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当前纳米载体作为癌症治疗药物传递系统的药物经济学方面的趋势和挑战。

Current Trends and Challenges in Pharmacoeconomic Aspects of Nanocarriers as Drug Delivery Systems for Cancer Treatment.

机构信息

Department of Experimental Pharmacology, Medical University of Bialystok, Bialystok, 15-361, Poland.

Faculty of Chemistry, University of Bialystok, Bialystok, 15-245, Poland.

出版信息

Int J Nanomedicine. 2021 Sep 28;16:6593-6644. doi: 10.2147/IJN.S323831. eCollection 2021.

Abstract

Nanotherapy is a part of nanomedicine that involves nanoparticles as carriers to deliver drugs to target locations. This novel targeting approach has been found to resolve various problems, especially those associated with cancer treatment. In nanotherapy, the carrier plays a crucial role in handling many of the existing challenges, including drug protection before early-stage degradations of active substances, allowing them to reach targeted cells and overcome cell resistance mechanisms. The present review comprises the following sections: the first part presents the introduction of pharmacoeconomics as a branch of healthcare economics, the second part covers various beneficial aspects of the use of nanocarriers for in vitro, in vivo, and pre- and clinical studies, as well as discussion on drug resistance problem and present solutions to overcome it. In the third part, progress in drug manufacturing and optimization of the process of nanoparticle synthesis were discussed. Finally, pharmacokinetic and toxicological properties of nanoformulations due to up-to-date studies were summarized. In this review, the most recent developments in the field of nanotechnology's economic impact, particularly beneficial applications in medicine were presented. Primarily focus on cancer treatment, but also discussion on other fields of application, which are strongly associated with cancer epidemiology and treatment, was made. In addition, the current limitations of nanomedicine and its huge potential to improve and develop the health care system were presented.

摘要

纳米疗法是纳米医学的一个分支,涉及纳米颗粒作为载体将药物递送到靶位。这种新的靶向方法已被发现可解决各种问题,特别是与癌症治疗相关的问题。在纳米疗法中,载体在处理许多现有挑战方面起着至关重要的作用,包括在活性物质早期降解之前保护药物,使其能够到达靶细胞并克服细胞耐药机制。本综述包括以下几个部分:第一部分介绍了药物经济学作为医疗保健经济学的一个分支;第二部分涵盖了纳米载体在体外、体内、临床前和临床研究中的各种有益方面,以及讨论了药物耐药性问题及其目前的解决方案;第三部分讨论了药物制造的进展和纳米粒子合成过程的优化。最后,总结了基于最新研究的纳米制剂的药代动力学和毒理学特性。在这篇综述中,介绍了纳米技术在经济学领域的最新发展,特别是在医学上的有益应用。主要关注癌症治疗,但也讨论了与癌症流行病学和治疗密切相关的其他应用领域。此外,还介绍了纳米医学的当前局限性及其改善和发展医疗保健系统的巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65c7/8487283/82431e0243c7/IJN-16-6593-g0001.jpg

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