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基于纳米颗粒的乳腺癌靶向给药系统的进展

Advancements in Nanoparticle-Based Targeted Drug Delivery Systems for Breast Cancer.

作者信息

Kunte Roshni, Sabale Prafulla, Waghmare Suchita, Jiwankar Manasi Nikam, Sabale Vidya

机构信息

Department of Pharmaceutical Sciences, Rashtrasant Tukadoji Maharaj Nagpur University, Nagpur, Maharashtra, 440033, India.

Department of Pharmaceutics, Dadasaheb Balpande College of Pharmacy, Besa, Nagpur, Maharashtra, 440037, India.

出版信息

Pharm Nanotechnol. 2025 Mar 11. doi: 10.2174/0122117385339882241206095441.

Abstract

Cancer is a leading cause of death and life-threatening disease globally. It is connected to persistent tissue damage and unregulated cellular proliferation. In females, breast cancer plays a crucial role in death rates. Chemotherapy, alongside surgery, radiation, and hormone therapy, is a first-line treatment, but its non-specific action harms both cancerous and healthy cells, causing severe side effects. The treatment options for breast cancer are based on the disease stage, which spans from stages 0 to IV. To mitigate this issue, novel strategies focusing on specific targets have been introduced in recent times. Advanced nanocarriers are focused on tumor-specific drug delivery using active targeting based on ligand-receptor identification, this approach has the potential to demonstrate enhanced efficacy compared to passive targeting strategies in the context of therapy for human breast cancer. Surface alteration can assist overcome this issue. This overview focuses on modified nano-sized carriers, including liposomes, micelles, polymeric nanocarriers, carbon dots, and gold nanoparticles. It has been studied to improve therapeutics efficacy, bioavailability, and pharmacokinetics features via mechanisms. The primary aim is no longer confined to merely enveloping cancer medications in novel formulations for diverse delivery pathways; instead, the emphasis lies on precise cancer targeting. This review focuses on the stages of breast cancer, obstacles, types of breast cancer therapies, techniques, and various nanocarriers using ligand-mediated drug delivery systems and their mechanisms.

摘要

癌症是全球主要的死亡原因和危及生命的疾病。它与持续性组织损伤和细胞增殖失控有关。在女性中,乳腺癌在死亡率方面起着关键作用。化疗与手术、放疗和激素疗法一样,是一线治疗方法,但其非特异性作用会损害癌细胞和健康细胞,导致严重的副作用。乳腺癌的治疗方案基于疾病阶段,范围从0期到IV期。为了缓解这个问题,近年来引入了针对特定靶点的新策略。先进的纳米载体专注于基于配体-受体识别的主动靶向肿瘤特异性药物递送,在人类乳腺癌治疗中,这种方法与被动靶向策略相比有可能显示出更高的疗效。表面改性可以帮助克服这个问题。本综述重点关注改性纳米级载体,包括脂质体、胶束、聚合物纳米载体、碳点和金纳米颗粒。人们已经研究了通过各种机制来提高治疗效果、生物利用度和药代动力学特性。主要目标不再仅仅局限于将癌症药物包裹在新型制剂中以实现多种递送途径;相反,重点在于精确的癌症靶向。本综述重点关注乳腺癌的阶段、障碍、乳腺癌治疗类型、技术以及使用配体介导的药物递送系统的各种纳米载体及其作用机制。

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