新兴的灵丹妙药:亚细胞细胞器靶向癌症治疗。

Medical review (Berlin, Germany) Pub Date : 2024-09-12 eCollection Date: 2025-04-01 DOI:10.1515/mr-2024-0044
Yue Yan, Yimeng Zhang, Jianxiong Liu, Binlong Chen, Yiguang Wang
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引用次数: 0

摘要

抗癌药物的治疗效果在很大程度上依赖于它们在相应靶点的浓度和保留。因此,仅仅增加药物的细胞浓度不足以达到令人满意的治疗效果,特别是针对特定细胞内部位的药物。这就需要实施更精确的靶向策略,以克服细胞内扩散分布和非特异性相互作用带来的限制。因此,亚细胞细胞器靶向癌症治疗以其特殊的精确性为特征,已经成为一种有希望的通过亚细胞细胞器的特异性破坏来根除癌细胞的方法。由于亚细胞器靶向治疗具有剂量和副作用最小、疗效最佳、逆转多药耐药等优点,近年来引起了广泛的研究兴趣。在这篇综述中,我们全面总结了药物靶点的分布,不同水平的靶向递送策略,以及针对特定亚细胞细胞器的复杂策略。此外,我们强调了亚细胞靶向在癌症治疗中的重要性,并提出了其临床转化的基本考虑因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emerging magic bullet: subcellular organelle-targeted cancer therapy.

The therapeutic efficacy of anticancer drugs heavily relies on their concentration and retention at the corresponding target site. Hence, merely increasing the cellular concentration of drugs is insufficient to achieve satisfactory therapeutic outcomes, especially for the drugs that target specific intracellular sites. This necessitates the implementation of more precise targeting strategies to overcome the limitations posed by diffusion distribution and nonspecific interactions within cells. Consequently, subcellular organelle-targeted cancer therapy, characterized by its exceptional precision, have emerged as a promising approach to eradicate cancer cells through the specific disruption of subcellular organelles. Owing to several advantages including minimized dosage and side effect, optimized efficacy, and reversal of multidrug resistance, subcellular organelle-targeted therapies have garnered significant research interest in recent years. In this review, we comprehensively summarize the distribution of drug targets, targeted delivery strategies at various levels, and sophisticated strategies for targeting specific subcellular organelles. Additionally, we highlight the significance of subcellular targeting in cancer therapy and present essential considerations for its clinical translation.

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