Liu Yuanyuan, Yu Shanwu, Chen Yixiang, Hu Zhihong, Fan Lingling, Liang Gaofeng
College of Basic Medicine and Forensic Medicine, Henan University of Science and Technology, Luoyang, Henan, China.
College of Horticulture and Plant Protection, Henan University of Science and Technology, Luoyang, Henan, China.
Front Pharmacol. 2024 Apr 16;15:1376955. doi: 10.3389/fphar.2024.1376955. eCollection 2024.
Hematologic malignancies (HMs), also referred to as hematological or blood cancers, pose significant threats to patients as they impact the blood, bone marrow, and lymphatic system. Despite significant clinical strategies using chemotherapy, radiotherapy, stem cell transplantation, targeted molecular therapy, or immunotherapy, the five-year overall survival of patients with HMs is still low. Fortunately, recent studies demonstrate that the nanodrug delivery system holds the potential to address these challenges and foster effective anti-HMs with precise treatment. In particular, cell membrane camouflaged nanodrug offers enhanced drug targeting, reduced toxicity and side effects, and/or improved immune response to HMs. This review firstly introduces the merits and demerits of clinical strategies in HMs treatment, and then summarizes the types, advantages, and disadvantages of current nanocarriers helping drug delivery in HMs treatment. Furthermore, the types, functions, and mechanisms of cell membrane fragments that help nanodrugs specifically targeted to and accumulate in HM lesions are introduced in detail. Finally, suggestions are given about their clinical translation and future designs on the surface of nanodrugs with multiple functions to improve therapeutic efficiency for cancers.
血液系统恶性肿瘤(HMs),也被称为血液学癌症或血癌,由于其影响血液、骨髓和淋巴系统,对患者构成了重大威胁。尽管采用化疗、放疗、干细胞移植、靶向分子治疗或免疫治疗等有重要的临床策略,但HMs患者的五年总生存率仍然很低。幸运的是,最近的研究表明,纳米药物递送系统有潜力应对这些挑战,并通过精确治疗促进有效的抗HMs治疗。特别是,细胞膜伪装纳米药物具有增强的药物靶向性、降低的毒性和副作用,以及/或者改善对HMs的免疫反应。本综述首先介绍了HMs治疗中临床策略的优缺点,然后总结了当前有助于HMs治疗中药物递送的纳米载体的类型、优点和缺点。此外,还详细介绍了有助于纳米药物特异性靶向并积聚在HM病变中的细胞膜片段的类型、功能和机制。最后,针对其临床转化以及未来在纳米药物表面进行多功能设计以提高癌症治疗效率提出了建议。