脂质体在乳腺癌化学免疫治疗中的作用。

IF 4.3 4区 医学 Q1 PHARMACOLOGY & PHARMACY
Journal of Drug Targeting Pub Date : 2025-07-01 Epub Date: 2025-03-03 DOI:10.1080/1061186X.2025.2467139
Fatemeh Attarian, Ghazaleh Hatamian, Shamim Nosrati, Mahsa Akbari Oryani, Hossein Javid, Alireza Hashemzadeh, Mojtaba Tarin
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引用次数: 0

摘要

在癌症治疗的动态领域,化学免疫疗法已经显示出巨大的希望,特别是对于侵袭性乳腺癌,如三阴性乳腺癌(TNBC)。这篇综述深入探讨了脂质体在提高化疗免疫治疗有效性方面的重要作用,通过利用乳腺癌特异性机制,如诱导免疫原性细胞死亡(ICD)、重编程肿瘤微环境(TME)和实现顺序药物释放。我们研究创新的双靶向脂质体,利用肿瘤异质性,以及ph敏感配方,提供更好的控制药物输送。与之前的分析不同,本综述将临床前研究的进展(如PAMAM树突纳米平台和rgd修饰脂质体)与临床试验结果直接联系起来,强调了它们革新TNBC治疗策略的潜力。此外,我们解决了与可扩展性、毒性和法规遵从性相关的持续挑战,并提出了个性化、免疫聚焦纳米医学的未来方向。这项工作不仅综合了最新的研究成果,而且为将脂质体化学免疫疗法从实验室研究转化为临床实践提供了一个框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of liposomes in chemoimmunotherapy of breast cancer.

In the dynamic arena of cancer therapeutics, chemoimmunotherapy has shown tremendous promise, especially for aggressive forms of breast cancer like triple-negative breast cancer (TNBC). This review delves into the significant role of liposomes in enhancing the effectiveness of chemoimmunotherapy by leveraging breast cancer-specific mechanisms such as the induction of immunogenic cell death (ICD), reprogramming the tumour microenvironment (TME), and enabling sequential drug release. We examine innovative dual-targeting liposomes that capitalise on tumour heterogeneity, as well as pH-sensitive formulations that offer improved control over drug delivery. Unlike prior analyses, this review directly links advancements in preclinical research-such as PAMAM dendrimer-based nanoplatforms and RGD-decorated liposomes-to clinical trial results, highlighting their potential to revolutionise TNBC treatment strategies. Additionally, we address ongoing challenges related to scalability, toxicity, and regulatory compliance, and propose future directions for personalised, immune-focused nanomedicine. This work not only synthesises the latest research but also offers a framework for translating liposomal chemoimmunotherapy from laboratory research to clinical practice.

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来源期刊
CiteScore
9.10
自引率
0.00%
发文量
165
审稿时长
2 months
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.
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