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iRGD Peptide as a Tumor-Penetrating Enhancer for Tumor-Targeted Drug Delivery

机译:IRGD肽作为肿瘤靶向药物递送的肿瘤渗透增强剂

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摘要

The unique structure and physiology of a tumor microenvironment impede intra-tumoral penetration of chemotherapeutic agents. A novel iRGD peptide that exploits the tumor microenvironment can activate integrin-dependent binding to tumor vasculatures and neuropilin-1 (NRP-1)-dependent transport to tumor tissues. Recent studies have focused on its dual-targeting ability to achieve enhanced penetration of chemotherapeutics for the efficient eradication of cancer cells. Both the covalent conjugation and the co-administration of iRGD with chemotherapeutic agents and engineered delivery vehicles have been explored. Interestingly, the iRGD-mediated drug delivery also enhances penetration through the blood–brain barrier (BBB). Recent studies have shown its synergistic effect with BBB disruptive techniques. The efficacy of immunotherapy involving immune checkpoint blockades has also been amplified by using iRGD as a targeting moiety. In this review, we presented the recent advances in iRGD technology, focusing on cancer treatment modalities, including the current clinical trials using iRGD. The iRGD-mediated nano-carrier system could serve as a promising strategy in drug delivery to the deeper tumor regions, and be combined with various therapeutic interventions due to its novel targeting ability.
机译:肿瘤微环境的独特结构和生理学阻碍了化学治疗剂的肿瘤内渗透性。利用肿瘤微环境的新型IRGD肽可以激活与肿瘤血管和神经疏松素-1(NRP-1) - 依赖于肿瘤组织的依赖性依赖性结合。最近的研究侧重于其双重靶向能力,以实现化学治疗剂的增强渗透,以便有效地消除癌细胞。已经探讨了共价缀合和具有化学治疗剂和工程递送载体的IRGD的共价缀合和共同施用。有趣的是,IRGD介导的药物递送还通过血脑屏障(BBB)增强渗透。最近的研究表明其与BBB中断技术的协同效应。通过使用IRGD作为靶向部分,还扩增了涉及免疫检查点嵌段的免疫疗法的疗效。在本综述中,我们介绍了IRGD技术的最新进展,重点涉及癌症治疗方式,包括使用IRGD的目前临床试验。 IRGD介导的纳米载体系统可以作为给更深的肿瘤区域的药物递送的有希望的策略,并且由于其新的靶向能力而与各种治疗性干预措施结合。

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