摘要
背景:肝细胞癌(HCC)严重影响人体健康,特别是容易发展成多药耐药性(MDR),导致治疗失败。迫切需要开发高效,低毒的治疗剂来治疗HCC并克服其MDR。数十年来,已经研究了用于癌症治疗的靶向药物递送系统(DDS),包括纳米颗粒,脂质,微团和脂质体。近来,已经对包含各种配体例如聚合物部分,靶向部分和酸不稳定键的多功能DDS给予了更多关注。诸如聚乙二醇(PEG),壳聚糖(CTS),透明质酸,支链淀粉,聚环氧乙烷(PEO),聚环氧丙烷(PPO)等聚合物部分可保护DDS免受降解。去唾液酸糖蛋白受体(ASGPR)和甘草次酸受体(GAR)最常用作靶向部分,在肝细胞中过表达。适应肿瘤细胞和正常组织之间pH差异的酸不稳定键已被用来在肿瘤组织上释放药物。 目标:这篇综述总结了ASPGR和GAR介导的和/或pH响应的HCC靶向药物输送的最新进展。 结论:多功能DDS可延长体内循环,持续释放药物,增加药物在靶部位的蓄积,增强抗癌作用,并减少体内外副作用。但是很少用于研究肝癌的MDR。因此,在进行临床试验之前需要进一步研究。
关键词: 肝细胞癌,药物输送系统,去唾液酸糖蛋白受体,甘草次酸受体,pH响应,化学治疗药物。
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