pH敏感纳米药物载体在肿瘤治疗中的应用研究

pH敏感的纳米递药系统能有效利用其纳米尺寸以及敏感的连接键响应生物体内外不同的刺激,并通过在肿瘤部位选择性释药、增加药物的蓄积、减少药物在血液循环过程中的渗漏以及减轻毒副作用等方式提高药物生物利用度。根据肿瘤组织内不同的pH值构建多种刺激-响应型纳米载药系统是肿瘤治疗领域的发展趋势。本文综述了pH敏感的纳米药物载体在肿瘤治疗领域的研究与进展,以期为今后相关内容的深入研究提供借鉴。     

综述——纳米材料与药物输递：基于聚合物的环境敏感型纳米抗肿瘤药物传输系统的研究

环境敏感型聚合物纳米抗肿瘤药物传递系统能够响应外界环境的微小刺激,引起自身结构的变化,释放出药物,在肿瘤治疗方面具长效低毒、可控及高载药量等优势,已被广泛应用于生物医学领域．本文介绍了聚合物环境响应型纳米药物传输系统的发展近况,并从pH 值敏感型、温度敏感型、氧化还原敏感型、酶敏感型以及其他敏感型给药系统角度,阐述了环境敏感型药物传输系统在抗肿瘤领域的研究现状及未来展望．     

基于酸敏感的双响应抗癌药物载体的研究进展

为了达到更好的肿瘤治疗效果,研究者们针对肿瘤微环境设计出了双重和多重响应性智能纳米药物载体。其中基于酸敏感的双重响应性智能纳米药物载体的研究是最广泛、最常见的一种。在当前的研究中,该智能纳米药物载体已经初步实现了体内长循环、有效地抵达肿瘤细胞、在特定肿瘤微环境下控制药物释放等功效,增加了药物抗肿瘤疗效,有效地减少了药物对机体中正常组织的伤害。但是这类研究仍存在许多问题需要解决,如价格昂贵、载体结构复杂、体内药物传递机理不明确等,使其很难用于临床治疗。这里主要从酸-温度、酸-磁、酸-氧化还原、酸-酶、酸-光和酸-超声几个方面简单介绍了近几年的纳米载体研究进展,为进一步实现纳米药物临床应用奠定基础。     

卟啉金属有机骨架材料在肿瘤治疗中的应用

目前,恶性肿瘤严重威胁人类健康和生命。临床上常用放疗法和化疗法治疗肿瘤,在一定程度上抑制肿瘤的生长和转移。但是,传统的化疗药物在给药过程中缺乏靶向性、副作用大,而且大多数化疗药物水溶性差,效果有限,高剂量的重复给药会导致耐药,单一模式的治疗策略效果不佳。因此通过构建靶向智能多功能纳米载药系统实现肿瘤精准诊断和治疗成为近年来的研究热点。卟啉金属有机骨架（MOFs）材料具有多孔性、大比表面积、表面可修饰等特性,有望成为良好的靶向刺激响应型药物载体。而且卟啉MOFs可以避免卟啉分子的自聚集以及在激发态的自猝灭,还具有卟啉分子的宽光谱响应范围,是一类具有广阔应用前景的固体光敏剂,因此卟啉MOFs近年来成为构建靶向智能多功能纳米载药系统的重要平台。本论文综述了近年来基于卟啉金属有机骨架材料的肿瘤治疗策略,特别是基于肿瘤内源性组分（pH、酶、氧化还原）和外源性物理信号（声、磁、光）刺激触发的多功能纳米平台用于肿瘤精准诊断和治疗的最新研究进展,并讨论了卟啉MOFs在未来肿瘤治疗中面临的挑战和机遇。     

角蛋白载药纳米颗粒的制备及药物可控释放性能研究*

目的:以角蛋白作为药物载体材料,制备智能响应性药物递送系统,研究其药物装载和释放性能。方法:利用去溶剂法制备角蛋白纳米颗粒(KNP),以罗丹明B(RB)和姜黄素(Cur)为亲水性和疏水性模式药物,制备载药KNP。利用钨灯丝扫描电镜(SEM)、动态光散射(DLS)、傅里叶变换红外光谱(FTIR)和药物体外释放实验等对KNP的尺寸、形貌、结构、载药和释药性能进行研究。结果:成功制备出粒径均一、约为300 nm 的KNP,能够装载亲水性和疏水性药物。载药颗粒在体外释放研究中表现出pH和氧化还原双重响应性。结论:利用去溶剂法,简便、安全地制备了分散性良好且具有pH和氧化还原双重响应性释放特性的角蛋白载药纳米颗粒,为角蛋白作为智能响应型药物递送载体的研究和应用提供了参考。     

核酸自组装纳米递送载体的研究进展

随着核酸纳米技术的飞速发展,核酸自组装纳米载体已成为药物递送领域的研究热点。针对核酸自组装纳米载体在药物递送中的应用进展进行了系统综述,讨论了不同的核酸自组装策略,阐述了多种靶向递送和药物控制释放方法,同时,总结了核酸自组装纳米递送载体在蛋白质药物、核酸药物、小分子药物和纳米药物递送中的应用,并针对该领域的挑战和未来发展趋势进行了总结和展望,以期为药物递送领域和新型药物系统研究提供参考。     

活菌作为智能递送载体用于肿瘤治疗的研究进展

细菌经常被用作药物的载体实现被装载药物的肿瘤靶向、深部组织渗透等。近年来，通过合成生物学技术对细菌的基因进行改造，赋予了细菌环境感知和响应的功能，实现了细菌负荷药物的时空调控，促进细菌作为递送载体向更加智能化的方向发展。为此，本文综述了近年来利用细菌作为药物载体，以及基于环境感知和响应控制药物释放的细菌智能递送载体应用于癌症治疗的研究进展，最后对未来智能化的细菌载体应用于癌症治疗进行展望。     

浅析纳米载体靶向药物递送系统:误区、壁垒与对策

纳米载体靶向药物递送系统早已受到各国的广泛关注,虽然这一研究方向的论文发表量呈指数增加,却基本没有成药性.本文基于物理化学和生物学原理分析,通过对不同材料和粒径纳米载体扩散系数的实验研究,探讨分子与纳米粒子在水介质中依数性和扩散能力的差异、纳米载体在体内的寻靶过程,从根本上剖析了纳米载体靶向药物递送系统理论中存在的种种误区,揭示了主动靶向修饰的纳米载体并不能够按照载体设计的初衷提高对肿瘤组织的靶向效率的缺陷.证明EPR效应只适用于药物分子与具有足够扩散能力的纳米载体,并提出依靠环境特异性响应的靶向释药、提高纳米载体扩散能力、利用巨噬细胞固有的吞噬作用捕获NPs实现靶向药物递送以及逐级靶向等更具有可行性的靶向递送新策略.     

可控释放纳米载体在癌症治疗中的研究进展

癌症治疗的靶向分子药物的设计与构建,是目前生物医学领域的研究前沿热点之一。靶向药物载体的构建,是通过药物直接加载靶向生物分子或者利用载体自身特性,使化疗药物可以到达并富集在特定组织,所以也被称为"分子火车"。纳米药物的研究已经从单靶向发展到多靶向,实现从单一功能到多功能的应用。单纯的被动释放药物的载体颗粒在复杂的细胞微环境中缺乏精确治疗。因此通过构建带有可控释放特性的纳米药物载体,不仅能有效的提高药物在靶向部位的药物浓度,加强药效,而且还能降低对非靶向组织的毒副作用,提高纳米药物的安全性。常用的控制纳米药物释放的方式包括pH响应,酶响应,光响应,磁响应等。本文主要介绍构建可控药物释放纳米载体的研究进展。     

贵金属-磁性异质结构纳米材料及其生物医学应用

异质结构纳米颗粒不仅可以同时拥有多种单组分纳米颗粒不同的性能,实现多功能化,还可能因组分间的相互耦合作用而产生单组分颗粒不具备的新性能,因而在化学化工、生物医学、能源催化等领域引起广泛关注.贵金属具有特殊的光学性质和催化活性;磁性纳米颗粒拥有优异的磁性能,因而备受研究人员关注.贵金属-磁性异质结构纳米材料集合了两种材料优异的性能,能通过不同的异质结构展现出不同的性质.本文根据异质结构的类型,将贵金属-磁性异质结构纳米材料分为核壳结构、蛋黄-壳结构和哑铃结构3种,总结了不同贵金属-磁性异质结构纳米颗粒的特性、制备方法及应用,并重点论述了其在诊疗一体化探针、多模态成像探针和刺激响应型药物载体生物医学领域上的应用.     

量子点在新药开发中的应用

由于具有优异的光学特性,量子点在生物医学领域内的研究和应用取得了一些有意义的进展,同时也引起了新药开发人员的兴趣.本文概述了量子点在新药开发中所具有的优势,分析了量子点在药物传输、药物筛选和药靶确证方面的潜在应用,进一步讨论了当前量子点应用于新药开发存在的问题和不足.     

现代生物学对药物发现的影响

随着后基因组时代的到来,药物发现研究领域不断涌现出一系列新思路、新技术、新方法,从而迅速推进药物发现的多元化发展。一方面,基因组学、蛋白质组学、转录组学、代谢组学、生物信息学、系统生物学等新兴学科的崛起与发展,为药物发现提供更为广泛而深刻的理论基础;另一方面,计算机辅助药物设计、高通量筛选、高内涵筛选、生物芯片、转基因和RNA干扰等高新技术的发展和完善,为药物发现提供了新的技术手段和有力工具,极大地拓宽了药物发现的途径。本文结合近年来现代生物学的研究进展,综述现代生物学对药物发现过程的影响。     

从创新药物申报角度探讨中美新药评审制度的异同

创新药物研发是国家医药产业发展的原动力,美国作为全球新药研发能力最强的国家,这与其食品药品管理局在新药审批过程中给 予的技术支持和政策鼓励密不可分。通过分析比较我国与美国的新药评审相关政策的异同,学习和借鉴美国的成功经验,为我国创新药物 注册审评制度的调整与完善提供参考。     

Recent Advances in Drug Repositioning for the Discovery of New Anticancer Drugs

Drug repositioning (also referred to as drug repurposing), the process of finding new uses of existing drugs, has been gaining popularity in recent years. The availability of several established clinical drug libraries and rapid advances in disease biology, genomics and bioinformatics has accelerated the pace of both activity-based and in silico drug repositioning. Drug repositioning has attracted particular attention from the communities engaged in anticancer drug discovery due to the combination of great demand for new anticancer drugs and the availability of a wide variety of cell- and target-based screening assays. With the successful clinical introduction of a number of non-cancer drugs for cancer treatment, drug repositioning now became a powerful alternative strategy to discover and develop novel anticancer drug candidates from the existing drug space. In this review, recent successful examples of drug repositioning for anticancer drug discovery from non-cancer drugs will be discussed.     

壳聚糖作为药物缓释控释载体的研究进展

壳聚糖因其具有良好的生物学特性而成为多种药物载体研究的热点。药物经过壳聚糖负载后，不仅能够达到缓释控释的目的，还能够改变药物的给药方式，以此减少给药次数，降低药物不良反应，提高药物生物利用度。本文就壳聚糖和改性壳聚糖作为普通药物和生物大分子药物载体的研究进展作一综述。     

Applications of primary human hepatocytes in the evaluation of pharmacokinetic drug-drug interactions: Evaluation of model drugs terfenadine and rifampin

The utility of primary human hepatocytes in the evaluation of drug-drug interactions is being investigated in our laboratories. Our initial approach was to investigate whether drug-drug interactions observed in humans in vivo could be reproduced in vitro using human hepatocytes. Two model drugs were studied: terfenadine and rifampin, representing compounds subjected to drug-drug interactions via inhibitory and induction mechanisms, respectively. Terfenadine was found to be metabolized by human hepatocytes to C-oxidation and N-dealkylation products as observed in humans in vivo. Metabolism by human hepatocytes was found to be inhibited by drugs which are known to be inhibitory in vivo, Ki values for the various inhibitors were derived from the in vitro metabolism data, resulting in the following ranking of inhibitory potency: For the inhibition of C-oxidation, ketoconazole > itraconazole > cyclosporin ~ troleandomycin > erythromycin > naringenin. For the inhibition of N-dealkylation, itraconazole ketoconazole > cyclosporin naringenin erythromycin troleandomycin. Rifampin induction of CYP3A, a known effect of rifampin in vivo, was also reproduced in primary human hepatocytes. Induction of CYP3A4, measured as testosterone 6-hydroxylation, was found to be dose-dependent, treatment duration-dependent, and reversible. The induction effect of rifampin was observed in hepatocytes isolated from all 7 human donors studied, with ages ranging from 1.7 to 78 years. To demonstrate that the rifampin-induction of testosterone 6-hydroxylation could be generalized to other CYP3A4 substrates, we evaluated the metabolism of another known substrate of CYP3A4, lidocaine. Dose-dependent induction of lidocaine metabolism by rifampin is observed. Our results suggest that primary human hepatocytes may be a useful experimental system for preclinical evaluation of drug-drug interaction potential during drug development, and as a tool to evaluate the mechanism of clinically observed drug-drug interactions.     

人Toll样受体靶向药物研究进展

Toll样受体(TLR)是一类模式识别受体,通过多种信号传递改善免疫系统功能,活化NF-κB信号通路,调节TNF-α、ILs和IFN-α等多种细胞因子分泌,在天然免疫系统中发挥重要作用,在免疫学及药物研究领域受到广泛关注。TLR种类众多,配体广泛,可以作为治疗微生物感染、炎症、自身免疫性疾病、 肿瘤及放射损伤等疾病的药物靶点,是免疫治疗的重要切入点。研究人员已经对数十种TLR靶向药物进行了研究。对TLR结构特征、信号传递以及靶向药物的特点和研究现状进行综述,分析其在免疫治疗方面的优劣势,也为下一步药物研究提供一定的理论依据。     

Comparison of the Ames assay and the induction of sister chromatid exchanges: Results with ten pharmaceuticals and five selected agents

Seven antischistosomal drugs, two antimalarial drugs, and one antiamoebic drug were tested in all five Ames strains for induction of mutation, as well as for induction of cytotoxicity, inhibition of cellular progression, and the induction of sister chromatid exchanges in two cultured mammalian cell lines. We found that two agents shown to be negative in the Ames test were positive for sister chromatid exchange induction. Based on qualitative and quantitative evaluation, we find that all but three of the pharmaceuticals should be considered to be potential human carcinogens.Abbreviations AA 2-aminoanthracene - 9AACC 9-aminoacridine - AM amoscanate - BrdUU bromodeoxyuridine - CA chloroquine diphosphate - CHO Chinese hamster ovary - CQ chloroquine - DAPI 46-diamidino-2-phenylindole - DHY dehydroemetine - DMSO dimethyl sulfoxide - EB ethidium bromide - FCS fetal calf serum - FN 4-fluoro-3-nitrophenyl azide - HY hycanthone - ICP inhibiting cell progression - LU lucanthone - MEM minimal essential medium - 2NF 2-nitrofurantoin - 4NPD 4-nitro-O-phenylenediamine - NZ niridazole - OL oltipraz - OX oxaminiquine - PBS phosphate buffered saline - PQ primaquine - PZ praziquantel - SA sodium azide - SCE sister chromatid exchange     

Pharmacogenetics of cardiovascular drugs.

Pharmacogenetics is a field aimed at understanding the genetic contribution to inter-patient variability in drug efficacy and toxicity. Treatment of cardiovascular disease is, in most cases, guided by evidence from well-controlled clinical trials. Given the solid scientific basis for the treatment of most cardiovascular diseases, it is common for patients with a given disease to be treated in essentially the same manner. Thus, the clinical trials have been very informative about treating large groups of patients with a given disease, but are slightly less informative about the treatment of individual patients. Pharmacogenetics and pharmacogenomics have the potential of taking the information derived from large clinical trials and further refining it to select the drugs with the greatest likelihood for benefit, and least likelihood for harm, in individual patients, based on their genetic make-up. In this paper, the current literature on cardiovascular pharmacogenetics is emphasised, and how the use of pharmacogenetic/pharmacogenomic information may be particularly useful in the future in the treatment of cardiovascular diseases is also highlighted.     

Mutagenesis of the putative nucleotide-binding domains of the multidrug resistance associated protein (MRP). Analysis of the effect of these mutations on MRP mediated drug resistance and transport

Studies were conducted to examine the functional role of the nucleotide-binding domains of MRP in drug resistance and drug transport in isolated membrane vesicles. In vivo studies were conducted by preparing stable transfectants of HeLa cells with wild-type MRP cDNA or MRP cDNAs which had been mutated at certain nucleotide binding domains (NBD). Stable transfectants producing equivalent amounts of the MRP encoded protein P190 were used in this study. The results demonstrated that deletions in the C-motif of NBD1 or the A-motif of NBD2 have a pronounced effect in reducing resistance levels to chemotherapeutic agents. Certain single-site mutations in lysines in these same motifs also reduce IC₅₀ values. It has also been observed that mutation of the MRP NBDs results in an increase in drug accumulation and a reduction in drug efflux. Additional studies have been carried out in which recombinant baculovirus containing either wild-type MRP or MRP containing mutated NBDs was prepared and used to infect SF21 insect cells. Using this system we have analyzed the effects of these mutations on in vitro transport of leukotriene C₄ (LTC₄) 17 β-estradiol 17 (β-D-glucuronide)(E₂17βG) and daunomycin in membrane vesicles prepared from baculovirus infected cells. The results demonstrate that deletions and site-specific mutations in MRP NBDs greatly reduce the ATP dependent transport of all three substrates. The results of these studies conducted both in vivo and in vitro demonstrate that the NBDs of MRP function in a cooperative manner and are critical for the transport activity of the MRP encoded protein P190. These studies also identify specific lysines in NBD1 and NBD2 which are important for optimal MRP activity. This revised version was published online in August 2006 with corrections to the Cover Date.