South African Research Chair in Cancer Biotechnology, Division of Chemical and Systems Biology, Department of Integrative Biomedical Sciences, University of Cape Town, Cape Town, South Africa.
School of Cellular and Molecular Medicine, University of Bristol, BS8 1TD, Bristol, UK.
Drug Deliv Transl Res. 2023 Nov;13(11):2719-2738. doi: 10.1007/s13346-023-01362-3. Epub 2023 Jun 10.
The burden of cancer is increasing globally. Several challenges facing its mainstream treatment approaches have formed the basis for the development of targeted delivery systems to carry and distribute anti-cancer payloads to their defined targets. This site-specific delivery of drug molecules and gene payloads to selectively target druggable biomarkers aimed at inducing cell death while sparing normal cells is the principal goal for cancer therapy. An important advantage of a delivery vector either viral or non-viral is the cumulative ability to penetrate the haphazardly arranged and immunosuppressive tumour microenvironment of solid tumours and or withstand antibody-mediated immune response. Biotechnological approaches incorporating rational protein engineering for the development of targeted delivery systems which may serve as vehicles for packaging and distribution of anti-cancer agents to selectively target and kill cancer cells are highly desired. Over the years, these chemically and genetically modified delivery systems have aimed at distribution and selective accumulation of drug molecules at receptor sites resulting in constant maintenance of high drug bioavailability for effective anti-tumour activity. In this review, we highlighted the state-of-the art viral and non-viral drug and gene delivery systems and those under developments focusing on cancer therapy.
癌症负担在全球范围内不断增加。主流治疗方法面临的一些挑战为靶向递药系统的发展奠定了基础,该系统可将抗癌有效载荷携带并递送至其特定靶标。将药物分子和基因有效载荷靶向递送至特定的可药物治疗的生物标志物,以选择性诱导细胞死亡而不损伤正常细胞,是癌症治疗的主要目标。无论是病毒还是非病毒载体,其一个重要优势是能够累积穿透实体瘤中排列杂乱且免疫抑制的肿瘤微环境,或者能够耐受抗体介导的免疫反应。结合合理的蛋白质工程的生物技术方法可用于开发靶向递药系统,这些系统可作为包装和递送抗癌药物的载体,选择性地靶向和杀死癌细胞,这是非常需要的。多年来,这些化学和基因修饰的递药系统旨在将药物分子分布并选择性地递送至受体部位,从而持续保持高药物生物利用度,以实现有效的抗肿瘤活性。在本文中,我们重点介绍了用于癌症治疗的最新的病毒和非病毒药物及基因递药系统,以及正在开发中的系统。