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纳米技术作为对抗三阴性乳腺癌(TNBC)的强大力量的崛起。

Emergence of Nanotechnology as a Powerful Cavalry against Triple-Negative Breast Cancer (TNBC).

作者信息

Chaudhuri Aiswarya, Kumar Dulla Naveen, Dehari Deepa, Singh Sanjay, Kumar Pradeep, Bolla Pradeep Kumar, Kumar Dinesh, Agrawal Ashish Kumar

机构信息

Department of Pharmaceutical Engineering & Technology, Indian Institute of Technology (BHU), Varanasi 221005, India.

Babasaheb Bhimrao Ambedkar University, Lucknow 226025, India.

出版信息

Pharmaceuticals (Basel). 2022 Apr 27;15(5):542. doi: 10.3390/ph15050542.

Abstract

Triple-negative breast cancer (TNBC) is considered one of the un-manageable types of breast cancer, involving devoid of estrogen, progesterone, and human epidermal growth factor receptor 2 (HER 2) receptors. Due to their ability of recurrence and metastasis, the management of TNBC remains a mainstay challenge, despite the advancements in cancer therapies. Conventional chemotherapy remains the only treatment regimen against TNBC and suffers several limitations such as low bioavailability, systemic toxicity, less targetability, and multi-drug resistance. Although various targeted therapies have been introduced to manage the hardship of TNBC, they still experience certain limitations associated with the survival benefits. The current research thus aimed at developing and improving the strategies for effective therapy against TNBC. Such strategies involved the emergence of nanoparticles. Nanoparticles are designated as nanocavalries, loaded with various agents (drugs, genes, etc.) to battle the progression and metastasis of TNBC along with overcoming the limitations experienced by conventional chemotherapy and targeted therapy. This article documents the treatment regimens of TNBC along with their efficacy towards different subtypes of TNBC, and the various nanotechnologies employed to increase the therapeutic outcome of FDA-approved drug regimens.

摘要

三阴性乳腺癌(TNBC)被认为是最难治疗的乳腺癌类型之一,其特征是缺乏雌激素、孕激素和人表皮生长因子受体2(HER 2)受体。尽管癌症治疗取得了进展,但由于TNBC具有复发和转移的能力,其治疗仍然是一个主要挑战。传统化疗仍然是治疗TNBC的唯一方案,但存在生物利用度低、全身毒性、靶向性差和多药耐药等诸多局限性。虽然已经引入了各种靶向疗法来应对TNBC的治疗难题,但它们在生存获益方面仍存在一定局限性。因此,当前的研究旨在开发和改进针对TNBC的有效治疗策略。这些策略中包括纳米颗粒的出现。纳米颗粒被视为纳米骑兵,负载各种制剂(药物、基因等),以对抗TNBC的进展和转移,同时克服传统化疗和靶向治疗所面临的局限性。本文记录了TNBC的治疗方案及其对不同TNBC亚型的疗效,并介绍了用于提高FDA批准药物治疗效果的各种纳米技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/228a/9143332/8fbbe33c1694/pharmaceuticals-15-00542-g002.jpg

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