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1、第20卷第8期中國實驗方劑學(xué)雜志V01.20.No.82014年4月ChineseJournalofExperimentalTraditionalMedicalFormulaeApr.,2014中藥納米肝靶向給藥系統(tǒng)的研究進(jìn)展宋大遷,王炎,李琦(1.上海中醫(yī)藥大學(xué)附屬曙光醫(yī)院腫瘤科,上海201203;2.上海中醫(yī)藥大學(xué)附屬龍華醫(yī)院中醫(yī)腫瘤研究所,上海200032)[摘要]通過查閱近幾年文獻(xiàn),從被動靶向,主動靶向及物理化學(xué)靶向制劑三個方面對中藥納米靶向制劑在肝癌中的應(yīng)用進(jìn)行分析總結(jié),重點介紹了中藥納
2、米粒靶向治療肝細(xì)胞癌的機(jī)制和方法,并對中藥納米肝靶向給藥系統(tǒng)的前景進(jìn)行了討論與展望。肝細(xì)胞癌(HCC)是高發(fā)病率和死亡率的惡性腫瘤,臨床上由于藥物對腫瘤的選擇性差,吸收率低和多藥耐藥的出現(xiàn),肝癌患者的化療效果并不理想。中藥在治療肝癌中具有特殊優(yōu)勢,納米中藥兼具中藥與納米的優(yōu)勢,有效地解決了上述問題,在肝癌的治療中展現(xiàn)了豐富的應(yīng)用前景,已成為肝癌靶向治療研究中的熱點。[關(guān)鍵詞]中藥;納米粒;靶向治療;肝細(xì)胞癌[中圖分類號]R283.6[文獻(xiàn)標(biāo)識碼]A[文章編號]1005—9903(2014)08-0
3、241.04[doi]10.13422/j.cnki.syfix.2014080241NewProgressionofChineseMedicineNanoparticlesDrugDeliverySysteminHepat0cellularCarcinomaSONGDa—qian,WANGYah,LIQi(1.DepartmentofMedicalOncology,ShuguangHospital,ShanghaiUniversityofTraditionalChineseMedicine,Sh
4、anghai201203,China;2.ChinaandTumorInstituteofTraditionalChineseMedicine,LonghuaHospital,ShanghaiUniversityofTraditionalChineseMedicine,Shanghai200032,China)[Abstract]Inthispaper,WeperformedaanalysisandsummaryofnumerouspublishedpapersaboutChinesemedici
5、neNPs’targetedtherapyinHepatocellularcarcinoma(HCC)fromthreeaspects:focusingonthepassivetargeting,activetargetingandphysicochemica1targetingagents,especiallythemechanismsandmethods.WealsogiveadiscussionandoutlookaboutthefurtherdevelopmentofChinesemedi
6、cineNPs’drugdeliverysystemsinHCC.(HCC)isakindofmalignancywithhighmorbidityandmortality,Duetothedrug’poorselectivitytotumor,lowabsorptionandtheemergenceofmultidrugresistanceclinically,theeffectofchemotherapyinpatientswithlivercancerisnotidea1.Wherethec
7、hinesemedicineplayasignificantrole,Thechinesemedicinenanoparticles(NPs)combineingtheadvantagesofnano—medicineandnano-medicine,solvetheaboveproblemseffectively,showawealthofpotentialapplicationsinthetreatmentoflivercancer,andbecomethehotspotinHCCtarget
8、edtherapynowadays.[Keywords]traditionalChinesemedicine(TCM);aanoparticles(NPs);targetedtherapy;hepatocellularcarcinoma(HCC)肝細(xì)胞癌(HCC)高發(fā)且死亡率日益上升,已成差,吸收效率低;加之化療藥物的多藥耐藥為一個全球性健康問題。由于藥物對腫瘤的選擇性(MDR)也常常發(fā)生¨,對于HCC患者的化療效果[收稿日期]20130521(o14)[基金項目]國家自然科學(xué)基金