
Phano ea Lithethefatsi e Lebeletsoeng bakeng sa Lipetlele tsa Mofets'e: Ho Ntlafatsa Phekolo ea Kalafo Lits'ebetso tse reriloeng tsa phano ea lithethefatsi li fetola kalafo ea mofetše, li fana ka ts'ebetso e ntlafetseng le litlamorao tse fokotsehileng ho bakuli. Sengoliloeng sena se hlalosa mekhoa e fapaneng e sebelisitsoeng phano ea lithethefatsi e lebisitsoeng ho lipetlele tsa mofetše, ho hlahloba mekhoa ea bona, melemo le mathata. Re tla hlahloba mehlala e ikhethileng mme re nahane ka bokamoso ba karolo ena ea bohlokoa ea oncology.
Ho fapana le chemotherapy ea setso, e tsamaisang lithethefatsi 'meleng, phano ea lithethefatsi e lebisitsoeng ho lipetlele tsa mofetše e tsepamisitse maikutlo ho faneng ka lisebelisoa tsa kalafo ka kotloloho liseleng tsa mofetše. Mokhoa ona o fokotsa tšenyo ea lisele tse phetseng hantle, tse lebisang litla-morao tse fokolang le liphello tse ntlafetseng tsa phekolo. Ho sebelisoa mekhoa e fapaneng ho fihlela phano ena e reriloeng, e 'ngoe le e 'ngoe e na le litšobotsi tse ikhethang le ts'ebeliso.
Mekhoa e mengata e thusa phano ea lithethefatsi e lebisitsoeng ho lipetlele tsa mofetše. Tsena li kenyelletsa:
Li-ADC ke mohlala o hlahelletseng oa phano ea lithethefatsi e lebisitsoeng ho lipetlele tsa mofetše. Li kopanya tse ikhethang tsa li-antibodies tsa monoclonal le matla a lithethefatsi tsa cytotoxic. Mokhoa ona o ntlafatsa katleho ka ho isa moriana ka kotloloho liseleng tsa mofetše, ha o ntse o boloka lisele tse phetseng hantle. Mohlala, trastuzumab emtansine (Kadcyla) ke ADC e sebelisetsoang ho phekola mofetše oa matsoele oa HER2-positive.1
Liposomes li koahela moriana, ho o sireletsa ho senyeha le ho eketsa nako ea ho potoloha maling. Pharmacokinetics ena e ntlafalitsoeng e lumella ho tsamaisoa ho lebisitsoeng ho lisele tsa tumor ka li-ligands tse lebisitsoeng kapa ho bokella ho sa sebetseng ka phello ea EPR. Doxorubicin liposomes (mohlala, Doxil) ke mohlala o amohelehang oa tleliniki.2
| Molemo | Phephetso |
|---|---|
| Keketseho ya katleho | Litšenyehelo tse phahameng tsa ntlafatso |
| Litla-morao tse fokolitsoeng | Monyetla oa immunogenicity |
| Bophelo bo ntlafetseng ba mokuli | Ho fapana ha hlahala le ho hanyetsa lithethefatsi |
Lipatlisiso li tsoela pele ho ntlafatsa le ho atolosa menyetla ea phano ea lithethefatsi e lebisitsoeng ho lipetlele tsa mofetše. Tsoelo-pele ho nanotechnology, genomics, le litšoantšo li lebisa ho nts'etsopele ea mekhoa e tsoetseng pele le e sebetsang haholoanyane. Ho kopanngoa ha meriana ea motho ka mong le tšebeliso ea liphekolo tse kopaneng le tsona li bula tsela bakeng sa liphello tse ntlafetseng tsa phekolo ea mofetše. Bakeng sa tlhaiso-leseling e batsi mabapi le kalafo e tsoetseng pele ea mofets'e le lipatlisiso, etela Setsi sa Lipatlisiso sa Kankere sa Shandong Baofa.
1 FDA. (n.d.). Kadcyla (trastuzumab emtansine). E ntšitsoe ho [https://www.fda.gov/drugs/informationondrugs/approveddrugs/ucm361642.htm](https://www.fda.gov/drugs/informationondrugs/approveddrugs/ucm361642.htm)
2 FDA. (n.d.). DOXIL (ente ea doxorubicin HCl liposomal). E ntšitsoe ho [https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=020515](https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo51=0)
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