固体脂质纳米颗粒在宫颈癌中的应用:十年来进展和前景的综合综述

Pooja Tiwary, Krishil Oswal, Ryan Varghese, Ravi Vamsi Peri and Pardeep Gupta
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引用次数: 0

摘要

背景:宫颈癌是世界上第二大最常诊断的癌症,也是妇女死亡的第三大原因,2020年报告的新病例约为604127例。传统的治疗方法,如化疗、放射治疗、手术和激素治疗,往往面临重大挑战,包括全身毒性和疗效降低,特别是在疾病的晚期。由于肿瘤的异质性、对化疗药物的耐药机制以及HPV的持续存在,宫颈癌的治疗变得更加复杂。然而,近年来,纳米技术干预,特别是固体脂质纳米颗粒(sln),由于其强大的潜力,有效地传递化疗药物,同时最大限度地减少全身毒性,已经获得越来越多的关注。sln在减少副作用、增强药物溶解度、提高稳定性和生物利用度以及克服常规治疗策略的局限性和耐药性方面提供了令人信服的解决方案。方法:以“子宫颈癌”、“载药”、“包封效率”、“HPV”、“药物缓释”、“固体脂质纳米颗粒”等关键词,在谷歌Scholar、PubMed、ScienceDirect、Dimensions AI和EBSCO宿主网站上检索相关文献,提供相关背景和证据。在选择论文的过程中,我们没有对发表日期施加任何限制。然而,必须强调的是,包含特定关键词的初始报告于2013年开始发布。结论:sln具有促进化疗药物和遗传物质靶向递送的能力,因此在药物递送方面,特别是在宫颈癌治疗中,代表了一个有前景的前沿领域。sln包封和保护重要治疗化合物的潜力为开发包括DNA和肽疫苗在内的创新治疗策略提供了重要机会。然而,缺乏批准的sln包封宫颈癌疫苗强调需要严格的体内研究和临床试验来验证其安全性和有效性。未来的研究不仅应该优化各种药物的sln,还应该探索不同的联合治疗方法,以提高治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Solid lipid nanoparticles in cervical cancer: a comprehensive review of a decade of progress and prospects

Solid lipid nanoparticles in cervical cancer: a comprehensive review of a decade of progress and prospects

Background: Cervical cancer is the second most commonly diagnosed cancer worldwide and the third leading cause of death among women, with approximately 604 127 new cases being reported in 2020. Conventional treatment methods, such as chemotherapy, radiation therapy, surgery, and hormonal therapy, often face significant challenges, including systemic toxicity and reduced efficacy, particularly in the advanced stages of the disease. The treatment of cervical cancer is further complicated by tumor heterogeneity, resistance mechanisms to chemotherapeutic drugs, and the persistent presence of HPV. However, in recent years, nanotechnological interventions, particularly solid lipid nanoparticles (SLNs), have gained increasing attention owing to their robust potential to effectively deliver chemotherapeutic agents while minimizing systemic toxicity. SLNs present a compelling solution for reducing side effects, enhancing drug solubility, improving stability and bioavailability, and overcoming the limitations and resistance associated with conventional treatment strategies. Methods: To provide the context and evidence, relevant publications were searched on Google Scholar, PubMed, ScienceDirect, Dimensions AI, and EBSCO host, using specific keywords such as “cervical cancer”, “drug loading”, “encapsulation efficiency”, “HPV”, “sustained drug release”, and “solid lipid nanoparticles (SLNs)”. We did not impose any restrictions on the publication date during the selection of papers. However, it is imperative to highlight that the initial reports containing specified keywords began publication in 2013. Conclusion: SLNs represent a promising frontier in drug delivery, particularly within cervical cancer therapeutics, because of their ability to facilitate the targeted delivery of chemotherapeutic agents and genetic materials. The potential of SLNs to encapsulate and protect vital therapeutic compounds presents significant opportunities for developing innovative treatment strategies including DNA and peptide vaccines. However, the lack of approved SLN-encapsulated vaccines for cervical cancer underscores the need for rigorous in vivo research and clinical trials to validate their safety and efficacy. Future studies should not only optimize SLNs for various agents but also explore diverse combination therapies to enhance therapeutic outcomes.

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