Fatima Qizilbash Farheen, Sartaj Ali, Qamar Zufika, Kumar Shobhit, Imran Mohammad, Mohammed Yousuf, Ali Javed, Baboota Sanjula, Ali Asgar
Department of Pharmaceutics, School of Pharmaceutical Education and Research, New Delhi, India.
Lloyd School of Pharmacy, Greater Noida, India.
J Drug Target. 2023 Sep;31(8):794-816. doi: 10.1080/1061186X.2023.2243403. Epub 2023 Aug 6.
One of the most common cancers that occur in females is breast cancer. Despite the significant leaps and bounds that have been made in treatment of breast cancer, the disease remains one of the leading causes of death among women and a major public health challenge. The therapeutic efficacy of chemotherapeutics is hindered by chemoresistance and toxicity. Nano-based lipid drug delivery systems offer controlled drug release, nanometric size and site-specific targeting. Breast cancer treatment includes surgery, chemotherapy and radiotherapy. Despite this, no single method of treatment for the condition is currently effective due to cancer stem cell metastasis and chemo-resistance. Therefore, the employment of nanocarrier systems is necessary in order to target breast cancer stem cells. This article addresses breast cancer treatment options, including modern treatment procedures such as chemotherapy, etc. and some innovative therapeutic options highlighting the role of lipidic nanocarriers loaded with chemotherapeutic drugs such as nanoemulsion, solid-lipid nanoparticles, nanostructured lipid carriers and liposomes, and their investigations have demonstrated that they can limit cancer cell growth, reduce the risk of recurrence, as well as minimise post-chemotherapy metastasis. This article also explores FDA-approved lipid-based nanocarriers, commercially available formulations, and ligand-based formulations that are being considered for further research.
女性中最常见的癌症之一是乳腺癌。尽管在乳腺癌治疗方面取得了显著进展,但该疾病仍然是女性主要死因之一,也是一项重大的公共卫生挑战。化疗药物的治疗效果受到化疗耐药性和毒性的阻碍。基于纳米的脂质药物递送系统具有药物控释、纳米尺寸和位点特异性靶向等特点。乳腺癌治疗包括手术、化疗和放疗。尽管如此,由于癌症干细胞转移和化疗耐药性,目前尚无单一的治疗方法对该病有效。因此,有必要采用纳米载体系统来靶向乳腺癌干细胞。本文探讨了乳腺癌的治疗选择,包括化疗等现代治疗方法,以及一些创新的治疗选择,重点介绍了负载化疗药物如纳米乳剂、固体脂质纳米粒、纳米结构脂质载体和脂质体的脂质纳米载体的作用,它们的研究表明,这些脂质纳米载体可以限制癌细胞生长、降低复发风险,并将化疗后转移降至最低。本文还探讨了美国食品药品监督管理局(FDA)批准的基于脂质的纳米载体、市售制剂以及正在考虑进一步研究的基于配体类型的制剂。