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“智能”药物递送:通往转化医学未来的一扇窗。

"Smart" drug delivery: A window to future of translational medicine.

作者信息

Rana Abhilash, Adhikary Meheli, Singh Praveen Kumar, Das Bhudev C, Bhatnagar Seema

机构信息

Amity Institute of Biotechnology, Amity University, Noida, Uttar Pradesh, India.

Amity Institute of Molecular Medicine and Stem Cell Research, Amity University, Noida, Uttar Pradesh, India.

出版信息

Front Chem. 2023 Jan 4;10:1095598. doi: 10.3389/fchem.2022.1095598. eCollection 2022.

Abstract

Chemotherapy is the mainstay of cancer treatment today. Chemotherapeutic drugs are non-selective and can harm both cancer and healthy cells, causing a variety of adverse effects such as lack of specificity, cytotoxicity, short half-life, poor solubility, multidrug resistance, and acquiring cancer stem-like characteristics. There is a paradigm shift in drug delivery systems (DDS) with the advent of smarter ways of targeted cancer treatment. Smart Drug Delivery Systems (SDDSs) are stimuli responsive and can be modified in chemical structure in response to light, pH, redox, magnetic fields, and enzyme degradation can be future of translational medicine. Therefore, SDDSs have the potential to be used as a viable cancer treatment alternative to traditional chemotherapy. This review focuses mostly on stimuli responsive drug delivery, inorganic nanocarriers (Carbon nanotubes, gold nanoparticles, Meso-porous silica nanoparticles, quantum dots ), organic nanocarriers (Dendrimers, liposomes, micelles), antibody-drug conjugates (ADC) and small molecule drug conjugates (SMDC) based SDDSs for targeted cancer therapy and strategies of targeted drug delivery systems in cancer cells.

摘要

化疗是当今癌症治疗的主要手段。化疗药物具有非选择性,会对癌细胞和健康细胞都造成损害,引发多种不良反应,如缺乏特异性、细胞毒性、半衰期短、溶解度差、多药耐药性以及获得癌症干细胞样特征。随着更智能的靶向癌症治疗方法的出现,药物递送系统(DDS)发生了范式转变。智能药物递送系统(SDDSs)对刺激有响应,并且可以根据光、pH值、氧化还原、磁场和酶降解等因素在化学结构上进行修饰,有望成为转化医学的未来发展方向。因此,SDDSs有潜力作为传统化疗的一种可行的癌症治疗替代方案。本综述主要聚焦于基于刺激响应性药物递送、无机纳米载体(碳纳米管、金纳米颗粒、介孔二氧化硅纳米颗粒、量子点)、有机纳米载体(树枝状大分子、脂质体、胶束)、抗体-药物偶联物(ADC)和小分子药物偶联物(SMDC)的SDDSs用于靶向癌症治疗以及癌细胞中靶向药物递送系统的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7d/9846181/4816084d6610/fchem-10-1095598-g001.jpg

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