Tatyasaheb Kore College of Pharmacy, Warananagar, Tal: Panhala, Kolhapur, Maharashtra 416113, India.
Tatyasaheb Kore College of Pharmacy, Warananagar, Tal: Panhala, Kolhapur, Maharashtra 416113, India; S. D. Patil Institute of Pharmacy, Urun-Islampur, Maharashtra 416113, India.
J Control Release. 2022 Sep;349:812-830. doi: 10.1016/j.jconrel.2022.07.039. Epub 2022 Aug 3.
Breast cancer (BC) is a highly diagnosed and topmost cause of death in females worldwide. Drug repurposing (DR) has shown great potential against BC by overcoming major shortcomings of approved anticancer therapeutics. However, poor physicochemical properties, pharmacokinetic performance, stability, non-selectivity to tumors, and side effects are severe hurdles in repurposed drug delivery against BC. The variety of nanocarriers (NCs) has shown great promise in delivering repurposed therapeutics for effective treatment of BC via improving solubility, stability, tumor selectivity and reducing toxicity. Besides, delivering repurposed cargos via theranostic NCs can be helpful in the quick diagnosis and treatment of BC. Localized delivery of repurposed candidates through apt NCs can diminish the systemic side effects and improve anti-tumor effectiveness. However, breast tumor variability and tumor microenvironment have created several challenges to nanoparticulate delivery of repurposed cargos. This review focuses on DR as an ingenious strategy to treat BC and circumvent the drawbacks of approved anticancer therapeutics. Various nanoparticulate avenues delivering repurposed therapeutics, including non-oncology cargos and vaccines to target BC effectively, are discussed along with case studies. Moreover, clinical trial information on repurposed medications and vaccines for the treatment of BC is covered along with various obstacles in nanoparticulate drug delivery against cancer that have been so far identified. In a nutshell, DR and drug delivery of repurposed drugs via NCs appears to be a propitious approach in devastating BC.
乳腺癌(BC)是全球女性发病率和致死率最高的疾病之一。药物再利用(DR)通过克服已批准的抗癌疗法的主要缺点,显示出对 BC 具有很大的潜力。然而,较差的理化性质、药代动力学性能、稳定性、对肿瘤的非选择性以及副作用是再利用药物递送治疗 BC 所面临的严重障碍。各种纳米载体(NCs)在递送再利用治疗剂方面显示出巨大的前景,可通过提高溶解度、稳定性、肿瘤选择性和降低毒性,有效治疗 BC。此外,通过治疗性 NCs 递送再利用的有效载荷可以有助于 BC 的快速诊断和治疗。通过适体 NCs 局部递送再利用候选物可以减少全身副作用并提高抗肿瘤效果。然而,乳腺肿瘤的异质性和肿瘤微环境对再利用有效载荷的纳米颗粒递送提出了许多挑战。本文综述了 DR 作为治疗 BC 并规避已批准的抗癌疗法的缺点的一种巧妙策略。讨论了各种递送再利用治疗剂的纳米途径,包括针对 BC 的非肿瘤学有效载荷和疫苗,以及案例研究。此外,还涵盖了用于治疗 BC 的再利用药物和疫苗的临床试验信息,以及迄今为止确定的纳米颗粒药物递送治疗癌症的各种障碍。简而言之,DR 和通过 NCs 递送再利用药物似乎是攻克 BC 的一种有希望的方法。
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