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脂质体技术在结直肠癌治疗中的应用。

Liposome technologies towards colorectal cancer therapeutics.

机构信息

Graduate School of Biomedical Engineering, ARC Centre of Excellence in Nanoscale Biophotonics, Faculty of Engineering, UNSW Sydney, NSW, 2052, Australia.

Graduate School of Biomedical Engineering, ARC Centre of Excellence in Nanoscale Biophotonics, Faculty of Engineering, UNSW Sydney, NSW, 2052, Australia; School of Chemical Engineering, University of New South Wales, Sydney, NSW, 2052, Australia.

出版信息

Acta Biomater. 2021 Jun;127:24-40. doi: 10.1016/j.actbio.2021.03.055. Epub 2021 Apr 1.

Abstract

Colorectal cancer (CRC) is the third most common cancer and the fourth most common deadly cancer worldwide. After treatment with curative intent recurrence rates vary with staging 0-13% in Stage 1, 11-61% in S2 and 28-73% in Stage 3. The toxicity to healthy tissues from chemotherapy and radiotherapy and drug resistance severely affect the quality of life and cancer specific outcomes of CRC patients. To overcome some of these limitations, many efforts have been made to develop nanomaterial-based drug delivery systems. Among these nanocarriers, liposomes represented one of the most successful candidates in delivering targeted oncological treatment, improving safety profile and therapeutic efficacy of encapsulated drugs. In this review we will discuss liposome design with a particular focus on the targeting feature and triggering functions. We will also summarise the recent advances in liposomal delivery system for CRC treatment in both the preclinical and clinical studies. We will finally provide our perspectives on the liposome technology development for the future clinical translation. STATEMENT OF SIGNIFICANCE: Conventional treatments for colorectal cancer (CRC) severely affect the therapeutic effects for advanced patients. With the development of nanomedicines, liposomal delivery system appears to be one of the most promising nanocarriers for CRC treatment. In last three years several reviews in this area have been published focusing on the preclinical research and drug delivery function, which is a fairly narrow focus in the field of liposome technology for CRC therapy. Our review presented the most recent advances of the liposome technology (both clinical and preclinical applications) for CRC with strong potential for further clinical translation. We believe it will attract lots of attention from various audiences, including researchers, clinicians and the industry.

摘要

结直肠癌(CRC)是全球第三大常见癌症和第四大最常见的致命癌症。经过根治性治疗后,复发率随分期而变化,I 期为 0-13%,II 期为 11-61%,III 期为 28-73%。化疗和放疗对健康组织的毒性以及耐药性严重影响 CRC 患者的生活质量和癌症特异性结局。为了克服这些局限性,人们做出了许多努力来开发基于纳米材料的药物递送系统。在这些纳米载体中,脂质体是在提供靶向肿瘤治疗、提高包裹药物的安全性和疗效方面最成功的候选者之一。在本综述中,我们将讨论脂质体的设计,特别关注靶向特征和触发功能。我们还将总结脂质体递送系统在 CRC 治疗的临床前和临床研究中的最新进展。最后,我们将对脂质体技术的发展提供未来临床转化的观点。

重要性声明

结直肠癌(CRC)的常规治疗方法严重影响了晚期患者的治疗效果。随着纳米医学的发展,脂质体递送系统似乎是 CRC 治疗最有前途的纳米载体之一。在过去的三年中,已经发表了几篇关于该领域的综述,重点关注临床前研究和药物递送功能,这是 CRC 治疗脂质体技术领域的一个相当狭窄的焦点。我们的综述介绍了脂质体技术(临床和临床前应用)在 CRC 方面的最新进展,具有很强的进一步临床转化潜力。我们相信它将吸引来自不同受众的关注,包括研究人员、临床医生和行业。

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