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癌症药物递送的机制研究:当前技术、局限性及未来前景

Mechanistic study of cancer drug delivery: Current techniques, limitations, and future prospects.

作者信息

Imtiaz Saiqa, Ferdous Umme Tamanna, Nizela Alexis, Hasan Anwarul, Shakoor Adnan, Zia Abdul Wasy, Uddin Shihab

机构信息

Department of Bioengineering, King Fahd University of Petroleum & Minerals, Dhahran, 31261, Saudi Arabia.

Center for Biosystems and Machines, King Fahd University of Petroleum & Minerals, Dhahran, 31261, Saudi Arabia.

出版信息

Eur J Med Chem. 2025 Jun 5;290:117535. doi: 10.1016/j.ejmech.2025.117535. Epub 2025 Mar 19.

Abstract

Cancer drug delivery remains a critical challenge with systemic toxicity, poor drug bioavailability, and a lack of effective targeting. Overcoming these barriers is essential for improving treatment efficacy and patient outcomes. This review discusses current drug delivery techniques that reshape cancer therapy by offering precise, controlled-release tailored to tumor-specific features. Innovations in nanotechnology, immunotherapy, and gene therapy enable interventions at molecular and cellular levels. Radiomics and pathomics integrate high-dimensional data to optimize diagnostics and treatment planning. Combination therapy addresses the complexities of tumor heterogeneity by synergizing multiple agents within a single therapeutic framework, while peptide-drug conjugates enhance specificity and potency. Hydrogel-based systems and microneedle arrays offer localized, sustained release, significantly improving therapeutic outcomes. However, clinical translation of these advancements faces significant barriers such as drug resistance, off-target effects, scalability, cost, and ethical concerns. Moreover, regulatory complexities and the economic feasibility of these therapies highlight the need for innovative frameworks to make them accessible globally. Therefore, there is a need for innovation in gene and cell therapy, next-generation drug delivery platforms, and personalized medicine. This review focuses on recent advancements in drug delivery techniques over the past decade, evaluating their limitations and exploring potential future directions for transforming cancer treatment.

摘要

癌症药物递送仍然是一个严峻的挑战,存在全身毒性、药物生物利用度差以及缺乏有效靶向性等问题。克服这些障碍对于提高治疗效果和患者预后至关重要。本综述讨论了当前的药物递送技术,这些技术通过提供针对肿瘤特异性特征的精确、控释来重塑癌症治疗。纳米技术、免疫疗法和基因疗法的创新能够在分子和细胞水平上进行干预。放射组学和病理组学整合高维数据以优化诊断和治疗计划。联合疗法通过在单一治疗框架内协同多种药物来应对肿瘤异质性的复杂性,而肽-药物缀合物则提高了特异性和效力。基于水凝胶的系统和微针阵列提供局部、持续释放,显著改善治疗效果。然而,这些进展的临床转化面临重大障碍,如耐药性、脱靶效应、可扩展性、成本和伦理问题。此外,这些疗法的监管复杂性和经济可行性凸显了需要创新框架以使它们在全球范围内可及。因此,基因和细胞疗法、下一代药物递送平台以及个性化医疗需要创新。本综述重点关注过去十年药物递送技术的最新进展,评估其局限性并探索癌症治疗变革的潜在未来方向。

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