Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research (NIPER), Hyderabad 500037, India.
Department of Biological Science, National Institute of Pharmaceutical Education and Research (NIPER), Hyderabad 500037, India.
J Control Release. 2022 Jul;347:211-236. doi: 10.1016/j.jconrel.2022.05.002. Epub 2022 May 11.
Hematological malignancy like lymphoma originates in lymph tissues and has a propensity to spread across other organs. Managing such tumors is challenging as conventional strategies like surgery and local treatment are not plausible options and there are high chances of relapse. The advent of novel targeted therapies and antibody-mediated treatments has proven revolutionary in the management of these tumors. Although these therapies have an added advantage of specificity in comparison to the traditional chemotherapy approach, such treatment alternatives suffer from the occurrence of drug resistance and dose-related toxicities. In past decades, nanomedicine has emerged as an excellent surrogate to increase the bioavailability of therapeutic moieties along with a reduction in toxicities of highly cytotoxic drugs. Nanotherapeutics achieve targeted delivery of the therapeutic agents into the malignant cells and also have the ability to carry genes and therapeutic proteins to the desired sites. Furthermore, nanomedicine has an edge in rendering personalized medicine as one type of lymphoma is pathologically different from others. In this review, we have highlighted various applications of nanotechnology-based delivery systems based on lipidic, polymeric and inorganic nanomaterials that address different targets for effectively tackling lymphomas. Moreover, we have discussed recent advances and therapies available exclusively for managing this malignancy.
血液系统恶性肿瘤,如淋巴瘤,起源于淋巴组织,具有向其他器官扩散的倾向。由于手术和局部治疗等传统策略不可行,且复发的可能性很高,因此此类肿瘤的治疗极具挑战性。新型靶向治疗和抗体介导治疗的出现已被证明在这些肿瘤的治疗中具有革命性意义。虽然与传统化疗方法相比,这些疗法具有更高的特异性优势,但这些治疗选择仍存在耐药性和剂量相关毒性的问题。在过去几十年中,纳米医学已成为提高治疗部分生物利用度的绝佳替代品,同时降低了高细胞毒性药物的毒性。纳米疗法能够将治疗剂靶向递送至恶性细胞,并具有携带基因和治疗蛋白到达所需部位的能力。此外,纳米医学在提供个性化医疗方面具有优势,因为一种淋巴瘤在病理学上与其他类型的淋巴瘤不同。在这篇综述中,我们强调了基于脂质、聚合物和无机纳米材料的纳米技术递送系统在针对不同靶点有效治疗淋巴瘤方面的各种应用。此外,我们还讨论了专门用于治疗这种恶性肿瘤的最新进展和疗法。