基于曲妥珠单抗的纳米药物用于乳腺癌治疗:最新进展与未来机遇

Nano Select Pub Date : 2024-02-17 DOI:10.1002/nano.202300191
C. T. Selepe, Khanyisile S. Dhlamini, L. Tshweu, Maabo Moralo, Lusisizwe Kwezi, S. S. Ray, B. Ramalapa
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引用次数: 0

摘要

据世界卫生组织(WHO)统计,每年有 230 多万例乳腺癌(BC)病例,其中 80% 的死亡病例发生在中低收入国家(LMICs)。化疗药物用于治疗乳腺癌,以杀死或减缓癌细胞的生长。虽然化疗药物在许多情况下都有效,但它们也有潜在的副作用。这些副作用包括对健康器官可能造成的损害、有限的疗效以及耐药性的产生等长期影响。曲妥珠单抗(Tmab)毒性低,对靶抗原的特异性高,因此提供了更优越的治疗方案。然而,尽管曲妥珠单抗的治疗在过去二十年中已经问世,但在管理方面仍然具有挑战性,而且费用昂贵,服务不足社区的人们无法获得这种治疗。因此,有必要确保有需要的人,无论社会或经济阶层如何,都能获得这种有效的药物治疗。纳米医学的最新进展促使越来越多的研究表明,通过在低收入和中等收入国家提供充足的抗癌药物,有望应对这些挑战。本综述对这些报告进行了分析,同时强调了纳米医学和抗癌药物系统的进展,并介绍了多年来为低收入和中等收入国家所忽视的机遇。
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Trastuzumab‐based nanomedicines for breast cancer therapy: Recent advances and future opportunities
According to the World Health Organization (WHO), there are more than 2.3 million cases of breast cancer (BC) each year, with 80% of deaths occurring in low‐ and middle‐income countries (LMICs). Chemotherapeutic agents are used in the treatment of BC to kill or slow the growth of cancer cells. While they can be effective in many cases, they also have potential side effects. These include long‐term effects such as possible damage to healthy organs, limited efficacy, and resistance development. Trastuzumab (Tmab) offers superior treatment options due to low toxicity and high specificity for a target antigen. However, Tmab treatment, despite being available for the last two decades, has remained challenging and expensive to manage, and inaccessible to people in underserved communities. Therefore, it is necessary to ensure that such effective medication is within reach of those in need, regardless of social or economic class. Recent advances in nanomedicine have led to a growing number of studies that show promise in meeting these challenges through access to adequate anticancer drugs in LMICs. This review analyzes such reports while highlighting the progress of nanomedicine and anticancer drug systems and presents opportunities that have been overlooked over the years for LMICs.
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