Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Front Immunol. 2024 Oct 11;15:1427573. doi: 10.3389/fimmu.2024.1427573. eCollection 2024.
Ovarian cancer (OC) is one of the deadliest gynecological malignancies in the world and is the leading cause of cancer-related death in women. The complexity and difficult-to-treat nature of OC pose a huge challenge to the treatment of the disease, Therefore, it is critical to find green and sustainable drug treatment options. Natural drugs have wide sources, many targets, and high safety, and are currently recognized as ideal drugs for tumor treatment, has previously been found to have a good effect on controlling tumor progression and reducing the burden of metastasis. However, its clinical transformation is often hindered by structural stability, bioavailability, and bioactivity. Emerging technologies for the treatment of OC, such as photodynamic therapy, immunotherapy, targeted therapy, gene therapy, molecular therapy, and nanotherapy, are developing rapidly, particularly, nanotechnology can play a bridging role between different therapies, synergistically drive the complementary role of differentiated treatment schemes, and has a wide range of clinical application prospects. In this review, nanoscale natural drug delivery systems (NNDDS) for targeted drug delivery against OC were extensively explored. We reviewed the mechanism of action of natural drugs against OC, reviewed the morphological composition and delivery potential of drug nanocarriers based on the application of nanotechnology in the treatment of OC, and discussed the limitations of current NNDDS research. After elucidating these problems, it will provide a theoretical basis for future exploration of novel NNDDS for anti-OC therapy.
卵巢癌(OC)是世界上最致命的妇科恶性肿瘤之一,也是导致女性癌症相关死亡的主要原因。OC 的复杂性和难治性对疾病的治疗构成了巨大挑战,因此,寻找绿色可持续的药物治疗选择至关重要。天然药物来源广泛、靶点多、安全性高,目前被认为是肿瘤治疗的理想药物,先前已被发现对控制肿瘤进展和减轻转移负担有很好的效果。然而,其临床转化常常受到结构稳定性、生物利用度和生物活性的限制。新兴的 OC 治疗技术,如光动力疗法、免疫疗法、靶向治疗、基因治疗、分子治疗和纳米治疗等,正在迅速发展,特别是纳米技术可以在不同治疗方法之间起到桥梁作用,协同驱动差异化治疗方案的互补作用,具有广泛的临床应用前景。在这篇综述中,广泛探讨了针对 OC 的靶向药物递送的纳米级天然药物递送系统(NNDDS)。我们综述了天然药物对 OC 的作用机制,综述了基于纳米技术在 OC 治疗中的应用的药物纳米载体的形态组成和递药潜力,并讨论了当前 NNDDS 研究的局限性。阐明这些问题后,将为未来探索新型 OC 治疗用 NNDDS 提供理论依据。