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聚合物功能化脂质体在靶向结肠癌治疗中的策略进展:临床试验数据的最新综述及未来展望。

Strategic Developments in Polymer-Functionalized Liposomes for Targeted Colon Cancer Therapy: An Updated Review of Clinical Trial Data and Future Horizons.

机构信息

Department of Pharmacology & Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Hajipur 844102, India.

Pharmaceutical Nanotechnology lab, Institute of Nano Science and Technology (INST), Sector 81, Mohali, Punjab 140306, India.

出版信息

Biomacromolecules. 2024 Sep 9;25(9):5650-5669. doi: 10.1021/acs.biomac.4c00847. Epub 2024 Aug 20.

Abstract

Liposomes, made up of phospholipid bilayers, are efficient nanocarriers for drug delivery because they can encapsulate both hydrophilic and lipophilic drugs. Conventional cancer treatments sometimes involve considerable toxicities and adverse drug reactions (ADRs), which limits their clinical value. Despite liposomes' promise in addressing these concerns, clinical trials have revealed significant limitations, including stability, targeted distribution, and scaling challenges. Recent clinical trials have focused on enhancing liposome formulations to increase therapeutic efficacy while minimizing negative effects. Notably, the approval of liposomal medications like Doxil demonstrates their potential in cancer treatment. However, the intricacy of liposome preparation and the requirement for comprehensive regulatory approval remain substantial impediments. Current clinical trial updates show continued efforts to improve liposome stability, targeting mechanisms, and payload capacity in order to address these issues. The future of liposomal drug delivery in cancer therapy depends on addressing these challenges in order to provide patients with more effective and safer treatment alternatives.

摘要

脂质体由磷脂双分子层组成,是有效的药物递送纳米载体,因为它们可以包裹亲水性和疏水性药物。传统的癌症治疗有时会涉及相当大的毒性和药物不良反应(ADR),这限制了它们的临床价值。尽管脂质体在解决这些问题方面具有很大的潜力,但临床试验揭示了其存在显著的局限性,包括稳定性、靶向分布和规模化挑战。最近的临床试验侧重于增强脂质体配方,以提高治疗效果,同时最小化负面影响。值得注意的是,脂质体药物如多柔比星脂质体的批准证明了它们在癌症治疗中的潜力。然而,脂质体的制备复杂性和全面监管批准的要求仍然是重大障碍。目前的临床试验更新显示,人们仍在努力提高脂质体的稳定性、靶向机制和有效载荷能力,以解决这些问题。脂质体药物递送在癌症治疗中的未来取决于解决这些挑战,以便为患者提供更有效和更安全的治疗选择。

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