Nanocarriers for Anticancer Drug Targeting: Recent Trends and Challenges.

IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Sunita Dahiya, Rajiv Dahiya, Eliud Hernández
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引用次数: 9

Abstract

Nanocarriers are nanostructured vehicles employed to deliver anticancer drugs to the targeted tumor sites in the body. Nanocarriers have been successfully employed to circumvent certain limitations of conventional anticancer drug delivery while providing greater bioavailability, prolonged circulation time and higher tumor accumulation for enhanced therapeutic outcomes in cancer treatment. Nanocarriers are also responsive to functionalization to tailor their pharmaco-kinetics and achieve enhanced therapeutic outcomes in cancer therapy. Among organic, inorganic and hybrid type, several nanocarriers have gained approval for use in cancer patients, while many more are under clinical development. For the last two decades, cancer immunotherapy-based advanced targeting approaches such as monoclonal antibodies, antibody drug conjugates and immune checkpoint inhibitors that utilize human immune system functions have vastly developed which furnish better treatment options in several intractable cancers compared with traditional cancer therapies. This review discusses the imperative role of tumor vasculature in passive and active targeting of anticancer drugs using organic and inorganic nanocarriers and the current research efforts underway. The advanced targeting approaches for treatment of various cancers and their most recent clinical development scenario have been comprehensively explored. Further, potential challenges associated with each type of nanocarrier, and their translational obstacles are addressed.

抗癌药物靶向的纳米载体:最新趋势和挑战。
纳米载体是一种纳米结构的载体,用于将抗癌药物输送到体内的靶向肿瘤部位。纳米载体已经成功地规避了传统抗癌药物递送的某些限制,同时提供了更高的生物利用度、更长的循环时间和更高的肿瘤积累,从而增强了癌症治疗的治疗效果。纳米载体也响应功能化,以定制其药物动力学,并在癌症治疗中实现增强的治疗效果。在有机、无机和混合型纳米载体中,几种纳米载体已经获得批准用于癌症患者,而更多的纳米载体正在临床开发中。在过去的二十年里,基于癌症免疫治疗的先进靶向治疗方法,如单克隆抗体、抗体药物偶联物和免疫检查点抑制剂,利用人体免疫系统功能得到了极大的发展,与传统的癌症治疗方法相比,它们为几种难治性癌症提供了更好的治疗选择。本文综述了肿瘤血管在利用有机和无机纳米载体被动靶向和主动靶向抗癌药物中的重要作用以及目前的研究进展。全面探讨了治疗各种癌症的先进靶向方法及其最新的临床发展情况。此外,还讨论了与每种类型的纳米载体相关的潜在挑战及其转化障碍。
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来源期刊
CiteScore
5.50
自引率
18.50%
发文量
27
审稿时长
>12 weeks
期刊介绍: Therapeutic uses of a variety of drug carrier systems have significant impact on the treatment and potential cure of many chronic diseases, including cancer, diabetes mellitus, psoriasis, parkinsons, Alzheimer, rheumatoid arthritis, HIV infection, infectious diseases, asthma, and drug addiction. Scientific efforts in these areas are multidisciplinary, involving the physical, biological, medical, pharmaceutical, biological materials, and engineering fields. Articles concerning this field appear in a wide variety of journals. With the vast increase in the number of articles and the tendency to fragment science, it becomes increasingly difficult to keep abreast of the literature and to sort out and evaluate the importance and reliability of the data, especially when proprietary considerations are involved. Abstracts and noncritical articles often do not provide a sufficiently reliable basis for proper assessment of a given field without the additional perusal of the original literature. This journal bridges this gap by publishing authoritative, objective, comprehensive multidisciplinary critical review papers with emphasis on formulation and delivery systems. Both invited and contributed articles are subject to peer review.
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