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胰腺癌治疗方法与前沿纳米载体解决方案的全面见解:从病理学至纳米医学。

Comprehensive insights into pancreatic cancer treatment approaches and cutting-edge nanocarrier solutions: from pathology to nanomedicine.

作者信息

Sharma Rohit, Kumar Sourabh, Komal Kumari, Ghosh Rashmi, Thakur Shubham, Pal Ravi Raj, Kumar Manish

机构信息

Department of Pharmaceutics, ISF College Pharmacy, GT Road, Moga, 142001, Punjab, India.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Apr 9. doi: 10.1007/s00210-025-04094-y.

DOI:10.1007/s00210-025-04094-y
PMID:40202672
Abstract

Pancreatic cancer is one of the most lethal malignancies worldwide. It is characterized by poor prognosis, high mortality, and recurrence rates. Various modifiable and non-modifiable risk factors are associated with pancreatic cancer incidence. Available treatments for pancreatic cancer include surgery, chemotherapy, radiotherapy, photodynamic therapy, supportive care, targeted therapy, and immunotherapy. However, the survival rates for PC are very low. Regrettably, despite efforts to enhance prognosis, the survival rate of pancreatic cancer remains relatively low. Therefore, it is essential to investigate new approaches to improve pancreatic cancer treatment. By synthesizing current knowledge and identifying existing gaps, this article provides a comprehensive overview of risk factors, pathology, conventional treatments, targeted therapies, and recent advancements in nanocarriers for its treatment, along with various clinical trials and patents that justify the safety and efficacy of innovative carriers for drug delivery systems. Ultimately, this review underscores the potential of these innovative formulations to improve outcomes and contribute significantly to the advancement of Pancreatic Cancer treatment. Together, these insights highlight nano-formulations as a promising frontier for effectively treating Pancreatic Cancer.

摘要

胰腺癌是全球最致命的恶性肿瘤之一。其特点是预后差、死亡率高和复发率高。多种可改变和不可改变的风险因素与胰腺癌的发病有关。胰腺癌的现有治疗方法包括手术、化疗、放疗、光动力疗法、支持治疗、靶向治疗和免疫治疗。然而,胰腺癌的生存率非常低。遗憾的是,尽管人们努力改善预后,但胰腺癌的生存率仍然相对较低。因此,研究改善胰腺癌治疗的新方法至关重要。通过综合现有知识并找出存在的差距,本文全面概述了风险因素、病理学、传统治疗方法、靶向治疗以及用于其治疗的纳米载体的最新进展,以及各种临床试验和专利,这些都证明了创新载体用于药物递送系统的安全性和有效性。最终,本综述强调了这些创新制剂改善治疗结果的潜力,并为胰腺癌治疗的进展做出了重大贡献。总之,这些见解突出了纳米制剂作为有效治疗胰腺癌的一个有前景的前沿领域。

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Comprehensive insights into pancreatic cancer treatment approaches and cutting-edge nanocarrier solutions: from pathology to nanomedicine.胰腺癌治疗方法与前沿纳米载体解决方案的全面见解:从病理学至纳米医学。
Naunyn Schmiedebergs Arch Pharmacol. 2025 Apr 9. doi: 10.1007/s00210-025-04094-y.
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本文引用的文献

1
Global, regional, and national burden of pancreatic cancer from 1990 to 2021, its attributable risk factors, and projections to 2050: a systematic analysis of the global burden of disease study 2021.1990年至2021年胰腺癌的全球、区域和国家负担、其可归因风险因素以及到2050年的预测:全球疾病负担研究2021的系统分析
BMC Cancer. 2025 Feb 3;25(1):189. doi: 10.1186/s12885-025-13597-z.
2
Immunomodulatory activity of metoclopramide HCl on murine macrophages.盐酸甲氧氯普胺对小鼠巨噬细胞的免疫调节活性。
Naunyn Schmiedebergs Arch Pharmacol. 2024 Dec 14. doi: 10.1007/s00210-024-03715-2.
3
Outcomes in intraductal papillary mucinous neoplasm-derived pancreatic cancer differ from PanIN-derived pancreatic cancer.
导管内乳头状黏液性肿瘤衍生的胰腺癌的预后与胰腺上皮内瘤变衍生的胰腺癌不同。
J Gastroenterol Hepatol. 2024 Nov;39(11):2360-2366. doi: 10.1111/jgh.16686. Epub 2024 Jul 31.
4
New Frontiers in Pancreatic Cancer Management: Current Treatment Options and the Emerging Role of Neoadjuvant Therapy.胰腺癌管理的新前沿:当前治疗选择和新辅助治疗的新兴作用。
Medicina (Kaunas). 2024 Jun 28;60(7):1070. doi: 10.3390/medicina60071070.
5
Targeting the pancreatic tumor microenvironment by plant-derived products and their nanoformulations.通过植物源产品及其纳米制剂靶向胰腺肿瘤微环境。
Med Oncol. 2024 Jul 13;41(8):201. doi: 10.1007/s12032-024-02443-0.
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Trends in the treatment of advanced pancreatic cancer.晚期胰腺癌治疗的趋势。
Biosci Trends. 2024;18(3):224-232. doi: 10.5582/bst.2024.01156.
7
In Vitro and In Vivo Synergetic Radiotherapy with Gold Nanoparticles and Docetaxel for Pancreatic Cancer.金纳米颗粒与多西他赛联合用于胰腺癌的体外和体内协同放射治疗
Pharmaceutics. 2024 May 26;16(6):713. doi: 10.3390/pharmaceutics16060713.
8
Enhancement of Therapeutic Potential of Oncolytic Virus with Homologous Tumor Cell Membranes for Pancreatic Cancer.用同源肿瘤细胞膜增强溶瘤病毒治疗胰腺癌的潜力。
IET Nanobiotechnol. 2024 Feb 13;2024:9970665. doi: 10.1049/2024/9970665. eCollection 2024.
9
Current and future immunotherapeutic approaches in pancreatic cancer treatment.当前和未来在胰腺癌治疗中的免疫治疗方法。
J Hematol Oncol. 2024 Jun 4;17(1):40. doi: 10.1186/s13045-024-01561-6.
10
The new era of pancreatic cancer treatment: Application of nanotechnology breaking through bottlenecks.新时代的胰腺癌治疗:纳米技术的应用突破瓶颈。
Cancer Lett. 2024 Jul 10;594:216979. doi: 10.1016/j.canlet.2024.216979. Epub 2024 May 23.