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癌症药物靶向:分子机制、方法及监管框架。

Cancer Drug Targeting: Molecular Mechanism, Approaches, and Regulatory Framework.

作者信息

Chandel Rushikesh Somnath, Dewangan Hitesh Kumar

机构信息

University Institute of Pharma Sciences (UIPS), Chandigarh University, Mohali, India.

出版信息

Curr Pharm Des. 2025;31(22):1767-1780. doi: 10.2174/0113816128364722250126172914.

Abstract

Novel vaccine formulations called nano vaccines which use nanoparticles (NPs) as adjuvants or carriers, are being developed in place of conventional vaccines. The field of study on peptide-based nano vaccines is enlarging fast as a result of combining antigenic peptides with nano-transport systems. This paper explores advancements in anticancer nano vaccines, focusing on their mechanisms, challenges, and opportunities. It discusses peptide nano vaccines, personalized vaccines, cancer prevention strategies, clinical translation, and self-assembling multivalent nanovaccines. It also discusses nanocarriers' role in delivering tumorassociated antigens and immune-stimulatory adjuvants. In 2024, the American Cancer Society projects over 2 million new cancer cases in the United States, marking the first year this milestone has been surpassed. This equates to approximately 5,480 new cancer diagnoses daily. Additionally, over 611,000 cancer-related deaths are expected, which translates to more than 1,600 deaths per day. The National Centre for Health Statistics mentions the mortality data also shows the various types of cancer percentages. This guideline provides comprehensive recommendations for sponsors submitting a novel drug under Investigation use of curative cancer vaccinations, focusing on safety, effectiveness, dosage optimization, adjuvant use, patient group selection, immune response monitoring, biomarker evaluation, multi-antigen vaccine development, phase-specific difficulties, non-clinical testing, and legal frameworks, while also referencing relevant legal foundations and recommendations.

摘要

一种名为纳米疫苗的新型疫苗制剂正在研发中,它使用纳米颗粒(NPs)作为佐剂或载体,以取代传统疫苗。由于将抗原肽与纳米运输系统相结合,基于肽的纳米疫苗的研究领域正在迅速扩大。本文探讨了抗癌纳米疫苗的进展,重点关注其机制、挑战和机遇。它讨论了肽纳米疫苗、个性化疫苗、癌症预防策略、临床转化和自组装多价纳米疫苗。它还讨论了纳米载体在递送肿瘤相关抗原和免疫刺激佐剂中的作用。2024年,美国癌症协会预计美国将有超过200万例新癌症病例,这标志着这一里程碑首次被超越。这相当于每天约有5480例新的癌症诊断。此外,预计将有超过61.1万人死于癌症,这意味着每天有超过1600人死亡。国家卫生统计中心提到,死亡率数据还显示了各种癌症的百分比。本指南为提交用于治疗性癌症疫苗接种研究的新药的申办者提供了全面建议,重点关注安全性、有效性、剂量优化、佐剂使用、患者群体选择、免疫反应监测、生物标志物评估、多抗原疫苗开发、特定阶段困难、非临床测试和法律框架,同时还参考了相关法律依据和建议。

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