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探索信号通路并利用创新方法为皮肤癌定制多方面的治疗方法。

Reconnoitring signaling pathways and exploiting innovative approaches tailoring multifaceted therapies for skin cancer.

机构信息

Department of Pharmaceutics, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal 576104, Karnataka State, India.

Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research (NIPER), Hyderabad, India.

出版信息

Int J Pharm. 2024 Nov 15;665:124719. doi: 10.1016/j.ijpharm.2024.124719. Epub 2024 Sep 16.

DOI:10.1016/j.ijpharm.2024.124719
PMID:39293575
Abstract

Nowadays, skin cancer is widespread just like a varied malignant cancer which can cause serious health issues. Skin cancer, which encompasses malignant melanoma, basal cell carcinoma, and squamous cell carcinoma, is a prevalent form of cancer among humans. Due to its broad prevalence, financial burden, mortality rates, and cosmetic effects, it is a major public health issue. Skin cancer treatment involves surgery, chemotherapy, and radiation. Recently, personalized treatment in the fields of targeted therapies and precision medicine has been shown to diagnose early detection of every individual tumor by knowing their genetic and molecular characteristics. To target the molecular pathways responsible for tumor growth and reduce the damage to healthy tissue, new targeted therapies have emerged for melanoma, basal cell carcinoma, and squamous cell carcinoma. B-raf serine/threonine kinase (BRAF) and mitogen-activated protein kinase (MEK) inhibitors, immune checkpoint inhibitors, and precision medications have strong response rates to improve patient survival. Targeted therapeutics like nanocarriers have shown promising results by reducing skin irritation and protecting encapsulated therapeutics. These formulations have been shown to improve the transdermal permeability of anticancer drugs. The consideration of employing physical techniques to enhance the permeation of nanocarriers warrants attention to augment the dermal permeation of anticancer agents and facilitate targeted drug delivery within neoplastic cells. Targeted therapies face obstacles like resistance mechanisms and treatment strategy monitoring. Taken together, this review delves into the basic mechanisms of skin cancer, current treatment methods, drug resistance processes, and nano-based targeted techniques for cancer treatment. It will also delineate the challenges and perspectives in pre-clinical and clinical contexts.

摘要

如今,皮肤癌像多种恶性癌症一样广泛存在,可能导致严重的健康问题。皮肤癌包括恶性黑色素瘤、基底细胞癌和鳞状细胞癌,是人类中常见的癌症形式。由于其广泛的流行率、经济负担、死亡率和美容影响,它是一个主要的公共卫生问题。皮肤癌的治疗包括手术、化疗和放疗。最近,针对靶向治疗和精准医学的个性化治疗已经表明,通过了解个体肿瘤的遗传和分子特征,可以早期发现每个肿瘤。为了针对肿瘤生长负责的分子途径,并减少对健康组织的损伤,已经出现了针对黑色素瘤、基底细胞癌和鳞状细胞癌的新的靶向治疗方法。B-raf 丝氨酸/苏氨酸激酶(BRAF)和丝裂原活化蛋白激酶(MEK)抑制剂、免疫检查点抑制剂和精准药物对提高患者生存率有很强的反应率。像纳米载体这样的靶向治疗方法已经显示出有希望的结果,减少了皮肤刺激并保护了包裹的治疗药物。这些制剂已被证明可以提高抗癌药物的经皮渗透性。考虑采用物理技术来增强纳米载体的渗透性能引起人们关注,以增加抗癌药物在皮肤中的渗透,并促进肿瘤细胞内的靶向药物递送。靶向治疗面临着耐药机制和治疗策略监测等障碍。总的来说,这篇综述深入探讨了皮肤癌的基本机制、当前的治疗方法、耐药过程以及用于癌症治疗的基于纳米的靶向技术。它还将描述临床前和临床背景下的挑战和前景。

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