Gharavi Abdulwahab Teflischi, Irian Saeed, Niknejad Azadeh, Parang Keykavous, Salimi Mona
Department of Cell and Molecular Sciences, Faculty of Biological Sciences, Kharazmi University, Tehran, Iran.
Department of Physiology and Pharmacology, Pasteur Institute of Iran, Tehran, Iran.
Mol Ther Oncol. 2024 Apr 6;32(2):200800. doi: 10.1016/j.omton.2024.200800. eCollection 2024 Jun 20.
Breast cancer remains a significant global health concern, emphasizing the critical need for effective treatment strategies, especially targeted therapies. This systematic review summarizes the findings from and studies regarding the therapeutic potential of exosomes as drug delivery platforms in the field of breast cancer treatment. A comprehensive search was conducted across bibliographic datasets, including Web of Science, PubMed, and Scopus, using relevant queries from several related published articles and the Medical Subject Headings Database. Then, all morphological, biomechanical, histopathological, and cellular-molecular outcomes were systematically collected. A total of 30 studies were identified based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. These studies underwent assessment using the Systematic Review Centre for Laboratory Animal Experimentation risk of bias assessment tool. The results indicate that exosomes exhibit promise as effective drug delivery platforms, capable of hindering cancer cell viability, proliferation, migration, and angiogenesis. However, a comprehensive assessment is challenging due to some studies deviating from guidelines and having incomplete methodology. Addressing these, future studies should detail methodologies, optimize dosing, and enhance exosome production. Standardization in reporting, consistent protocols, and exploration of alternative sources are crucial.
乳腺癌仍然是一个重大的全球健康问题,这凸显了对有效治疗策略,尤其是靶向治疗的迫切需求。本系统综述总结了关于外泌体作为乳腺癌治疗领域药物递送平台的治疗潜力的研究结果。使用来自几篇相关已发表文章和医学主题词数据库的相关查询词,对包括科学网、PubMed和Scopus在内的书目数据集进行了全面检索。然后,系统地收集了所有形态学、生物力学、组织病理学和细胞分子学结果。根据系统评价和Meta分析的首选报告项目指南,共确定了30项研究。这些研究使用实验室动物实验系统评价中心偏倚风险评估工具进行评估。结果表明,外泌体作为有效的药物递送平台具有潜力,能够阻碍癌细胞的活力、增殖、迁移和血管生成。然而,由于一些研究偏离指南且方法不完整,进行全面评估具有挑战性。解决这些问题,未来的研究应详细说明方法、优化给药剂量并提高外泌体产量。报告的标准化、一致的方案以及替代来源的探索至关重要。