НАНОМЕДИЦИНА У ПРОТИПУХЛИННІЙ ТЕРАПІЇ
DOI:
https://doi.org/10.20998/2079-0821.2022.01Ключові слова:
ліпосомальні препарати, протипухлинні препарати, антиоксиданти, антирациклінові антибіотики, доцетаксел, препарати платини, іринотекан, кверцетин, куркумінАнотація
Використання ліпосомальних наночастинок як drug delivery system сьогодні є перспективним напрямком сучасної нанофармакології, зокрема у розробці протипухлинних лікарських препаратів. Ліпосомальні форми протипухлинних активних фармацевтичних інгредієнтів характеризуються зниженням токсичності, забезпеченням стабільності та підвищенням протипухлинної активності інкапсульваного у наночастинки протипухлинного агенту, пролонгованістю дії препарату. Представлені на ринку ліпосомальні протипухлинні засоби є препаратами із пасивним націлюванням, які накопичуються у клітинах шляхом пасивної дифузії пухлини завдяки EPR-ефекту судинної системи. У даному огляді представлені дані вивчення протипухлинної активності ліпосомальних препаратів, проведених українськими вченими протягом останніх десятиліть. Сьогодні доведена протипухлинна активність ліпосомальних форм терапевтичних агентів різної природи: антрациклінові антибіотики, препарати платини, напівсинтетичні похідні алкалоїдів, природні поліфенольні антиоксиданти, тощо. Так, інкапсуляція доксорубіцину гідрохлориду у ліпосоми дозволило знизити його кардіотоксичність та інші побічні ефекти, забезпечити можливість лікування резистентних до доксорубіцину пухлин. Ліпосомальні форми комплексних сполук платини, зокрема цисплатину, у порівнянні із вільними формами цитостатиків показали більшу ефективність при лікуванні резистентного до цисплатину раку яєчників. Застосування поліфенольних антиоксидантів, кверцетину та куркумін, у комплексній терапії дозволяє не лише посилити протипухлинний ефект, але й виявляю протективний ефект на здорові тканини та органи.
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