创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

李思明, 张强, 代文兵. 局部递药水凝胶用于肿瘤术后治疗的研究进展[J]. 药学进展, 2020, 44(5): 351-360.
引用本文: 李思明, 张强, 代文兵. 局部递药水凝胶用于肿瘤术后治疗的研究进展[J]. 药学进展, 2020, 44(5): 351-360.
LI Siming, ZHANG Qiang, DAI Wenbing. Research Progress in Hydrogels for Local Drug Delivery in Postoperative Treatment of Tumor[J]. Progress in Pharmaceutical Sciences, 2020, 44(5): 351-360.
Citation: LI Siming, ZHANG Qiang, DAI Wenbing. Research Progress in Hydrogels for Local Drug Delivery in Postoperative Treatment of Tumor[J]. Progress in Pharmaceutical Sciences, 2020, 44(5): 351-360.

局部递药水凝胶用于肿瘤术后治疗的研究进展

Research Progress in Hydrogels for Local Drug Delivery in Postoperative Treatment of Tumor

  • 摘要: 目前,手术仍然是大多数恶性实体肿瘤的主要治疗方式。为了防止复发与转移,临床上通常在术后辅以全身化疗或放疗来清除残余的肿瘤细胞,但是这些方案一般都会产生明显的毒副作用,术后患者的顺应性差。局部用药物制剂能经一定给药方式使药物直接定位于术后创面,提高病灶处的药物浓度,从而以更小的剂量有效地防止肿瘤原位复发甚至远端转移,有望成为更理想的术后治疗方案。水凝胶由于良好的生物相容性、可降解性、易于包载多种治疗剂和释药可控等特点,受到了越来越多的关注。综述近几年水凝胶应用于肿瘤术后治疗的研究进展,重点阐述可注射用和喷雾用原位凝胶的原理、特点和代表性研究。展望水凝胶用于术后局部治疗的前景,以期为术后用水凝胶的基础研究、新制剂立项及转化研究提供参考。

     

    Abstract: Currently, surgery still remains to be a principal modality of medical treatment for the majority of malignant solid tumors. Clinically, in order to prevent tumor recurrence and metastasis, postoperative systemic chemotherapy or radiotherapy is generally performed to remove residual tumor cells. However, these strategies may give rise to significant side-effects and poor patient compliance. Local drug delivery might increase drug concentration in lesion areas and effectively prevent tumor recurrence at lower doses, which is expected to be a more ideal postoperative treatment. Hydrogels have attracted wide attention due to their good biocompatibility and degradability, which is easy to package multiple therapeutic agents with controllable drug release. This review briefly summarizes the research progress in the recent 5 years of hydrogels for local drug delivery after tumor resection and describes the principles, characteristics and representative research of injectable and sprayable in situ forming hydrogels; and additionally, prospects future applications and challenges to provide reference for the basic research, project approval of new preparation and translational development of hydrogels.

     

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