Department of Radiation Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, 230031, China.
Research Center, The Huizhou Central People's Hospital, Guangdong Medical University, No. 41 Eling North Road, Huizhou, Guangdong, China.
J Transl Med. 2024 Sep 30;22(1):879. doi: 10.1186/s12967-024-05490-3.
Hydrogels are promising candidates for the delivery of therapeutics in the treatment of human cancers. Regarding to the biocomaptiiblity, high drug and encapsulation efficacy and adjustable physico-chemical features, the hydrogels have been widely utilized for the delivery of chemotherapy drugs. Doxorubicin (DOX) is one of the most common chemotherapy drugs used in cancer therapy through impairing topoisomerase II function and increasing oxidative damage. However, the tumor cells have developed resistance into DOX-mediated cytotoxic impacts, requiring the delivery systems to increase internalization and anti-cancer activity of this drug. The hydrogels can deliver DOX in a sustained manner to maximize its anti-cancer activity, improving cancer elimination and reduction in side effects and drug resistance. The natural-based hydrogels such as chitosan, alginate and gelatin hydrogels have shown favourable biocompatibility and degradability in DOX delivery for tumor suppression. The hydrogels are able to co-deliver DOX with other drugs or genes to enhance drug sensitivity and mediate polychemotherapy, synergistically suppressing cancer progression. The incorporation of nanoparticles in the structure of hydrogels can improve the sustained release of DOX and enhancing intracellular internalization, accelerating DOX's cytotoxicity. Furthermore, the stimuli-responsive hydrogels including pH-, redox- and thermo-sensitive platforms are able to improve the specific release of DOX at the tumor site. The DOX-loaded hydrogels can be further employed in the clinic for the treatment of cancer patients and improving efficacy of chemotherapy.
水凝胶是治疗人类癌症的治疗药物传递的有前途的候选物。由于具有生物相容性、高药物和包封效率以及可调节的物理化学特性,水凝胶已广泛用于化疗药物的传递。阿霉素(DOX)是癌症治疗中最常用的化疗药物之一,通过破坏拓扑异构酶 II 功能和增加氧化损伤来发挥作用。然而,肿瘤细胞已经对 DOX 介导的细胞毒性作用产生了耐药性,这就需要输送系统来增加这种药物的内化和抗癌活性。水凝胶可以以持续的方式输送 DOX,以最大限度地发挥其抗癌活性,从而提高癌症消除率并降低副作用和耐药性。天然水凝胶,如壳聚糖、海藻酸盐和明胶水凝胶,在 DOX 传递用于肿瘤抑制方面表现出良好的生物相容性和可降解性。水凝胶能够与其他药物或基因共传递 DOX,以提高药物敏感性并介导多化疗,协同抑制癌症进展。将纳米颗粒纳入水凝胶的结构中可以改善 DOX 的持续释放并增强细胞内内化,从而加速 DOX 的细胞毒性。此外,pH 值、氧化还原和温度敏感平台等刺激响应性水凝胶能够提高 DOX 在肿瘤部位的特异性释放。负载 DOX 的水凝胶可进一步用于临床治疗癌症患者并提高化疗效果。
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