Nanotechnology-based delivery systems to overcome drug resistance in cancer.

Medical review (Berlin, Germany) Pub Date : 2024-02-20 eCollection Date: 2024-02-01 DOI:10.1515/mr-2023-0058
Harsh Patel, Jiaxin Li, Letao Bo, Riddhi Mehta, Charles R Ashby, Shanzhi Wang, Wei Cai, Zhe-Sheng Chen
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Abstract

Cancer nanomedicine is defined as the application of nanotechnology and nanomaterials for the formulation of cancer therapeutics that can overcome the impediments and restrictions of traditional chemotherapeutics. Multidrug resistance (MDR) in cancer cells can be defined as a decrease or abrogation in the efficacy of anticancer drugs that have different molecular structures and mechanisms of action and is one of the primary causes of therapeutic failure. There have been successes in the development of cancer nanomedicine to overcome MDR; however, relatively few of these formulations have been approved by the United States Food and Drug Administration for the treatment of cancer. This is primarily due to the paucity of knowledge about nanotechnology and the fundamental biology of cancer cells. Here, we discuss the advances, types of nanomedicines, and the challenges regarding the translation of in vitro to in vivo results and their relevance to effective therapies.

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基于纳米技术的给药系统,克服癌症耐药性。
癌症纳米医学是指应用纳米技术和纳米材料配制癌症疗法,以克服传统化学疗法的障碍和限制。癌细胞的多药耐药性(MDR)是指具有不同分子结构和作用机制的抗癌药物的药效降低或减弱,是导致治疗失败的主要原因之一。为克服 MDR 而开发的癌症纳米药物已经取得了一些成功;然而,美国食品和药物管理局批准用于治疗癌症的这些制剂相对较少。这主要是由于人们对纳米技术和癌细胞的基本生物学知识知之甚少。在此,我们将讨论纳米药物的进展、类型以及将体外结果转化为体内结果所面临的挑战及其与有效疗法的相关性。
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