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纳米脂质体在癌症治疗中的应用:市售产品和当前临床试验。

Nanoliposomes in Cancer Therapy: Marketed Products and Current Clinical Trials.

机构信息

Department of Pharmacy and Pharmaceutical Technology and Parasitology, Pharmacy Faculty, University of Valencia, 46100 Valencia, Spain.

Instituto Interuniversitario de Investigación de Reconocimiento Molecular y Desarrollo Tecnológico (IDM), Universitat Politècnica de València, Av. Vicent Andrés Estellés s/n, Burjassot, 46100 Valencia, Spain.

出版信息

Int J Mol Sci. 2022 Apr 12;23(8):4249. doi: 10.3390/ijms23084249.

Abstract

The drugs used for cancer treatment have many drawbacks, as they damage both tumor and healthy cells and, in addition, they tend to be poorly soluble drugs. Their transport in nanoparticles can solve these problems as these can release the drug into tumor tissues, as well as improve their solubility, bioavailability, and efficacy, reducing their adverse effects. This article focuses on the advantages that nanotechnology can bring to medicine, with special emphasis on nanoliposomes. For this, a review has been made of the nanoliposomal systems marketed for the treatment of cancer, as well as those that are in the research phase, highlighting the clinical trials being carried out. All marketed liposomes studied are intravenously administered, showing a reduced intensity of side-effects compared with the nonliposomal form. Doxorubicin is the active ingredient most frequently employed. Ongoing clinical trials expand the availability of liposomal medicines with new clinical indications. In conclusion, the introduction of drugs in nanoliposomes means an improvement in their efficacy and the quality of life of patients. The future focus of research could be directed to develop multifunctional targeted nanoliposomes using new anticancer drugs, different types of existing drugs, or new standardized methodologies easily translated into industrial scale.

摘要

用于癌症治疗的药物有许多缺点,因为它们会损害肿瘤和健康细胞,而且往往溶解度较差。将它们包裹在纳米颗粒中可以解决这些问题,因为这些纳米颗粒可以将药物释放到肿瘤组织中,同时提高其溶解度、生物利用度和疗效,减少其不良反应。本文重点介绍了纳米技术可以给医学带来的优势,特别强调了脂质体纳米药物。为此,对市场上用于治疗癌症的纳米脂质体系统以及处于研究阶段的系统进行了综述,重点介绍了正在进行的临床试验。研究中所有的上市脂质体均为静脉给药,与非脂质体形式相比,副作用强度降低。阿霉素是最常使用的活性成分。正在进行的临床试验扩大了脂质体药物的新临床适应证。总之,将药物包裹在脂质体纳米药物中意味着提高了其疗效和患者的生活质量。未来的研究重点可能是开发使用新的抗癌药物、不同类型的现有药物或新的标准化方法的多功能靶向脂质体,这些方法很容易转化为工业规模。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e34/9030431/02bcdb93b91b/ijms-23-04249-g001.jpg

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