Fard Nima Torabi, Khademi Melika, Salahi-Niri Aryan, Esmaeili Shadi
Department of Hematology and Blood Banking, School of Allied Medical Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.
Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases Shahid Beheshti University of Medical Sciences Tehran Iran.
Health Sci Rep. 2025 May 19;8(5):e70647. doi: 10.1002/hsr2.70647. eCollection 2025 May.
BACKGROUND AND AIMS: Hematological malignancies, such as leukemia, lymphoma, and multiple myeloma, contribute significantly to global cancer diagnoses. Despite progress in conventional therapies, such as chemotherapy and immunotherapy, these treatments face limitations, including nonspecific targeting, side effects, and drug resistance. The aim of this review is to explore the potential of nanotechnology, particularly nanoparticles (NPs), to improve therapeutic outcomes for these cancers by enhancing drug delivery and reducing toxicity. METHODS: This review examines recent advancements in NP-based therapies, focusing on their application in hematological malignancies. We discuss different types of NPs, including liposomes, polymeric, and inorganic NPs, for their potential in targeted drug delivery. The review also evaluates the current state of clinical trials and highlights challenges in the translation of nanomedicines from preclinical research to clinical practice. RESULTS: Nanoparticles, with their unique properties, offer significant advantages in drug delivery systems, such as enhanced stability, extended circulation time, and targeted tumor delivery. Various NP formulations have shown promise in clinical trials, including liposomal formulations like Vyxeos for acute myeloid leukemia and Marqibo for Ph-negative acute lymphoblastic leukemia. However, challenges in toxicity, regulatory hurdles, and large-scale production still remain. CONCLUSION: Nanomedicine holds transformative potential in the treatment of hematological malignancies, offering more effective and specific therapies compared to conventional treatments. Continued research is necessary to overcome the clinical challenges and maximize the benefits of NP-based therapies for patients with blood cancers.
背景与目的:白血病、淋巴瘤和多发性骨髓瘤等血液系统恶性肿瘤在全球癌症诊断中占比显著。尽管化疗和免疫疗法等传统治疗方法取得了进展,但这些治疗仍面临局限性,包括非特异性靶向、副作用和耐药性。本综述的目的是探讨纳米技术,特别是纳米颗粒(NPs),通过增强药物递送和降低毒性来改善这些癌症治疗效果的潜力。 方法:本综述考察了基于纳米颗粒疗法的最新进展,重点关注其在血液系统恶性肿瘤中的应用。我们讨论了不同类型的纳米颗粒,包括脂质体、聚合物和无机纳米颗粒在靶向药物递送方面的潜力。该综述还评估了临床试验的现状,并强调了纳米药物从临床前研究转化为临床实践所面临的挑战。 结果:纳米颗粒凭借其独特的性质,在药物递送系统中具有显著优势,如增强稳定性、延长循环时间和靶向肿瘤递送。各种纳米颗粒制剂在临床试验中已显示出前景,包括用于急性髓性白血病的Vyxeos和用于费城染色体阴性急性淋巴细胞白血病的Marqibo等脂质体制剂。然而,毒性、监管障碍和大规模生产方面的挑战仍然存在。 结论:纳米医学在血液系统恶性肿瘤的治疗中具有变革潜力,与传统治疗相比,能提供更有效、更具特异性的疗法。有必要持续开展研究以克服临床挑战,并使基于纳米颗粒的疗法能为血癌患者带来最大益处。
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