生物材料植入物在肿瘤治疗中的应用综述

Saba Maanvizhi, Vijayakumar Arumugam Ramamurthy, A. Velan, P. Thangaraju
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摘要

在全球范围内,癌症是仅次于心血管疾病的非传染性疾病中的第二大疾病,影响所有年龄、性别、社会地位、种族和与疾病有关的死亡的主要原因。传统上,全身给药系统,如口服胶囊化疗、纳米颗粒/微颗粒注射、免疫治疗等,可以抑制或阻止肿瘤的进展。药物的半衰期短,不能达到肿瘤部位的靶向剂量水平,不能靶向期望的细胞,通常会产生器官毒性。最近,研究人员一直在尝试直接递送药物用于癌症治疗。最好的方法之一是局部治疗系统,通过植入式手术直接给药,达到了肿瘤部位所需药物的最大浓度,非靶向全身暴露,最大限度地减少了对患者的器官毒性。生物材料植入体广泛应用于化疗和抗血管生成药物的局部同步递送、多药化疗的局部递送、替代药物递送的基因治疗、癌症免疫治疗的支架和基于聚合物的药物分子复合材料。聚酸酐聚双(对羧基-苯氧基)丙烷-癸二酸共聚物[p(CPP:SA)]、脂肪酸二聚体-癸二酸共聚物(FAD-SA)、聚乳酸-共乙醇酸共聚物(PLGA)、聚ε-己内酯(PCL)、聚甘油单硬脂酸-共己内酯)、海藻酸盐和二氧化硅等不同类型的聚合物先后用于癌症治疗。为了尽量减少不同类型的生物材料植入物产生不良副作用的风险,生物相容性要求降低对植入区域或部位引起炎症的能力。因此,选择合适的和生物相容性的植入物来治疗是必不可少的。这应该在癌症的风险收益比方面得到验证。基于生物材料的植入局部递送系统提供了更多的通用和定制的方法来对抗不同类型的癌症治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Biomaterial implants in the treatment of oncology: a review
In globally, cancer is a second leading disease next to cardiovascular diseases in non-communicable diseases, which affect the all ages, sex, social status, ethnicity and primary cause of illness related death. Traditionally, systemic delivery drug systems like chemotherapy via oral capsule, injections of nanoparticles/micro particles, immunotherapy and others, which can inhibit or halt the progression of tumors. The short half-life of drugs which cannot achieve the targeted dose level to the tumor site and not able to target desired cell and commonly produces the organ toxicity. Recently, researchers have been attempting to direct delivery agents for cancer therapy. One of the best methods is a local therapy system, which deliver the drug directly via implantable procedure and it’s achieved the maximum concentration of the desire drug at the tumor site, non-target systemic exposure and minimize the organ toxicity to the patients. Biomaterial implants are widely used in the local concurrent delivery of chemotherapy and anti-angiogenic agents, local delivery of poly-chemotherapy, gene therapy as an alternative to drug delivery, scaffolds for cancer immunotherapy and polymer-based composites of drug molecules. There are different types of polymers like poly anhydride poly [bis (p-carboxy-phenoxy) propane-sebacic acid] copolymer [p(CPP:SA)], fatty acid dimer-sebacic acid copolymer (FAD-SA), poly (lactic-co-glycolic acid) copolymer (PLGA), poly (ε-caprolactone) (PCL), poly (glycerol monostearate-co-caprolactone), alginate and silica, used in successively cancer therapy. In order to minimize the risk of unwanted side effect of different types of biomaterials implants, it’s biocompatible to reduce the ability to elicit the inflammatory effect to the implanted area or the site. Therefore, the key role of choosing the appropriate and biocompatible implants to particular therapy is an indispensable. This should be validated with respect to risk benefit ratio in case of cancers. Biomaterial based implant local delivery systems provide more versatile and tailorable approach to against treatment of different types of the cancer.
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