Department of Biomedical Sciences, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV 25755, United States.
Department of Oncology, Edwards Cancer Center, Joan C. Edwards School of Medicine, Marshall University, 1400 Hal Greer Boulevard, Huntington, WV 25755, United States.
Pharmacol Ther. 2022 Oct;238:108177. doi: 10.1016/j.pharmthera.2022.108177. Epub 2022 Mar 26.
Capsaicin (trans-8-methyl-N-vanillyl-6-noneamide) is a hydrophobic, lipophilic vanilloid phytochemical abundantly found in chili peppers and pepper extracts. Several convergent studies show that capsaicin displays robust cancer activity, suppressing the growth, angiogenesis and metastasis of several human cancers. Despite its potent cancer-suppressing activity, the clinical applications of capsaicin as a viable anti-cancer drug have remained problematic due to its poor bioavailability and aqueous solubility properties. In addition, the administration of capsaicin is associated with adverse side effects like gastrointestinal cramps, stomach pain, nausea and diarrhea and vomiting. All these hurdles may be circumvented by encapsulation of capsaicin in sustained release drug delivery systems. Most of the capsaicin-based the sustained release drugs have been tested for their pain-relieving activity. Only a few of these formulations have been investigated as anti-cancer agents. The present review describes the physicochemical properties, bioavailability, and anti-cancer activity of capsaicin-sustained release agents. The asset of such continuous release capsaicin formulations is that they display better solubility, stability, bioavailability, and growth-suppressive activity than the free drug. The encapsulation of capsaicin in sustained release carriers minimizes the adverse side effects of capsaicin. In summary, these capsaicin-based sustained release drug delivery systems have the potential to function as novel chemotherapies, unique diagnostic imaging probes and innovative chemosensitization agents in human cancers.
辣椒素(反式-8-甲基-N-香草基-6-壬酰胺)是一种疏水性、亲脂性的香草素植物化学物质,大量存在于辣椒和辣椒提取物中。几项趋同研究表明,辣椒素具有强大的抗癌活性,能抑制多种人类癌症的生长、血管生成和转移。尽管辣椒素有很强的抗癌活性,但由于其生物利用度和水溶性差,其作为一种可行的抗癌药物的临床应用仍然存在问题。此外,辣椒素的给药与胃肠道痉挛、胃痛、恶心、腹泻和呕吐等不良反应有关。通过将辣椒素包封在缓控释给药系统中,可以克服所有这些障碍。大多数基于辣椒素的缓控释药物已被测试其止痛活性。这些制剂中只有少数被用作抗癌剂进行了研究。本综述描述了辣椒素缓控释剂的物理化学性质、生物利用度和抗癌活性。这种持续释放辣椒素制剂的优点是,与游离药物相比,它们显示出更好的溶解性、稳定性、生物利用度和生长抑制活性。将辣椒素包封在缓控释载体中可以最大限度地减少辣椒素的不良反应。总之,这些基于辣椒素的缓控释药物输送系统有可能作为新型化疗药物、独特的诊断成像探针和人类癌症中的创新化学增敏剂发挥作用。