Shahzad Maria, Hameed Huma, Amjad Ayesha, Khan Mahtab Ahmad, Qureshi Inaba Shujaat, Hameed Anam, Saeed Asad, Munir Rabia
Faculty of Pharmaceutical Sciences, University of Central Punjab (UCP), Lahore, 54000, Pakistan.
Faculty of Food Technology and Nutrition Sciences, Lahore University of Biological and Applied Sciences, Lahore, 54000, Pakistan.
Naunyn Schmiedebergs Arch Pharmacol. 2025 Mar;398(3):2107-2125. doi: 10.1007/s00210-024-03482-0. Epub 2024 Oct 3.
Globally, colorectal cancer (CRC) continues to rank among the leading causes of cancer-related death. Systemic toxicity, multidrug resistance, and nonspecific targeting often pose challenges to conventional therapy for CRC. Because it is a complex disease with a complex genetic and environmental pathophysiology, advanced therapeutic strategies are needed. Nanotechnology presents a potential solution that may maximize therapeutic efficacy while minimizing negative effects by enabling personalized delivery of anticancer drugs. This review focuses on recent developments in colorectal drug delivery systems based on nanotechnology. Numerous nanomaterials, including liposomes, dendrimers, micelles, exosomes, and gold nanoparticles, are developed and used. Distinctive characteristics of mentioned nanocarriers are discussed along with strategies that can be employed for enhancing the delivery of drugs to colorectal cancer cells. The review also quotes the most relevant preclinical and clinical studies that show how these nanomaterials improve drug solubility, stability, and targeted delivery while overcoming the shortcomings of conventional therapies. Nanotechnology has made CRC treatment very efficient and advanced, which has opened up new possibilities for targeted drug delivery. Preclinical and clinical studies have also proved that the use of nano-formulations in colon-specific delivery systems have significant results, indicating potential for better patient outcomes. Future research can be done in order to overcome the hurdles regarding biocompatibility, expansion, and regulatory challenges. Large-scale clinical trials and nanomaterial formulation optimization should be the main goals of future research to confirm the efficacy and safety of these novel treatments.
在全球范围内,结直肠癌(CRC)仍然是癌症相关死亡的主要原因之一。全身毒性、多药耐药性和非特异性靶向性常常给CRC的传统治疗带来挑战。由于它是一种具有复杂遗传和环境病理生理学的复杂疾病,因此需要先进的治疗策略。纳米技术提供了一种潜在的解决方案,通过实现抗癌药物的个性化递送,可以在将负面影响降至最低的同时使治疗效果最大化。本综述重点关注基于纳米技术的结直肠癌药物递送系统的最新进展。人们开发并使用了多种纳米材料,包括脂质体、树枝状大分子、胶束、外泌体和金纳米颗粒。文中讨论了上述纳米载体的独特特性以及可用于增强药物向结直肠癌细胞递送的策略。该综述还引用了最相关的临床前和临床研究,这些研究展示了这些纳米材料如何在克服传统疗法缺点的同时提高药物的溶解度、稳定性和靶向递送。纳米技术使CRC治疗变得非常高效和先进,为靶向药物递送开辟了新的可能性。临床前和临床研究也证明,在结肠特异性递送系统中使用纳米制剂具有显著效果,表明有望取得更好的患者治疗结果。未来的研究可以致力于克服生物相容性、扩大规模和监管方面的挑战。大规模临床试验和纳米材料制剂优化应是未来研究的主要目标,以确认这些新疗法的疗效和安全性。