Ding Ling, Agrawal Prachi, Singh Sandeep K, Chhonker Yashpal S, Sun Jingjing, Murry Daryl J
Clinical Pharmacology Laboratory, Department of Pharmacy Practice and Science, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Polymers (Basel). 2024 Mar 19;16(6):843. doi: 10.3390/polym16060843.
Chemotherapy together with surgery and/or radiotherapy are the most common therapeutic methods for treating cancer. However, the off-target effects of chemotherapy are known to produce side effects and dose-limiting toxicities. Novel delivery platforms based on natural and synthetic polymers with enhanced pharmacokinetic and therapeutic potential for the treatment of cancer have grown tremendously over the past 10 years. Polymers can facilitate selective targeting, enhance and prolong circulation, improve delivery, and provide the controlled release of cargos through various mechanisms, including physical adsorption, chemical conjugation, and/or internal loading. Notably, polymers that are biodegradable, biocompatible, and physicochemically stable are considered to be ideal delivery carriers. This biomimetic and bio-inspired system offers a bright future for effective drug delivery with the potential to overcome the obstacles encountered. This review focuses on the barriers that impact the success of chemotherapy drug delivery as well as the recent developments based on natural and synthetic polymers as platforms for improving drug delivery for treating cancer.
化疗与手术和/或放疗一起是治疗癌症最常见的治疗方法。然而,已知化疗的脱靶效应会产生副作用和剂量限制性毒性。在过去10年中,基于天然和合成聚合物的新型递送平台在治疗癌症方面具有增强的药代动力学和治疗潜力,得到了极大的发展。聚合物可以通过各种机制促进选择性靶向、增强和延长循环、改善递送并实现货物的控释,这些机制包括物理吸附、化学偶联和/或内部装载。值得注意的是,可生物降解、生物相容且物理化学稳定的聚合物被认为是理想的递送载体。这种仿生和受生物启发的系统为有效的药物递送提供了光明的未来,有可能克服所遇到的障碍。本综述重点关注影响化疗药物递送成功的障碍,以及基于天然和合成聚合物作为改善癌症治疗药物递送平台的最新进展。