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基于纳米颗粒的 siRNA 递药系统用于乳腺癌的设计、策略和治疗学。

Design, strategies, and therapeutics in nanoparticle-based siRNA delivery systems for breast cancer.

机构信息

Department of Thyroid, Breast and Vascular Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi 710032, China.

出版信息

J Mater Chem B. 2023 Aug 30;11(34):8096-8116. doi: 10.1039/d3tb00278k.

Abstract

Utilizing small interfering RNA (siRNA) as a treatment for cancer, a disease largely driven by genetic aberrations, shows great promise. However, implementing siRNA therapy in clinical practice is challenging due to its limited bioavailability following systemic administration. An attractive approach to address this issue is the use of a nanoparticle (NP) delivery platform, which protects siRNA and delivers it to the cytoplasm of target cells. We provide an overview of design considerations for using lipid-based NPs, polymer-based NPs, and inorganic NPs to improve the efficacy and safety of siRNA delivery. We focus on the chemical structure modification of carriers and NP formulation optimization, NP surface modifications to target breast cancer cells, and the linking strategy and intracellular release of siRNA. As a practical example, recent advances in the development of siRNA therapeutics for treating breast cancer are discussed, with a focus on inhibiting cancer growth, overcoming drug resistance, inhibiting metastasis, and enhancing immunotherapy.

摘要

利用小干扰 RNA(siRNA)作为治疗癌症的手段,这种疾病在很大程度上是由遗传异常驱动的,显示出巨大的前景。然而,由于其在系统给药后生物利用度有限,将 siRNA 疗法应用于临床实践具有挑战性。解决这个问题的一种有吸引力的方法是使用纳米颗粒(NP)递送平台,该平台可以保护 siRNA 并将其递送到靶细胞的细胞质中。我们提供了使用基于脂质的 NP、基于聚合物的 NP 和基于无机的 NP 来提高 siRNA 递送的功效和安全性的设计考虑因素概述。我们专注于载体的化学结构修饰和 NP 配方优化、NP 表面修饰以靶向乳腺癌细胞,以及 siRNA 的连接策略和细胞内释放。作为一个实际的例子,讨论了用于治疗乳腺癌的 siRNA 治疗剂的最新进展,重点是抑制癌症生长、克服耐药性、抑制转移和增强免疫疗法。

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