Banthia Poonam, Gambhir Lokesh, Sharma Asha, Daga Dhiraj, Kapoor Neha, Chaudhary Rishabh, Sharma Gaurav
School of Applied Sciences, Suresh Gyan Vihar University, Jaipur, Rajasthan India.
Department of Zoology, Swargiya P. N. K. S. Govt. PG College, Dausa, Rajasthan India.
3 Biotech. 2022 Mar;12(3):70. doi: 10.1007/s13205-022-03121-6. Epub 2022 Feb 13.
Breast cancer is a heterogeneous disease with different intrinsic subtypes. The conventional treatment of surgical resection, chemotherapy, immunotherapy and radiotherapy has not shown significant improvement in the survival rate of breast cancer patients. The therapeutics used cause bystander toxicities deteriorating healthy tissues. The breakthroughs of nanotechnology have been a promising feat in selective targeting of tumor site thus increasing the therapeutic gain. By the application of nanoenabled carriers, nanomedicines ensure targeted delivery, stability, enhanced cellular uptake, biocompatibility and higher apoptotic efficacy. The present review focuses on breakthrough of nanoscale intervention in targeted drug delivery as novel class of therapeutics. Nanoenabled carriers like polymeric and metallic nanoparticles, dendrimers, quantum dots, liposomes, solid lipid nanoparticles, carbon nanotubes, drug-antibody conjugates and exosomes revolutionized the targeted therapeutic delivery approach. These nanoassemblies have shown additional effect of improving the solubility of drugs such as paclitaxel, reducing the dose and toxicity. The present review provides an insight on the different drug conjugates employed/investigated to curb breast cancer using nanocarrier mediated targeted drug delivery. However, identification of appropriate biomarkers to target, clearer insight of the biological processes, batch uniformity, reproducibility, nanomaterial toxicity and stabilities are the hurdles faced by nanodrugs. The potential of nano-therapeutics delivery necessitates the agglomerated efforts of research community to bridge the route of nanodrugs for scale-up, commercialization and clinical applications.
乳腺癌是一种具有不同内在亚型的异质性疾病。传统的手术切除、化疗、免疫疗法和放射疗法在乳腺癌患者的生存率方面并未显示出显著改善。所使用的治疗方法会导致旁观者毒性,使健康组织恶化。纳米技术的突破在肿瘤部位的选择性靶向方面取得了一项有前景的成果,从而提高了治疗效果。通过应用纳米载体,纳米药物可确保靶向递送、稳定性、增强的细胞摄取、生物相容性和更高的凋亡效力。本综述重点关注纳米级干预在靶向药物递送方面作为新型治疗方法的突破。诸如聚合物和金属纳米颗粒、树枝状大分子、量子点、脂质体、固体脂质纳米颗粒、碳纳米管、药物 - 抗体偶联物和外泌体等纳米载体彻底改变了靶向治疗递送方法。这些纳米组装体还显示出提高紫杉醇等药物溶解度、降低剂量和毒性的额外效果。本综述深入探讨了利用纳米载体介导的靶向药物递送用于抑制乳腺癌的不同药物偶联物的应用/研究情况。然而,确定合适的靶向生物标志物、更清晰地了解生物过程、批次均匀性、可重复性、纳米材料毒性和稳定性是纳米药物面临的障碍。纳米治疗递送的潜力需要研究界共同努力,为纳米药物的扩大规模、商业化和临床应用打通道路。