多柔比星缀合物:一种提高治疗效果、降低副作用的有效方法。
Doxorubicin Conjugates: An Efficient Approach for Enhanced Therapeutic Efficacy with Reduced Side Effects.
机构信息
Department of Pharmaceutics, ISF College of Pharmacy, Punjab, India.
Department of Pharmaceutical Chemistry, ISF College of Pharmacy, Punjab, India.
出版信息
Assay Drug Dev Technol. 2023 May-Jun;21(4):137-156. doi: 10.1089/adt.2022.102. Epub 2023 Apr 20.
Continuous drug delivery modification is the scientific approach and is a basic need for the efficient therapeutic efficacy of active drug molecules. Polymer-drug conjugates have long been a hallmark of the drug delivery sector, with various conjugates on the market or in clinical trials. Improved drug solubilization, extended blood circulation, decreased immunogenicity, controlled release behavior, and increased safety are the advantages of conjugating drugs to the polymeric carrier like polyethylene glycol (PEG). Polymer therapies have evolved over the last decade, resulting in polymer-drug conjugates with diverse topologies and chemical properties. Traditional nondegradable polymeric carriers like PEG and hydroxy propyl methacrylate have been clinically employed to fabricate polymer-drug conjugates. Still, functionalized polymer-drug conjugates are increasingly being used to increase localized drug delivery and ease of removal. Researchers have developed multifunctional carriers that can "see and treat" patients using medicinal and diagnostic chemicals. This review focused on the various conjugation approaches for attaching the doxorubicin to different polymers to achieve enhanced therapeutic efficacy, that is, increased bioavailability and reduced adverse effects.
持续的药物输送修饰是一种科学方法,也是提高活性药物分子治疗效果的基本需求。聚合物-药物偶联物长期以来一直是药物输送领域的标志,市场上或临床试验中都有各种偶联物。将药物与聚合物载体如聚乙二醇(PEG)偶联具有提高药物溶解度、延长血液循环时间、降低免疫原性、控制释放行为和提高安全性等优点。过去十年中,聚合物疗法不断发展,产生了具有多种拓扑结构和化学性质的聚合物-药物偶联物。传统的不可降解聚合物载体如 PEG 和羟丙基甲基丙烯酸酯已被临床用于制备聚合物-药物偶联物。然而,功能化聚合物-药物偶联物越来越多地被用于增加局部药物输送和便于去除。研究人员已经开发出多功能载体,可使用药用和诊断化学品“观察和治疗”患者。本综述重点介绍了将阿霉素连接到不同聚合物上的各种偶联方法,以实现增强的治疗效果,即提高生物利用度和降低不良反应。