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新兴的神奇子弹:亚细胞器靶向癌症治疗

Emerging magic bullet: subcellular organelle-targeted cancer therapy.

作者信息

Yan Yue, Zhang Yimeng, Liu Jianxiong, Chen Binlong, Wang Yiguang

机构信息

Department of Central Laboratory, Peking University First Hospital, Beijing, China.

State Key Laboratory of Natural and Biomimetic Drugs, Peking University, Beijing, China.

出版信息

Med Rev (2021). 2024 Sep 12;5(2):117-138. doi: 10.1515/mr-2024-0044. eCollection 2025 Apr.

Abstract

The therapeutic efficacy of anticancer drugs heavily relies on their concentration and retention at the corresponding target site. Hence, merely increasing the cellular concentration of drugs is insufficient to achieve satisfactory therapeutic outcomes, especially for the drugs that target specific intracellular sites. This necessitates the implementation of more precise targeting strategies to overcome the limitations posed by diffusion distribution and nonspecific interactions within cells. Consequently, subcellular organelle-targeted cancer therapy, characterized by its exceptional precision, have emerged as a promising approach to eradicate cancer cells through the specific disruption of subcellular organelles. Owing to several advantages including minimized dosage and side effect, optimized efficacy, and reversal of multidrug resistance, subcellular organelle-targeted therapies have garnered significant research interest in recent years. In this review, we comprehensively summarize the distribution of drug targets, targeted delivery strategies at various levels, and sophisticated strategies for targeting specific subcellular organelles. Additionally, we highlight the significance of subcellular targeting in cancer therapy and present essential considerations for its clinical translation.

摘要

抗癌药物的治疗效果在很大程度上依赖于它们在相应靶点部位的浓度和滞留时间。因此,仅仅提高药物在细胞内的浓度不足以实现令人满意的治疗效果,特别是对于那些靶向特定细胞内位点的药物。这就需要实施更精确的靶向策略,以克服细胞内扩散分布和非特异性相互作用所带来的限制。因此,以极高精准度为特征的亚细胞器靶向癌症治疗,已成为一种通过特异性破坏亚细胞器来根除癌细胞的有前景的方法。由于具有诸如最小化剂量和副作用、优化疗效以及逆转多药耐药性等多个优点,亚细胞器靶向治疗近年来已引起了广泛的研究兴趣。在这篇综述中,我们全面总结了药物靶点的分布、各级别的靶向递送策略以及靶向特定亚细胞器的精密策略。此外,我们强调了亚细胞靶向在癌症治疗中的重要性,并提出了其临床转化的重要考量因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53cd/11987508/ecfc77ca2849/j_mr-2024-0044_fig_001.jpg

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