Marques Ana Camila, Costa Paulo C, Velho Sérgia, Amaral Maria Helena
UCIBIO-Applied Molecular Biosciences Unit, MEDTECH, Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, R. Jorge Viterbo Ferreira 228, 4050-313 Porto, Portugal.
Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, R. Jorge Viterbo Ferreira 228, 4050-313 Porto, Portugal.
Pharmaceutics. 2023 Jan 8;15(1):216. doi: 10.3390/pharmaceutics15010216.
Nanotechnology takes the lead in providing new therapeutic options for cancer patients. In the last decades, lipid-based nanoparticles-solid lipid nanoparticles (SLNs), nanostructured lipid carriers (NLCs), liposomes, and lipid-polymer hybrid nanoparticles-have received particular interest in anticancer drug delivery to solid tumors. To improve selectivity for target cells and, thus, therapeutic efficacy, lipid nanoparticles have been functionalized with antibodies that bind to receptors overexpressed in angiogenic endothelial cells or cancer cells. Most papers dealing with the preclinical results of antibody-conjugated nanoparticles claim low systemic toxicity and effective tumor inhibition, which have not been successfully translated into clinical use yet. This review aims to summarize the current "state-of-the-art" in anticancer drug delivery using antibody-functionalized lipid-based nanoparticles. It includes an update on promising candidates that entered clinical trials and some explanations for low translation success.
纳米技术率先为癌症患者提供新的治疗选择。在过去几十年中,基于脂质的纳米颗粒——固体脂质纳米粒(SLNs)、纳米结构脂质载体(NLCs)、脂质体和脂质-聚合物杂化纳米粒——在向实体瘤递送抗癌药物方面受到了特别关注。为了提高对靶细胞的选择性,从而提高治疗效果,脂质纳米粒已用与血管生成内皮细胞或癌细胞中过表达的受体结合的抗体进行了功能化修饰。大多数涉及抗体偶联纳米粒临床前结果的论文都声称其具有低全身毒性和有效的肿瘤抑制作用,但这些尚未成功转化为临床应用。本综述旨在总结使用抗体功能化脂质基纳米粒进行抗癌药物递送的当前“最新技术”。它包括进入临床试验的有前景候选物的最新情况以及对低转化成功率的一些解释。