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载 RNA 纳米颗粒治疗血液系统恶性肿瘤。

RNA-loaded nanoparticles for the treatment of hematological cancers.

机构信息

Department of Pharmaceutical Sciences, School of Pharmacy and Nutrition, Universidad de Navarra, C/Irunlarrea 1, 31008 Pamplona, Spain; Instituto de Investigación Sanitaria de Navarra, IdiSNA, C/Irunlarrea 3, 31008 Pamplona, Spain; Cancer Center Clinica Universidad de Navarra (CCUN). Avenida Pio XII 36, 31008 Pamplona, Spain.

Department of Pharmaceutical Sciences, School of Pharmacy and Nutrition, Universidad de Navarra, C/Irunlarrea 1, 31008 Pamplona, Spain; Instituto de Investigación Sanitaria de Navarra, IdiSNA, C/Irunlarrea 3, 31008 Pamplona, Spain.

出版信息

Adv Drug Deliv Rev. 2024 Nov;214:115448. doi: 10.1016/j.addr.2024.115448. Epub 2024 Sep 18.

Abstract

Hematological cancers encompass a diverse group of malignancies affecting the blood, bone marrow, lymph nodes, and spleen. These disorders present unique challenges due to their complex etiology and varied clinical manifestations. Despite significant advancements in understanding and treating hematological malignancies, innovative therapeutic approaches are continually sought to enhance patient outcomes. This review highlights the application of RNA nanoparticles (RNA-NPs) in the treatment of hematological cancers. We delve into detailed discussions on in vitro and preclinical studies involving RNA-NPs for adult patients, as well as the application of RNA-NPs in pediatric hematological cancer. The review also addresses ongoing clinical trials involving RNA-NPs and explores the emerging field of CAR-T therapy engineered by RNA-NPs. Finally, we discuss the challenges still faced in translating RNA-NP research to clinics.

摘要

血液系统恶性肿瘤包括一组影响血液、骨髓、淋巴结和脾脏的多种恶性肿瘤。由于其复杂的病因和不同的临床表现,这些疾病带来了独特的挑战。尽管在理解和治疗血液系统恶性肿瘤方面取得了重大进展,但仍在不断寻求创新的治疗方法,以提高患者的治疗效果。本综述重点介绍了 RNA 纳米颗粒(RNA-NPs)在血液系统恶性肿瘤治疗中的应用。我们深入讨论了涉及成人患者的 RNA-NPs 的体外和临床前研究,以及 RNA-NPs 在儿科血液系统恶性肿瘤中的应用。本综述还介绍了涉及 RNA-NPs 的正在进行的临床试验,并探讨了由 RNA-NPs 工程化的 CAR-T 治疗这一新兴领域。最后,我们讨论了将 RNA-NP 研究转化为临床应用所面临的挑战。

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