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Targeting and delivery of platinum-based anticancer drugs

机译:靶向和交付铂基抗癌药

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Platinum-based anticancer drugs occupy a crucial role in the treatment of various malignant tumours. However, the efficacy and applicability of platinum drugs are heavily restricted by severe systemic toxicities and drug resistance. Different drug targeting and delivery (DTD) strategies have been developed to prevent the shortcomings of platinum-based chemotherapy. These approaches can be roughly categorized into two groups; namely, active and passive tactics. Active DTD is realized through specific molecular interactions between the drugs and cell or tissue elements, while passive DTD is" achieved by exploiting the enhanced permeability and retention effect in tumour tissues. The principal methods for active DTD include conjugation of platinum drugs with selective targeting moieties or encapsulation of platinum drugs in host molecules. Bioactive substances such as hormones, carbohydrates, bisphosphonates, peptides and proteins are commonly used in active DTD. Passive DTD generally involves the fabrication of functionalized polymers or nanoparticles and the subsequent conjugation of platinum drugs with such entities. Polymeric micelles, liposomes, nanotubes and nanoparticles are frequently used in passive DTD. In some cases, both active and passive mechanisms are involved in one DTD system. This review concentrates on various targeting and delivery techniques for improving the efficacy and reducing the side effects of platinum-based anticancer drugs. The content covers most of the related literatures published since 2006. These innovative tactics represent current state-of-the-art developments in platinum-based anticancer drugs.
机译:铂基抗癌药在各种恶性肿瘤的治疗中起着至关重要的作用。但是,铂药物的功效和适用性受到严重的全身毒性和耐药性的严重限制。已经开发出不同的药物靶向和递送(DTD)策略,以防止基于铂的化学疗法的缺点。这些方法可以大致分为两类。即主动和被动战术。主动DTD是通过药物与细胞或组织元素之间的特定分子相互作用实现的,而被动DTD是“通过利用增强的肿瘤组织的通透性和保留效应来实现的。主动DTD的主要方法包括将铂类药物与选择性靶向部分结合在一起或将铂药物封装在宿主分子中。激素,碳水化合物,双膦酸盐,肽和蛋白质等生物活性物质通常用于活性DTD。被动DTD通常涉及功能化聚合物或纳米粒子的制造以及随后铂药物与此类实体的结合。被动DTD中经常使用高分子胶束,脂质体,纳米管和纳米颗粒,在某些情况下,主动和被动机制都涉及一个DTD系统,该综述集中于各种靶向和递送技术,以提高疗效并减少副作用。铂基抗癌药药物。内容涵盖自2006年以来发布的大多数相关文献。这些创新策略代表了铂基抗癌药物的最新发展。

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