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丹参(Danshen)为基础的纳米递药系统用于抗癌治疗。

Salvia miltiorrhiza Bunge (Danshen) based nano-delivery systems for anticancer therapeutics.

机构信息

Department of Pharmacy, The Air Force Hospital of Eastern Theater Command, Nanjing, 210002, China.

Department of Traditional Chinese Medicine, The Air Force Hospital of Eastern Theater Command, Nanjing, 210002, China.

出版信息

Phytomedicine. 2024 Jun;128:155521. doi: 10.1016/j.phymed.2024.155521. Epub 2024 Mar 8.

Abstract

BACKGROUND

The ancient Chinese herb Salvia miltiorrhiza Bunge (Danshen), plays the important role in cardiovascular and cerebrovascular disease. Furthermore, Danshen could also be used for curing carcinogenesis. Up to now, the anti-tumor effects of the main active constituents of Danshen have made great progress. However, the bioavailability of the active constituents of Danshen were restricted by their unique physical characteristics, like low oral bioavailability, rapid degradation in vivo and so on.

PURPOSE

With the leap development of nano-delivery systems, the shortcomings of the active constituents of Danshen have been greatly ameliorated. This review tried to summarize the recent progress of the active constituents of Danshen based delivery systems used for anti-tumor therapeutics.

METHODS

A systematic literature search was conducted using 5 databases (Embase, Google scholar, PubMed, Scopus and Web of Science databases) for the identification of relevant data published before September 2023. The words "Danshen", "Salvia miltiorrhiza", "Tanshinone", "Salvianolic acid", "Rosmarinic acid", "tumor", "delivery", "nanomedicine" and other active ingredients contained in Danshen were searched in the above databases to gather information about pharmaceutical decoration for the active constituents of Danshen used for anti-tumor therapeutics.

RESULTS

The main extracts of Danshen could inhibit the proliferation of tumor cells effectively and a great deal of studies were conducted to design drug delivery systems to ameliorate the anti-tumor effect of the active contents of Danshen through different ways, like improving bioavailability, increasing tumor targeting ability, enhancing biological barrier permeability and co-delivering with other active agents.

CONCLUSION

This review systematically represented recent progress of pharmaceutical decorations for the active constituents of Danshen used for anti-tumor therapeutics, revealing the diversity of nano-decoration skills and trying to inspire more designs of Danshen based nanodelivery systems, with the hope that bringing the nanomedicine of the active constituents of Danshen for anti-tumor therapeutics from bench to bedside in the near future.

摘要

背景

中国古代草药丹参(Danshen)在心血管和脑血管疾病中起着重要作用。此外,丹参还可用于治疗癌症发生。到目前为止,丹参主要活性成分的抗肿瘤作用已经取得了很大进展。然而,丹参活性成分的生物利用度受到其独特物理特性的限制,例如口服生物利用度低、体内快速降解等。

目的

随着纳米递药系统的飞跃发展,丹参活性成分的缺点得到了极大改善。本综述试图总结基于丹参的递药系统在抗肿瘤治疗中的最新进展。

方法

通过 5 个数据库(Embase、Google scholar、PubMed、Scopus 和 Web of Science 数据库)进行系统文献检索,以确定 2023 年 9 月之前发表的相关数据。在上述数据库中搜索“丹参”、“丹参”、“丹参酮”、“丹参酸”、“迷迭香酸”、“肿瘤”、“递药”、“纳米医学”和丹参中包含的其他活性成分等词,以收集关于用于抗肿瘤治疗的丹参活性成分的药物修饰信息。

结果

丹参的主要提取物能有效抑制肿瘤细胞的增殖,大量研究通过不同的方法设计药物递药系统来改善丹参活性成分的抗肿瘤作用,如提高生物利用度、增加肿瘤靶向能力、增强生物屏障通透性和与其他活性药物共递。

结论

本综述系统地展示了用于抗肿瘤治疗的丹参活性成分的药物修饰的最新进展,揭示了纳米修饰技术的多样性,并试图激发更多的丹参纳米递药系统设计,希望在不久的将来将丹参活性成分的纳米医学从实验室推向临床。

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