Mehrdadi Soheil
Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Padua, Italy.
Adv Pharm Bull. 2023 Jul;13(3):512-520. doi: 10.34172/apb.2023.062. Epub 2022 Nov 5.
Brain, predisposed to local and metastasized tumors, has always been the focus of oncological studies. Glioblastoma multiforme (GBM), the most common invasive primary tumor of the brain, is responsible for 4% of all cancer-related deaths worldwide. Despite novel technologies, the average survival rate is 2 years. Physiological barriers such as blood-brain barrier (BBB) prevent drug molecules penetration into brain. Most of the pharmaceuticals present in the market cannot infiltrate BBB to have their maximum efficacy and this in turn imposes a major challenge. This mini review discusses GBM and physiological and biological barriers for anticancer drug delivery, challenges for drug delivery across BBB, drug delivery strategies focusing on SLNs and NLCs and their medical applications in on-going clinical trials. Numerous nanomedicines with various characteristics have been introduced in the last decades to overcome the delivery challenge. Solid lipid nanoparticles (SLNs) and nanostructured lipid carriers (NLCs) were introduced as oral drug delivery nanomedicines which can be encapsulated by both hydrophilic and lipophilic pharmaceutical compounds. Their biocompatibility, biodegradability, lower toxicity and side effects, enhanced bioavailability, solubility and permeability, prolonged half-life and stability and finally tissue-targeted drug delivery makes them unique among all.
大脑易患局部肿瘤和转移性肿瘤,一直是肿瘤学研究的重点。多形性胶质母细胞瘤(GBM)是最常见的侵袭性原发性脑肿瘤,占全球所有癌症相关死亡人数的4%。尽管有新技术,但平均存活率仅为2年。血脑屏障(BBB)等生理屏障会阻止药物分子进入大脑。市面上的大多数药物无法渗透血脑屏障以发挥其最大功效,这反过来带来了重大挑战。本综述讨论了GBM以及抗癌药物递送的生理和生物屏障、跨越血脑屏障的药物递送挑战、聚焦于固体脂质纳米粒(SLNs)和纳米结构脂质载体(NLCs)的药物递送策略及其在正在进行的临床试验中的医学应用。在过去几十年里,人们引入了许多具有不同特性的纳米药物来克服递送挑战。固体脂质纳米粒(SLNs)和纳米结构脂质载体(NLCs)被引入作为口服药物递送纳米药物,它们可以被亲水性和亲脂性药物化合物包裹。它们的生物相容性、生物可降解性、较低的毒性和副作用、提高的生物利用度、溶解度和渗透性、延长的半衰期和稳定性,以及最终的组织靶向药物递送使它们在所有纳米药物中独树一帜。