重新认识信号通路,利用创新方法为皮肤癌量身定制多方面疗法。

IF 5.3 2区 医学 Q1 PHARMACOLOGY & PHARMACY International Journal of Pharmaceutics Pub Date : 2024-09-16 DOI:10.1016/j.ijpharm.2024.124719
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引用次数: 0

摘要

如今,皮肤癌像各种恶性肿瘤一样普遍存在,可导致严重的健康问题。皮肤癌包括恶性黑色素瘤、基底细胞癌和鳞状细胞癌,是人类的一种常见癌症。由于其广泛的发病率、经济负担、死亡率和外观影响,它是一个重大的公共卫生问题。皮肤癌的治疗包括手术、化疗和放疗。最近,靶向疗法和精准医学领域的个性化治疗已经证明,通过了解每个肿瘤的遗传和分子特征,可以对其进行早期诊断。为了针对导致肿瘤生长的分子途径,减少对健康组织的损害,针对黑色素瘤、基底细胞癌和鳞状细胞癌的新靶向疗法应运而生。B-raf丝氨酸/苏氨酸激酶(BRAF)和丝裂原活化蛋白激酶(MEK)抑制剂、免疫检查点抑制剂和精准药物具有很高的应答率,可提高患者的生存率。纳米载体等靶向治疗药物通过减少对皮肤的刺激和保护封装的治疗药物,显示出良好的效果。这些制剂已被证明可以改善抗癌药物的透皮渗透性。考虑采用物理技术增强纳米载体的渗透性,以提高抗癌药物的皮肤渗透性并促进肿瘤细胞内的靶向给药,值得关注。靶向疗法面临着抗药性机制和治疗策略监测等障碍。综上所述,本综述深入探讨了皮肤癌的基本机制、当前的治疗方法、抗药性过程以及基于纳米的癌症靶向治疗技术。它还将阐述临床前和临床方面的挑战和前景。
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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Reconnoitring signaling pathways and exploiting innovative approaches tailoring multifaceted therapies for skin cancer
Nowadays, skin cancer is widespread just like a varied malignant cancer which can cause serious health issues. Skin cancer, which encompasses malignant melanoma, basal cell carcinoma, and squamous cell carcinoma, is a prevalent form of cancer among humans. Due to its broad prevalence, financial burden, mortality rates, and cosmetic effects, it is a major public health issue. Skin cancer treatment involves surgery, chemotherapy, and radiation. Recently, personalized treatment in the fields of targeted therapies and precision medicine has been shown to diagnose early detection of every individual tumor by knowing their genetic and molecular characteristics. To target the molecular pathways responsible for tumor growth and reduce the damage to healthy tissue, new targeted therapies have emerged for melanoma, basal cell carcinoma, and squamous cell carcinoma. B-raf serine/threonine kinase (BRAF) and mitogen-activated protein kinase (MEK) inhibitors, immune checkpoint inhibitors, and precision medications have strong response rates to improve patient survival. Targeted therapeutics like nanocarriers have shown promising results by reducing skin irritation and protecting encapsulated therapeutics. These formulations have been shown to improve the transdermal permeability of anticancer drugs. The consideration of employing physical techniques to enhance the permeation of nanocarriers warrants attention to augment the dermal permeation of anticancer agents and facilitate targeted drug delivery within neoplastic cells. Targeted therapies face obstacles like resistance mechanisms and treatment strategy monitoring. Taken together, this review delves into the basic mechanisms of skin cancer, current treatment methods, drug resistance processes, and nano-based targeted techniques for cancer treatment. It will also delineate the challenges and perspectives in pre-clinical and clinical contexts.
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来源期刊
CiteScore
10.70
自引率
8.60%
发文量
951
审稿时长
72 days
期刊介绍: The International Journal of Pharmaceutics is the third most cited journal in the "Pharmacy & Pharmacology" category out of 366 journals, being the true home for pharmaceutical scientists concerned with the physical, chemical and biological properties of devices and delivery systems for drugs, vaccines and biologicals, including their design, manufacture and evaluation. This includes evaluation of the properties of drugs, excipients such as surfactants and polymers and novel materials. The journal has special sections on pharmaceutical nanotechnology and personalized medicines, and publishes research papers, reviews, commentaries and letters to the editor as well as special issues.
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