制剂 癌症纳米医学最新成果综述

S. N.Bodkhe, R.U. Gadhave, S.S. Rothe, A.A. Sheikh, K. Biyani
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摘要

癌症仍然是全球医疗保健领域最棘手的问题之一。虽然有大量的药物可用于癌症治疗,但问题是如何选择性地杀死所有癌细胞,同时减少对健康细胞的附带毒性。在癌症治疗中,有效给药存在一些生物障碍,如肾脏、肝脏或免疫清除。载药纳米粒子的设计可以克服这些生物障碍,在提高疗效的同时降低发病率。癌症的病理过程十分复杂。目前使用的化疗方法存在各种局限性,如细胞毒性、多重耐药性、干细胞样生长和缺乏特异性。纳米医学在这些不断发展的肿瘤治疗方法中发挥着重要作用。我们讨论了纳米医学如何与这些治疗方式相结合,提供了典型实例,并总结了应用纳米医学带来的优势。这篇综述强调了癌症纳米医学的进展、挑战和机遇,并讨论了新颖的工程方法,这些方法利用了我们对肿瘤生物学和纳米生物相互作用日益加深的了解,为癌症患者开发出更有效的纳米疗法。本综述讨论了目前临床批准的纳米药物的使用情况、临床试验中对纳米药物的研究,以及可能阻碍开发纳米药物治疗癌症的挑战。
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Formulation A Review on Recent Success in Cancer Nanomedicine
Cancer continues to be one of the most difficult global healthcare problems. Although there is a large library of drugs that can be used in cancer treatment, the problem is selectively killing all the cancer cells while reducing collateral toxicity to healthy cells. There are several biological barriers to effective drug delivery in cancer such as renal, hepatic, or immune clearance. Nanoparticles loaded with drugs can be designed to overcome these biological barriers to improve efficacy while reducing morbidity. The pathological processes of cancer are complex. Current methods used for chemotherapy have various limitations, such as cytotoxicity, multi-drug resistance, stem-like cells growth, and lack of specificity. Nanomedicine plays an important role in these evolving tumor treatment modalities. We discuss how nanomedicine can be combined with these treatment modalities, provide typical examples, and summarize the advantages brought by the application of nanomedicine. This highlights the progress, challenges and opportunities in cancer nanomedicine and discusses novel engineering approaches that capitalize on our growing understanding of tumour biology and nano–bio interactions to develop more effective nanotherapeutics for cancer patients. This review discusses the current use of clinically approved nanomedicines, the investigation of nanomedicines in clinical trials, and the challenges that may hinder development of the nanomedicinesfor cancer treatment.
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