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药物递送系统中的多功能自组装如何实现多模态癌症治疗?

How the Versatile Self-Assembly in Drug Delivery System to Afford Multimodal Cancer Therapy?

作者信息

Cao Yuqi, Zhao Xiaomin, Miao Yuhang, Wang Xin, Deng Dawei

机构信息

Department of Pharmaceutical Engineering and Department of Biomedical Engineering, School of Engineering, China Pharmaceutical University, Nanjing, 211198, China.

出版信息

Adv Healthc Mater. 2025 Jan;14(3):e2403715. doi: 10.1002/adhm.202403715. Epub 2024 Nov 25.

DOI:10.1002/adhm.202403715
PMID:39587000
Abstract

The rapid development of self-assembly technology during the past few decades has effectively addressed plenty of the issues associated with carrier-based drug delivery systems, such as low loading efficiency, complex fabrication processes, and inherent toxicity of carriers. The integration of nanoscale delivery systems with self-assembly techniques has enabled efficient and targeted self-administration of drugs, enhanced bioavailability, prolonged circulation time, and controllable drug release. Concurrently, the limitations of single-mode cancer treatment, including low bioavailability, poor therapeutic outcomes, and significant side effects, have highlighted the urgent need for multimodal combined antitumor therapies. Set against the backdrop of multimodal cancer therapy, this review summarizes the research progress and applications of a large number of self-assembled drug delivery platforms, including natural small molecule self-assembled, carrier-free self-assembled, amphiphilic polymer-based self-assembled, peptide-based self-assembled, and metal-based self-assembled nano drug delivery systems. This review particularly analyzes the latest advances in the application of self-assembled nano drug delivery platforms in combined antitumor therapies mediated by chemotherapy, phototherapy, radiotherapy, sonodynamic therapy, and immunotherapy, providing innovative research insights for further optimization and expansion of self-assembled nano drug delivery systems in the clinical translation and development of antitumor combined therapy.

摘要

在过去几十年中,自组装技术的迅速发展有效地解决了许多与载体介导的药物递送系统相关的问题,如低负载效率、复杂的制备过程以及载体的固有毒性。纳米级递送系统与自组装技术的结合实现了药物的高效靶向自给药、提高了生物利用度、延长了循环时间并实现了可控的药物释放。同时,单模式癌症治疗的局限性,包括低生物利用度、不良治疗效果和显著的副作用,凸显了对多模式联合抗肿瘤疗法的迫切需求。在多模式癌症治疗的背景下,本综述总结了大量自组装药物递送平台的研究进展和应用,包括天然小分子自组装、无载体自组装、两亲聚合物基自组装、肽基自组装和金属基自组装纳米药物递送系统。本综述特别分析了自组装纳米药物递送平台在化疗、光疗、放疗、声动力疗法和免疫疗法介导的联合抗肿瘤疗法中的最新应用进展,为自组装纳米药物递送系统在抗肿瘤联合疗法的临床转化和开发中的进一步优化和扩展提供了创新性的研究见解。

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