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用于递送癌症抗血管生成药物的纳米治疗制剂

Nanotherapeutic Formulations for the Delivery of Cancer Antiangiogenics.

作者信息

Ultimo Amelia, Jain Ayushi, Gomez-Gonzalez Elisabet, Alex Thomson Santosh, Moreno-Borrallo Almudena, Jana Sukanya, Ghosh Shubhrima, Ruiz-Hernandez Eduardo

机构信息

School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, the University of Dublin, College Green, Dublin 2 D02 PN40, Ireland.

Trinity Translational Medicine Institute, Trinity College Dublin, the University of Dublin, St. James's Hospital, Dublin 8 D08 NHY1, Ireland.

出版信息

Mol Pharm. 2025 May 5;22(5):2322-2349. doi: 10.1021/acs.molpharmaceut.4c00822. Epub 2025 Apr 4.

Abstract

Antiangiogenic medications for cancer treatment have generally failed in showing substantial benefits in terms of prolonging life on their own; their effects are noticeable only when combined with chemotherapy. Moreover, treatments based on prolonged antiangiogenics administration have demonstrated to be ineffective in stopping tumor progression. In this scenario, nanotherapeutics can address certain issues linked to existing antiangiogenic treatments. More specifically, they can provide the ability to target the tumor's blood vessels to enhance drug accumulation and manage release, ultimately decreasing undesired side effects. Additionally, they enable the administration of multiple angiogenesis inhibitors at the same time as chemotherapy. Key reports in this field include the design of polymeric nanoparticles, inorganic nanoparticles, vesicles, and hydrogels for loading antiangiogenic substances like endostatin and interleukin-12. Furthermore, nanoformulations have been proposed to efficiently control relevant pro-angiogenic pathways such as VEGF, Tie2/Angiopoietin-1, HIF-1α/HIF-2α, and TGF-β, providing powerful approaches to block tumor growth and metastasis. In this article, we outline a selection of nanoformulations for antiangiogenic treatments for cancer that have been developed in the past ten years.

摘要

用于癌症治疗的抗血管生成药物通常未能单独在延长生命方面显示出显著益处;只有与化疗联合使用时其效果才明显。此外,基于长期给予抗血管生成药物的治疗已证明在阻止肿瘤进展方面无效。在这种情况下,纳米疗法可以解决与现有抗血管生成治疗相关的某些问题。更具体地说,它们能够靶向肿瘤血管以增强药物积累和控制释放,最终减少不良副作用。此外,它们能够在化疗的同时给予多种血管生成抑制剂。该领域的关键报道包括用于负载内皮抑素和白细胞介素 - 12等抗血管生成物质的聚合物纳米颗粒、无机纳米颗粒、囊泡和水凝胶的设计。此外,已提出纳米制剂以有效控制相关的促血管生成途径,如血管内皮生长因子(VEGF)、酪氨酸激酶2/血管生成素 - 1(Tie2/Angiopoietin - 1)、缺氧诱导因子 - 1α/缺氧诱导因子 - 2α(HIF - 1α/HIF - 2α)和转化生长因子 - β(TGF - β),提供了阻断肿瘤生长和转移的有力方法。在本文中,我们概述了过去十年中开发的用于癌症抗血管生成治疗的一系列纳米制剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62ba/12056699/ae797c4b473e/mp4c00822_0001.jpg

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