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用于癌症治疗中植物化学物质递送的刺激响应(纳米)架构。

Stimuli-responsive (nano)architectures for phytochemical delivery in cancer therapy.

机构信息

Department of Food Hygiene and Quality Control, Division of Epidemiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.

Faculty of Veterinary Medicine, Islamic Azad University, Shahr-e kord Branch, Chaharmahal and Bakhtiari, Iran.

出版信息

Biomed Pharmacother. 2023 Oct;166:115283. doi: 10.1016/j.biopha.2023.115283. Epub 2023 Aug 9.

Abstract

The use of phytochemicals for purpose of cancer therapy has been accelerated due to resistance of tumor cells to conventional chemotherapy drugs and therefore, monotherapy does not cause significant improvement in the prognosis and survival of patients. Therefore, administration of natural products alone or in combination with chemotherapy drugs due to various mechanisms of action has been suggested. However, cancer therapy using phytochemicals requires more attention because of poor bioavailability of compounds and lack of specific accumulation at tumor site. Hence, nanocarriers for specific delivery of phytochemicals in tumor therapy has been suggested. The pharmacokinetic profile of natural products and their therapeutic indices can be improved. The nanocarriers can improve potential of natural products in crossing over BBB and also, promote internalization in cancer cells through endocytosis. Moreover, (nano)platforms can deliver both natural and synthetic anti-cancer drugs in combination cancer therapy. The surface functionalization of nanostructures with ligands improves ability in internalization in tumor cells and improving cytotoxicity of natural compounds. Interestingly, stimuli-responsive nanostructures that respond to endogenous and exogenous stimuli have been employed for delivery of natural compounds in cancer therapy. The decrease in pH in tumor microenvironment causes degradation of bonds in nanostructures to release cargo and when changes in GSH levels occur, it also mediates drug release from nanocarriers. Moreover, enzymes in the tumor microenvironment such as MMP-2 can mediate drug release from nanocarriers and more progresses in targeted drug delivery obtained by application of nanoparticles that are responsive to exogenous stimulus including light.

摘要

由于肿瘤细胞对传统化疗药物的耐药性,植物化学物质在癌症治疗中的应用得到了加速,因此,单一疗法不能显著改善患者的预后和生存率。因此,由于作用机制的多样性,已经有人建议单独使用天然产物或与化疗药物联合使用。然而,由于化合物的生物利用度差和缺乏在肿瘤部位的特异性积累,使用植物化学物质进行癌症治疗需要更多的关注。因此,已经有人提出了用于在肿瘤治疗中特异性递送植物化学物质的纳米载体。可以改善天然产物的药代动力学特征和治疗指数。纳米载体可以提高天然产物穿过血脑屏障的潜力,并且通过内吞作用促进在癌细胞中的内化。此外,(纳米)平台可以在联合癌症治疗中递送天然和合成抗癌药物。通过将配体表面功能化到纳米结构上,可以提高在肿瘤细胞中的内化能力,并提高天然化合物的细胞毒性。有趣的是,已经使用对外源和内源性刺激有响应的刺激响应型纳米结构来递送天然化合物用于癌症治疗。肿瘤微环境中 pH 值的降低会导致纳米结构中键的降解以释放货物,而当 GSH 水平发生变化时,它也会介导纳米载体中药物的释放。此外,肿瘤微环境中的酶(如 MMP-2)可以介导纳米载体中的药物释放,并且通过应用对外源刺激(包括光)有响应的纳米粒子进行靶向药物递送方面取得了更多进展。

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