NANOMEDICINE IN ANTICANCER THERAPY

Y. Krasnopolsky, D. Pylypenko, G. Grigoryeva
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Abstract

The use of liposomal nanoparticles as a drug delivery system today is a promising area of modern nanopharmacology, in particular in the development of antitumor drugs. Liposomal forms of antitumor active pharmaceutical ingredients are characterized by reduced toxicity, stability, and increased antitumor activity of nanoparticle-encapsulated antitumor agent, prolonged action of the drug. Com­mercially available liposomal anticancer drugs are passively targeted drugs that accumulate in cells by passive diffusion in tumor cells due to the EPR effect of the vascular system. This review presents data from the study of antitumor activity of liposomal drugs conducted by Ukrainian scientists in recent decades. Today, the antitumor activity of liposomal forms of therapeutic agents of various natures has been proven, among them are anthracycline antibiotics, platinum drugs, semisynthetic alkaloid derivatives, natural poly­phenolic antioxidants, etc. Thus, the encapsulation of doxorubicin hydrochloride in liposomes has reduced its cardiotoxicity and other side effects, provided an opportunity to treat doxorubicin-resistant tumors. Liposomal forms of complex platinum compounds, in particular cisplatin, have been shown to be more effective than free forms of cytostatics in the treatment of cisplatin-resistant ovarian cancer. The use of polyphenolic antioxidants, quercetin and curcumin, in complex therapy can not only enhance the antitumor effect, but also have a protective effect on healthy tissues and organs.
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纳米医学在抗癌治疗中的应用
利用纳米脂质体作为药物递送系统是现代纳米药理学的一个有前途的领域,特别是在抗肿瘤药物的开发中。脂质体形式的抗肿瘤活性药物成分的特点是毒性降低,稳定性和纳米颗粒包封抗肿瘤剂的抗肿瘤活性增加,药物作用时间延长。市售的脂质体抗癌药物是被动靶向药物,由于血管系统的EPR作用,通过肿瘤细胞的被动扩散在细胞中积累。本文综述了近几十年来乌克兰科学家对脂质体药物抗肿瘤活性的研究数据。今天,各种性质的脂质体形式的治疗剂的抗肿瘤活性已被证实,其中包括蒽环类抗生素、铂类药物、半合成生物碱衍生物、天然多酚类抗氧化剂等。因此,将盐酸阿霉素包封在脂质体中降低了其心脏毒性和其他副作用,为治疗阿霉素耐药肿瘤提供了机会。复合铂化合物的脂质体形式,特别是顺铂,已被证明在治疗顺铂耐药卵巢癌方面比游离形式的细胞抑制剂更有效。使用多酚类抗氧化剂,槲皮素和姜黄素,在复合治疗中不仅可以增强抗肿瘤效果,而且对健康组织和器官有保护作用。
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