用于器官特异性癌症靶向治疗的脂质体给药系统:早期承诺、后续问题和近期突破。

Expert opinion on drug delivery Pub Date : 2024-09-01 Epub Date: 2024-09-16 DOI:10.1080/17425247.2024.2394611
Fahimeh Zahednezhad, Saeideh Allahyari, Muhammad Sarfraz, Parvin Zakeri-Milani, Mohammad Feyzizadeh, Hadi Valizadeh
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引用次数: 0

摘要

导言:与传统的脂质体给药系统相比,用于治疗癌症的靶向脂质体系统被认为是一种特异而稳健的方法。癌细胞具有独特的微环境,其表面有特殊的过表达受体,这为利用主动靶向技术发现新型有效的给药系统提供了机会:智能靶向脂质体可对内部或外部刺激做出反应,通过增加包裹的抗癌药物在肿瘤部位的积累来提高给药效率。针对流行的细胞表面受体的抗体和适配体的应用是一个有效且不断发展的领域。此外,免疫脂质体和癌症疫苗作为辅助化疗药物,也能起到良好的免疫调节作用。在这方面,组合和多功能系统也很有吸引力。然而,具有潜在活性的靶向脂质体给药系统要获得临床认可还有很长的路要走,这主要是由于功能化分子的交叉干扰和生物相容性问题:工程脂质体配方的设计必须基于组织特性,包括表面化学、电荷和微血管。本文旨在研究世界范围内用于常见癌症治疗的最新靶向脂质体系统。
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Liposomal drug delivery systems for organ-specific cancer targeting: early promises, subsequent problems, and recent breakthroughs.

Introduction: Targeted liposomal systems for cancer intention have been recognized as a specific and robust approach compared to conventional liposomal delivery systems. Cancer cells have a unique microenvironment with special over-expressed receptors on their surface, providing opportunities for discovering novel and effective drug delivery systems using active targeting.

Areas covered: Smartly targeted liposomes, responsive to internal or external stimulations, enhance the delivery efficiency by increasing accumulation of the encapsulated anti-cancer agent in the tumor site. The application of antibodies and aptamers against the prevalent cell surface receptors is a potent and ever-growing field. Moreover, immuno-liposomes and cancer vaccines as adjuvant chemotherapy are also amenable to favorable immune modulation. Combinational and multi-functional systems are also attractive in this regard. However, potentially active targeted liposomal drug delivery systems have a long path to clinical acceptance, chiefly due to cross-interference and biocompatibility affairs of the functionalized moieties.

Expert opinion: Engineered liposomal formulations have to be designed based on tissue properties, including surface chemistry, charge, and microvasculature. In this paper, we aimed to investigate the updated targeted liposomal systems for common cancer therapy worldwide.

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