Asghar Sajid, Iliescu Radu, Stiufiuc Rares-Ionut, Dragoi Brindusa
Nanotechnology Laboratory, TRANSCEND Department, Regional Institute of Oncology, 2-4 General Henri Mathias Berthelot, 700483 Iași, Romania.
Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Government College University, Faisalabad 38000, Pakistan.
Int J Mol Sci. 2025 Apr 17;26(8):3820. doi: 10.3390/ijms26083820.
The inherent complexity of cancer proliferation and malignancy cannot be addressed by the conventional approach of relying on high doses of a single powerful anticancer agent, which is associated with poor efficacy, higher toxicity, and the development of drug resistance. Multiple drug therapy (MDT) rationally designed to target tumor heterogeneity, block alternative survival pathways, modulate the tumor microenvironment, and reduce toxicities would be a viable solution against cancer. Liposomes are the most suitable carrier for anticancer MDT due to their ability to encapsulate both hydrophilic and hydrophobic agents, biocompatibility, and controlled release properties; however, an adequate manufacturing method is important for effective co-encapsulation. Microfluidics involves the manipulation of fluids at the microscale for the controlled synthesis of liposomes with desirable properties. This work critically reviews the use of microfluidics for the synthesis of anticancer MDT liposomes. MDT success not only relies on the identification of synergistic dose combinations of the anticancer modalities but also warrants the loading of multiple therapeutic entities within liposomes in optimal ratios, the protection of the drugs by the nanocarrier during systemic circulation, and the synchronous release at the target site in the same pattern as confirmed in preliminary efficacy studies. Prospects have been identified for the bench-to-bedside translation of anticancer MDT liposomes using microfluidics.
癌症增殖和恶性肿瘤的内在复杂性无法通过依赖高剂量单一强效抗癌药物的传统方法来解决,这种方法疗效不佳、毒性更高且会产生耐药性。合理设计用于靶向肿瘤异质性、阻断替代生存途径、调节肿瘤微环境并降低毒性的多药疗法(MDT)将是对抗癌症的可行解决方案。脂质体是抗癌MDT最合适的载体,因为它们能够同时包裹亲水性和疏水性药物、具有生物相容性和控释特性;然而,适当的制造方法对于有效的共包裹很重要。微流控技术涉及在微尺度上对流体进行操控,以可控方式合成具有理想特性的脂质体。本文对微流控技术在抗癌MDT脂质体合成中的应用进行了批判性综述。MDT的成功不仅依赖于确定抗癌药物组合的协同剂量,还需要以最佳比例将多种治疗实体负载到脂质体内,在全身循环过程中由纳米载体保护药物,并在靶位点以与初步疗效研究中确认的相同模式同步释放。已经确定了使用微流控技术将抗癌MDT脂质体从实验室转化到临床应用的前景。
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