Sanaz Keshavarz Shahbaz, Khadijeh Koushki, Omid Izadi, Peter E Penson, Vasily N Sukhorukov, Prashant Kesharwani, Amirhossein Sahebkar
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引用次数: 0
Abstract
Cancer is a leading cause of death worldwide, and imposes a substantial socioeconomic burden with little impact especially on aggressive types of cancer. Conventional therapies have many serious side effects including generalised systemic toxicity which limits their long-term use. Tumour resistance and recurrence is another main problem associated with conventional therapy. Purified or extracted natural products have been investigated as cost-effective cancer chemoprotective agents with the potential to reverse or delaying carcinogenesis. Curcumin (CUR) as a natural polyphenolic component, exhibits many pharmacological activities such as anti-cancer, anti-inflammatory, anti-microbial, activity against neurodegenerative diseases including Alzheimer, antidiabetic activities (type II diabetes), anticoagulant properties, wound healing effects in both preclinical and clinical studies. Despite these effective protective properties, CUR has several limitations, including poor aqueous solubility, low bioavailability, chemical instability, rapid metabolism and a short half-life time. To overcome the pharmaceutical problems associated with free CUR, novel nanomedicine strategies (including polymeric nanoparticles (NPs) such as poly (lactic-co-glycolic acid) (PLGA) NPs have been developed. These formulations have the potential to improve the therapeutic efficacy of curcuminoids. In this review, we comprehensively summarise and discuss recent in vitro and in vivo studies to explore the pharmaceutical significance and clinical benefits of PLGA-NPs delivery system to improve the efficacy of CUR in the treatment of cancer.
癌症是导致全球死亡的主要原因之一,给社会经济造成沉重负担,尤其是对侵袭性癌症的影响甚微。传统疗法有许多严重的副作用,包括全身毒性,这限制了它们的长期使用。肿瘤耐药性和复发是与传统疗法相关的另一个主要问题。纯化或提取的天然产品已被研究为具有成本效益的癌症化学保护剂,具有逆转或延缓癌变的潜力。姜黄素(CUR)作为一种天然多酚成分,在临床前和临床研究中表现出多种药理活性,如抗癌、抗炎、抗微生物、抗神经退行性疾病(包括阿尔茨海默氏症)、抗糖尿病活性(II 型糖尿病)、抗凝特性、伤口愈合效果等。尽管 CUR 具有这些有效的保护特性,但它也有一些局限性,包括水溶性差、生物利用度低、化学性质不稳定、代谢快和半衰期短。为了克服与游离 CUR 相关的制药问题,人们开发了新型纳米药物策略(包括聚合纳米粒子(NPs),如聚(乳酸-共-乙醇酸)(PLGA)NPs)。这些制剂有望提高姜黄素的疗效。在这篇综述中,我们全面总结和讨论了最近的体外和体内研究,探讨了 PLGA-NPs 给药系统在提高姜黄素治疗癌症的疗效方面的药物意义和临床益处。
期刊介绍:
Journal of Drug Targeting publishes papers and reviews on all aspects of drug delivery and targeting for molecular and macromolecular drugs including the design and characterization of carrier systems (whether colloidal, protein or polymeric) for both vitro and/or in vivo applications of these drugs.
Papers are not restricted to drugs delivered by way of a carrier, but also include studies on molecular and macromolecular drugs that are designed to target specific cellular or extra-cellular molecules. As such the journal publishes results on the activity, delivery and targeting of therapeutic peptides/proteins and nucleic acids including genes/plasmid DNA, gene silencing nucleic acids (e.g. small interfering (si)RNA, antisense oligonucleotides, ribozymes, DNAzymes), as well as aptamers, mononucleotides and monoclonal antibodies and their conjugates. The diagnostic application of targeting technologies as well as targeted delivery of diagnostic and imaging agents also fall within the scope of the journal. In addition, papers are sought on self-regulating systems, systems responsive to their environment and to external stimuli and those that can produce programmed, pulsed and otherwise complex delivery patterns.