Yenepoya Research Center, Yenepoya (Deemed to be University), Deralakatte, Mangalore, Karnataka 575018, India.
Yenepoya Pharmacy and Ayush Research Centre (YEN PARC), Yenepoya (Deemed to be University), Deralakatte, Mangalore, Karnataka 575018, India.
Int J Pharm. 2023 Jul 25;642:123105. doi: 10.1016/j.ijpharm.2023.123105. Epub 2023 Jun 4.
Autophagy act as a double-edged sword in cancer with both tumor promoting and inhibiting roles. Under normal conditions of autophagy, the damaged cell organelles and other debris degrade inside the lysosome to provide energy and macromolecular precursors. However, enhanced autophagy can lead to apoptosis and programmed cell death highlighting its significance in cancer therapy. Liposome-based drug delivery systems for treating cancer patients have significant advantages over their non-formulated or free drug counterparts which could be effectively used to manipulate autophagy pathway in cancer patients. In the current review, drug uptake by the cells and its role in autophagy-mediated cancer cell death are discussed. Besides, the challenges and translational difficulties associated with the use of liposome-based chemotherapeutic drugs in clinical trials and in biomedical applications are also discussed.
自噬在癌症中犹如一把双刃剑,兼具促进和抑制肿瘤的作用。在自噬的正常情况下,受损的细胞细胞器和其他碎片在溶酶体中降解,以提供能量和大分子前体。然而,增强的自噬可能导致细胞凋亡和程序性细胞死亡,突出了其在癌症治疗中的重要性。与未成型或游离药物相比,基于脂质体的药物递送系统治疗癌症患者具有显著优势,可有效用于操纵癌症患者的自噬途径。在本综述中,讨论了细胞摄取药物及其在自噬介导线粒体细胞死亡中的作用。此外,还讨论了基于脂质体的化疗药物在临床试验和生物医学应用中使用所面临的挑战和转化困难。