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封装药物对实体瘤进行声学靶向的进展与近期趋势:除声孔效应之外的策略

The Evolution and Recent Trends in Acoustic Targeting of Encapsulated Drugs to Solid Tumors: Strategies beyond Sonoporation.

作者信息

Honari Arvin, Sirsi Shashank R

机构信息

Department of Bioengineering, Erik Johnson School of Engineering, The University of Texas at Dallas, Richardson, TX 75080, USA.

出版信息

Pharmaceutics. 2023 Jun 10;15(6):1705. doi: 10.3390/pharmaceutics15061705.

DOI:10.3390/pharmaceutics15061705
PMID:37376152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10301627/
Abstract

Despite recent advancements in ultrasound-mediated drug delivery and the remarkable success observed in pre-clinical studies, no delivery platform utilizing ultrasound contrast agents has yet received FDA approval. The sonoporation effect was a game-changing discovery with a promising future in clinical settings. Various clinical trials are underway to assess sonoporation's efficacy in treating solid tumors; however, there are disagreements on its applicability to the broader population due to long-term safety issues. In this review, we first discuss how acoustic targeting of drugs gained importance in cancer pharmaceutics. Then, we discuss ultrasound-targeting strategies that have been less explored yet hold a promising future. We aim to shed light on recent innovations in ultrasound-based drug delivery including newer designs of ultrasound-sensitive particles specifically tailored for pharmaceutical usage.

摘要

尽管最近超声介导的药物递送取得了进展,并且在临床前研究中取得了显著成功,但尚未有利用超声造影剂的递送平台获得美国食品药品监督管理局(FDA)的批准。声孔效应是一项改变游戏规则的发现,在临床环境中有着广阔的前景。目前正在进行各种临床试验,以评估声孔效应在治疗实体瘤方面的疗效;然而,由于长期安全性问题,对于其在更广泛人群中的适用性存在分歧。在这篇综述中,我们首先讨论药物的声学靶向在癌症药物学中是如何变得重要的。然后,我们讨论了尚未得到充分探索但前景广阔的超声靶向策略。我们旨在阐明基于超声的药物递送的最新创新,包括专门为药物用途量身定制的新型超声敏感颗粒设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/2d86a5f2f4db/pharmaceutics-15-01705-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/df4f45b13349/pharmaceutics-15-01705-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/7a60994faa73/pharmaceutics-15-01705-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/9c4bdf53f836/pharmaceutics-15-01705-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/2d86a5f2f4db/pharmaceutics-15-01705-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/df4f45b13349/pharmaceutics-15-01705-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/7a60994faa73/pharmaceutics-15-01705-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/9c4bdf53f836/pharmaceutics-15-01705-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5655/10301627/2d86a5f2f4db/pharmaceutics-15-01705-g004.jpg

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Adv Drug Deliv Rev. 2022 Oct;189:114503. doi: 10.1016/j.addr.2022.114503. Epub 2022 Aug 23.
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Engineering the Acoustic Response and Drug Loading Capacity of PBCA-Based Polymeric Microbubbles with Surfactants.用表面活性剂工程化基于 PBCA 的聚合物微泡的声响应和药物载量能力。
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