脂质体:治疗癌症多药耐药的一个有希望的策略

K. R, M. S., Hallan Ss
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引用次数: 0

摘要

耐药已成为世界范围内癌症治疗的主要问题。即使存在致命的药物浓度,生物体也可能有暂时或永久的繁殖潜力。通常,多药耐药(MDR)与p -糖蛋白(P-gp)的过度表达有关,导致抗癌药物分子从癌细胞外排放大[1]。因此,阻断P-gp外排可能是解决癌症患者耐多药的有效策略。有趣的是,智能纳米级转运体可以将药物运送到指定的位置,并精确地释放药物,以引起所需的治疗反应。由于它们的直径小,表面积大。如今,研究人员已经探索了一种被称为聚合物脂质杂交纳米颗粒的智能药物传递系统,它能够对抗各种疾病[2,3]。过表达的atp结合盒(ABC)转运体通常与癌症治疗中的耐多药有关。然而,目前还没有批准的抗癌药物分子可用于临床,通过阻断p糖蛋白来逆转MDR。然而,耐多药导致细胞内药物浓度低,最终降低了广谱抗肿瘤药物的细胞毒性,包括蒽环类药物(如DOX)、长春花生物碱(如长春新碱)、足臼毒素(如etopo苷)和紫杉烷(如紫杉醇)[4]。
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Liposomes: A Promising Strategy to Treat Multidrug Resistance in Cancers
Drug resistance has become a main concern in the cancer therapy worldwide. It can be a temporary or permanent potential of an organismto multiply even in the presence of the lethal drug concentration.Generally, multidrug resistance (MDR) is associated with the over-expression of P-glycoprotein(P-gp), resulting in amplified efflux of anticancer drug molecules from cancer cells [1]. Therefore, interrupting the P-gp efflux might be an effective strategy to resolve the MDR in cancer patients. Interestingly, smart nano-sized transporters can deliver the drug cargo at the proposed site and release the drug precisely to elicit desirable therapeutic response. Thanks to their small diameter, large surface area. Now a days, researchers have explored a smart drug delivery system known as polymer lipid hybrid nanoparticles, which are capable to combat various diseases [2,3]. Over expressed ATP-Binding Cassette (ABC) transporters is frequently associated with MDR in cancer treatments. However, no approved anti-cancer drug molecules are available for clinical use in order to reverse MDR by obstructing P-glycoprotein. However, MDR is responsible for the low intracellular drug concentrations ultimately reduce the cytotoxicity of a broad spectrum of antitumor drugs including anthracyclines (e.g. DOX), vinca alkaloids (e.g. vincristine), podophyllotoxins (e.g. etoposide) and taxanes (e.g. taxol) [4].
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