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基于脂质的纳米载体在联合化疗中:一种用于晚期皮肤癌治疗的有前景的策略。

Lipid-based nanocarriers in combination chemotherapy: a promising strategy for advanced skin cancer management.

作者信息

Mall Jyotiraditya, Haider Md Faheem, Naseem Nazish, Rahman Md Azizur, Ahmad Irfan

机构信息

Faculty of Pharmacy, Integral University, Lucknow, 226026, India.

Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Jul 15. doi: 10.1007/s00210-025-04431-1.

Abstract

Skin cancer is a prevalent and life-threatening condition, increasingly influenced by environmental changes, industrialization, and genetic factors, which contribute to its rising global incidence. Conventional chemotherapy remains a cornerstone of clinical treatment; however, its efficacy is limited by challenges such as poor drug solubility, low permeability, and systemic toxicity. Combination chemotherapy, leveraging additive or synergistic effects, has emerged as a superior approach, enhancing therapeutic outcomes. Nanotechnology-based drug delivery systems, particularly lipid-based nanocarriers, have demonstrated significant potential in addressing these limitations by improving drug solubility, permeability, and tumor-specific targeting while minimizing toxicity. This review critically examines the rationale and significance of combination therapies delivered via lipid-based nanocarriers, with a focus on recent clinical advancements and patents. By highlighting case studies and discussing the clinical and translational relevance of these systems, this article underscores their role in revolutionizing skin cancer treatment. Ultimately, lipid-based nanocarriers hold promise for enabling more personalized, effective, and safer therapeutic strategies, paving the way for future innovations in oncology. Furthermore, this review takes a critical stance by evaluating key clinical data, including nanocarrier size ranges (typically 50-200 nm), enhanced permeability and retention effects, and documented improvements in drug bioavailability and survival rates, thereby providing an analytical perspective beyond descriptive trends.

摘要

皮肤癌是一种常见且危及生命的疾病,越来越受到环境变化、工业化和遗传因素的影响,这些因素导致其在全球的发病率不断上升。传统化疗仍然是临床治疗的基石;然而,其疗效受到药物溶解度差、渗透性低和全身毒性等挑战的限制。联合化疗利用相加或协同作用,已成为一种更优的方法,可提高治疗效果。基于纳米技术的药物递送系统,特别是基于脂质的纳米载体,通过改善药物溶解度、渗透性和肿瘤特异性靶向性,同时将毒性降至最低,在解决这些限制方面已显示出巨大潜力。本综述批判性地审视了通过基于脂质的纳米载体进行联合治疗的基本原理和意义,重点关注近期的临床进展和专利。通过突出案例研究并讨论这些系统的临床和转化相关性,本文强调了它们在变革皮肤癌治疗方面的作用。最终,基于脂质的纳米载体有望实现更个性化、有效和安全的治疗策略,为肿瘤学的未来创新铺平道路。此外,本综述通过评估关键临床数据,包括纳米载体尺寸范围(通常为50 - 200纳米)、增强的渗透和滞留效应以及记录在案的药物生物利用度和生存率的改善,采取了批判性立场,从而提供了超越描述性趋势的分析视角。

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