Challenging and new opportunities for prodrug technology.

IF 2.7 3区 医学 Q2 ONCOLOGY Investigational New Drugs Pub Date : 2025-04-01 Epub Date: 2025-02-18 DOI:10.1007/s10637-025-01515-w
Helin Li, Xuelian Shen, Yu Chu, Panhong Yuan, Qi Shuai
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Abstract

Research on prodrug technology has opened new avenues for site-directed chemotherapy rather than systemic chemotherapy. This distinctive strategy allows drug delivery to be activated by light-, irradiation-, or ultrasound (US)-tunable chemistries, which have been termed photopharmacology, radiopharmacology, and sonopharmacology, respectively. Prodrugs have emerged as a main strategy for improving pharmacokinetics, reducing side effects, and thus enhancing the therapeutic efficacy of drugs. This review summarizes stimuli-responsive drug release systems and the latest progress in exogenous stimuli-responsive prodrug activation, e.g., light, irradiation, and US, with a focus on the activation of small molecule prodrugs, antibody‒drug conjugates, and prodrug nanosystems. In addition, challenges encountered by Pt drugs and Pt(IV) prodrug nanotherapeutics are summarized and discussed. Moreover, this review presents the current state of precise treatment and discusses the opportunities and challenges for the clinical translation of these strategies.

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前药技术面临的挑战和新机遇。
前药技术的研究为局部定向化疗而非全身化疗开辟了新的途径。这种独特的策略允许药物递送通过光、辐射或超声(US)可调化学物质激活,这些化学物质分别被称为光药理学、放射药理学和声药理学。前药已成为改善药代动力学,减少副作用,从而提高药物治疗效果的主要策略。本文综述了刺激反应性药物释放系统和外源刺激反应性前药激活的最新进展,如光、辐照和US,重点介绍了小分子前药、抗体-药物偶联物和前药纳米系统的激活。此外,对Pt药物和Pt(IV)前药纳米治疗面临的挑战进行了总结和讨论。此外,本综述介绍了精确治疗的现状,并讨论了这些策略在临床翻译中的机遇和挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.60
自引率
0.00%
发文量
121
审稿时长
1 months
期刊介绍: The development of new anticancer agents is one of the most rapidly changing aspects of cancer research. Investigational New Drugs provides a forum for the rapid dissemination of information on new anticancer agents. The papers published are of interest to the medical chemist, toxicologist, pharmacist, pharmacologist, biostatistician and clinical oncologist. Investigational New Drugs provides the fastest possible publication of new discoveries and results for the whole community of scientists developing anticancer agents.
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