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综述配体靶向脂质体作为三阴性乳腺癌治疗中递药系统的近期临床前和临床研究。

Review of recent preclinical and clinical research on ligand-targeted liposomes as delivery systems in triple negative breast cancer therapy.

机构信息

Department of Pharmacy, Laboratory of Pharmaceutical Technology, University of Patras, Patras, Greece.

Department of Pharmaceutics, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Liposome Res. 2024 Dec;34(4):671-696. doi: 10.1080/08982104.2024.2325963. Epub 2024 Mar 23.

DOI:10.1080/08982104.2024.2325963
PMID:38520185
Abstract

Triple-negative breast Cancer (TNBC) is one of the deadliest types, making up about 20% of all breast cancers. Chemotherapy is the traditional manner of progressed TNBC treatment; however, it has a short-term result with a high reversibility pace. The lack of targeted treatment limited and person-dependent treatment options for those suffering from TNBC cautions to be the worst type of cancer among breast cancer patients. Consequently, appropriate treatment for this disease is considered a major clinical challenge. Therefore, various treatment methods have been developed to treat TNBC, among which chemotherapy is the most common and well-known approach recently studied. Although effective methods are chemotherapies, they are often accompanied by critical limitations, especially the lack of specific functionality. These methods lead to systematic toxicity and, ultimately, the expansion of multidrug-resistant (MDR) cancer cells. Therefore, finding novel and efficient techniques to enhance the targeting of TNBC treatment is an essential requirement. Liposomes have demonstrated that they are an effective method for drug delivery; however, among a large number of liposome-based drug delivery systems annually developed, a small number have just received authorization for clinical application. The new approaches to using liposomes target their structure with various ligands to increase therapeutic efficiency and diminish undesired side effects on various body tissues. The current study describes the most recent strategies and research associated with functionalizing the liposomes' structure with different ligands as targeted drug carriers in treating TNBCs in preclinical and clinical stages.

摘要

三阴性乳腺癌(TNBC)是最致命的乳腺癌类型之一,约占所有乳腺癌的 20%。化疗是治疗进展期 TNBC 的传统方法;然而,它的短期效果好,但逆转率高。针对 TNBC 的靶向治疗方法有限,且因人而异,这使得 TNBC 患者成为乳腺癌患者中预后最差的类型。因此,对于这种疾病的适当治疗被认为是一个主要的临床挑战。因此,已经开发了各种治疗方法来治疗 TNBC,其中化疗是最近研究最多的最常见和最知名的方法。尽管有效的方法是化疗,但它们往往伴随着严重的局限性,特别是缺乏特异性。这些方法会导致系统毒性,最终导致多药耐药(MDR)癌细胞的扩增。因此,寻找新的有效的技术来增强 TNBC 治疗的靶向性是一个必要的要求。脂质体已被证明是一种有效的药物递送方法;然而,在每年开发的大量基于脂质体的药物递送系统中,只有少数获得了临床应用的批准。使用脂质体的新方法是靶向其结构与各种配体结合,以提高治疗效率并减少对各种身体组织的不良副作用。本研究描述了最近在临床前和临床阶段使用脂质体作为靶向药物载体治疗 TNBC 的各种配体功能化结构的策略和研究。

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