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用于靶向非小细胞肺癌的吸入药物。

Inhaled Medicines for Targeting Non-Small Cell Lung Cancer.

作者信息

Al Khatib Arwa Omar, El-Tanani Mohamed, Al-Obaidi Hisham

机构信息

School of Pharmacy, University of Reading, Reading RG6 6AD, UK.

Faculty of Pharmacy, Al Ahliyya Amman University, Amman 19111, Jordan.

出版信息

Pharmaceutics. 2023 Dec 14;15(12):2777. doi: 10.3390/pharmaceutics15122777.

Abstract

Throughout the years, considerable progress has been made in methods for delivering drugs directly to the lungs, which offers enhanced precision in targeting specific lung regions. Currently, for treatment of lung cancer, the prevalent routes for drug administration are oral and parenteral. These methods, while effective, often come with side effects including hair loss, nausea, vomiting, susceptibility to infections, and bleeding. Direct drug delivery to the lungs presents a range of advantages. Notably, it can significantly reduce or even eliminate these side effects and provide more accurate targeting of malignancies. This approach is especially beneficial for treating conditions like lung cancer and various respiratory diseases. However, the journey towards perfecting inhaled drug delivery systems has not been without its challenges, primarily due to the complex structure and functions of the respiratory tract. This comprehensive review will investigate delivery strategies that target lung cancer, specifically focusing on non-small-cell lung cancer (NSCLC)-a predominant variant of lung cancer. Within the scope of this review, active and passive targeting techniques are covered which highlight the roles of advanced tools like nanoparticles and lipid carriers. Furthermore, this review will shed light on the potential synergies of combining inhalation therapy with other treatment approaches, such as chemotherapy and immunotherapy. The goal is to determine how these combinations might amplify therapeutic results, optimizing patient outcomes and overall well-being.

摘要

多年来,在将药物直接输送到肺部的方法方面已经取得了相当大的进展,这在靶向特定肺区域方面提供了更高的精准度。目前,对于肺癌治疗,普遍的给药途径是口服和肠胃外给药。这些方法虽然有效,但往往伴随着副作用,包括脱发、恶心、呕吐、易感染和出血。将药物直接输送到肺部具有一系列优势。值得注意的是,它可以显著减少甚至消除这些副作用,并更精确地靶向恶性肿瘤。这种方法对于治疗肺癌和各种呼吸道疾病等病症特别有益。然而,完善吸入式药物输送系统的道路并非没有挑战,主要是由于呼吸道复杂的结构和功能。这篇综述将研究针对肺癌的输送策略,特别关注非小细胞肺癌(NSCLC)——肺癌的一种主要变体。在本综述范围内,涵盖了主动和被动靶向技术,这些技术突出了纳米颗粒和脂质载体等先进工具的作用。此外,本综述将阐明吸入疗法与其他治疗方法(如化疗和免疫疗法)相结合的潜在协同作用。目标是确定这些组合如何增强治疗效果,优化患者的治疗结果和整体健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47da/10748026/f6e2ee7fa6af/pharmaceutics-15-02777-g001.jpg

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