Cellular and Molecular Research Center, Research Institute for Prevention of Non-Communicable Disease, Qazvin University of Medical Sciences, Qazvin, Iran.
USERN Office, Qazvin University of Medical Science, Qazvin, Iran.
J Drug Target. 2024 Dec;32(10):1207-1232. doi: 10.1080/1061186X.2024.2389892. Epub 2024 Aug 12.
Cancer is a leading cause of death worldwide, and imposes a substantial socioeconomic burden with little impact especially on aggressive types of cancer. Conventional therapies have many serious side effects including generalised systemic toxicity which limits their long-term use. Tumour resistance and recurrence is another main problem associated with conventional therapy. Purified or extracted natural products have been investigated as cost-effective cancer chemoprotective agents with the potential to reverse or delaying carcinogenesis. Curcumin (CUR) as a natural polyphenolic component, exhibits many pharmacological activities such as anti-cancer, anti-inflammatory, anti-microbial, activity against neurodegenerative diseases including Alzheimer, antidiabetic activities (type II diabetes), anticoagulant properties, wound healing effects in both preclinical and clinical studies. Despite these effective protective properties, CUR has several limitations, including poor aqueous solubility, low bioavailability, chemical instability, rapid metabolism and a short half-life time. To overcome the pharmaceutical problems associated with free CUR, novel nanomedicine strategies (including polymeric nanoparticles (NPs) such as poly (lactic-co-glycolic acid) (PLGA) NPs have been developed. These formulations have the potential to improve the therapeutic efficacy of curcuminoids. In this review, we comprehensively summarise and discuss recent and studies to explore the pharmaceutical significance and clinical benefits of PLGA-NPs delivery system to improve the efficacy of CUR in the treatment of cancer.
癌症是全球主要的死亡原因之一,对社会经济造成了巨大负担,特别是对侵袭性癌症的影响有限。传统疗法有许多严重的副作用,包括全身性毒性,限制了它们的长期使用。肿瘤耐药和复发是与传统治疗相关的另一个主要问题。已研究了纯化或提取的天然产物作为具有成本效益的癌症化学预防剂,具有逆转或延缓致癌作用的潜力。姜黄素(CUR)作为一种天然多酚成分,具有许多药理活性,如抗癌、抗炎、抗微生物、对抗神经退行性疾病(包括阿尔茨海默病)、抗糖尿病活性(II 型糖尿病)、抗凝特性、在临床前和临床研究中都有伤口愈合作用。尽管具有这些有效的保护特性,但 CUR 存在几个限制,包括水溶解度差、生物利用度低、化学不稳定性、快速代谢和半衰期短。为了克服游离 CUR 相关的药物问题,已经开发了新型纳米医学策略(包括聚合物纳米粒子(NPs),如聚(乳酸-共-羟基乙酸)(PLGA)NPs。这些制剂有可能提高姜黄素类药物的治疗效果。在这篇综述中,我们全面总结和讨论了最近的研究,以探索 PLGA-NPs 给药系统在提高 CUR 治疗癌症疗效方面的药物意义和临床益处。
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