a biofilm-like drug delivery system with a unique phospholipid bilayer that exhibits high affinities with human tissues/organs (e.g., BBB). After more than five decades of development, classical and engineered liposomes consist of four distinct generations, each with different characteristics: (i) traditional liposomes, (ii) stealth liposomes, (iii) targeting liposomes, and (iv) biomimetic liposomes, which offer a promising approach to promote drugs across the BBB and to reverse MDR. Here, we review the history, preparatory methods, and physicochemical properties of liposomes. Furthermore, we discuss the mechanisms by which liposomes have assisted in the diagnosis and treatment of gliomas, including drug transport across the BBB, inhibition of efflux transporters, reversal of MDR, and induction of immune responses. Finally, we highlight ongoing and future clinical trials and applications toward further developing and testing the efficacies of liposomes in treating gliomas.
恶性肿瘤是危害人类健康的一些最难治疗的疾病。胶质瘤是中枢神经系统的肿瘤,其特征是侵袭性强、肿瘤与周围正常组织边界模糊、手术切除困难且复发率高。此外,血脑屏障(BBB)和多药耐药性(MDR)是导致化疗治疗胶质瘤疗效不佳的重要因素。脂质体是一种类似生物膜的药物递送系统,具有独特的磷脂双分子层,与人体组织/器官(如血脑屏障)具有高亲和力。经过五十多年的发展,经典脂质体和工程化脂质体分为四代,各有不同特点:(i)传统脂质体,(ii)隐形脂质体,(iii)靶向脂质体,(iv)仿生脂质体,它们为促进药物穿过血脑屏障和逆转多药耐药性提供了一种有前景的方法。在此,我们综述脂质体的历史、制备方法和理化性质。此外,我们讨论脂质体辅助胶质瘤诊断和治疗的机制,包括药物穿过血脑屏障的转运、外排转运体的抑制、多药耐药性的逆转以及免疫反应的诱导。最后,我们强调正在进行的和未来的临床试验以及应用,以进一步开发和测试脂质体治疗胶质瘤的疗效。
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