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基于传统中药的抗肿瘤治疗药物递送系统。

Traditional Chinese medicine-based drug delivery systems for anti-tumor therapies.

作者信息

Yang Ling, Wang Yani, Ye Xietao, Liu Qiaoming, Qu Ding, Chen Yan

机构信息

Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China; Multi-component of Traditional Chinese Medicine and Microecology Research Center, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing 210028, China.

Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China; Multi-component of Traditional Chinese Medicine and Microecology Research Center, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing 210028, China.

出版信息

Chin J Nat Med. 2024 Dec;22(12):1177-1192. doi: 10.1016/S1875-5364(24)60746-6.

Abstract

The treatment of tumors continues to be significantly challenging. The presence of multiple modalities, including surgery, radiation, chemotherapy and immunotherapy, the therapeutic outcomes remain limited and are often associated with adverse effects and inconsistent efficacy across cancer types. Recent studies have highlighted the potential of active components from traditional Chinese medicine (TCM) for their anti-cancer properties, which are attributable to multi-targeted mechanisms and broad pharmacological actions. Despite this potential, TCM-derived compounds are commonly limited by poor water solubility, low bioavailability, and suboptimal targeting. Currently, it is believed that advances in nanotechnology could address these limitations. Nanoparticles (NPs), which possess properties such as enhanced bioavailability, controlled release and precise targeting, have been used to improve the therapeutic efficacy of TCM components in cancer therapy. This review discusses the use of NPs for the delivery of active TCM compounds via organic-inorganic nanocarriers, highlighting innovative strategies that enhance the effectiveness of TCM-based anti-tumor components to provide insights into improving clinical outcomes while advancing the modernization and global application of TCM in oncology.

摘要

肿瘤的治疗仍然极具挑战性。尽管存在多种治疗方式,包括手术、放疗、化疗和免疫疗法,但治疗效果仍然有限,并且常常伴随着不良反应,而且不同癌症类型的疗效也不一致。最近的研究突出了中药活性成分的抗癌潜力,这归因于其多靶点作用机制和广泛的药理作用。尽管有这种潜力,但源自中药的化合物通常受到水溶性差、生物利用度低和靶向性欠佳的限制。目前,人们认为纳米技术的进步可以解决这些限制。具有提高生物利用度、控释和精确靶向等特性的纳米颗粒已被用于提高中药成分在癌症治疗中的疗效。本文综述了通过有机-无机纳米载体使用纳米颗粒递送中药活性化合物的情况,重点介绍了增强基于中药的抗肿瘤成分有效性的创新策略,以期为改善临床疗效提供见解,同时推动中药在肿瘤学领域的现代化和全球应用。

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