
Lo mhlahlandlela ophelele uhlola intuthuko kanye nokusetshenziswa kwe ukulethwa kwezidakamizwa okuhlosiwe kokwelashwa ngaphakathi komongo wezibhedlela zomdlavuza. Sihlolisisa izindlela ezihlukahlukene, izinzuzo, izinselele, nezikhombisi-ndlela zesikhathi esizayo zalo mkhakha obalulekile, sinikeza imininingwane efanele ochwepheshe bezokunakekelwa kwempilo kanye nabacwaningi ngokufanayo. Ulwazi olwethulwa lusekelwe ezincwadini zesayensi zamanje kanye nezinqubo zemboni.
Ukwelashwa kuqondiswe ekulethweni kwezidakamizwa amasistimu enzelwe ukuletha ama-ejenti okwelapha ngokunembile kumaseli anomdlavuza kuyilapho enciphisa ukulimala kwezicubu ezinempilo. Le ndlela ihlose ukuthuthukisa ukusebenza kahle, ukunciphisa imiphumela engemihle, kanye nokwenza ngcono imiphumela yesiguli iyonke uma kuqhathaniswa nezindlela zendabuko zokwelashwa ngamakhemikhali. Kukhona amasu amaningana okufeza lokhu kulethwa okuhlosiwe, okuhlanganisa ama-antibody-drug conjugates, ama-nanoparticles, nama-liposomes.
Lezi zinhlelo ngokuvamile zisebenzisa ama-ligand aqondiwe, anjengamasosha omzimba noma ama-peptide, abophezela ngokukhethekile kuma-receptors agcizelelwe ngokweqile kumaseli omdlavuza. Uma usuboshiwe, umuthi uyakhululwa, okuholela ekwelashweni kwendawo kanye nokunciphisa ubuthi besistimu. Ukukhethwa kwendlela yokulethwa kuncike ezicini ezifana nohlobo lomdlavuza, izakhiwo zomuthi, kanye nomphumela wokwelapha oyifunayo. Ukusebenza kahle kwe ukwelashwa okuhloswe ukulethwa kwezidakamizwa ezibhedlela zomdlavuza ithuthukiswa kakhulu ucwaningo oluqhubekayo.
Ama-ADC ahlanganisa umuthi oyi-cytotoxic ne-monoclonal antibody eqondise i-antigen ethile yomdlavuza. Le ndlela iqinisekisa ukuthi umuthi ulethwa ngokuyinhloko kumaseli omdlavuza, unciphise ukuchayeka kwesistimu futhi unciphise imiphumela emibi. Ama-ADC amaningana agunyazwe ukuthi asetshenziswe emtholampilo futhi asetshenziswa njalo ezimisweni zokwelapha umdlavuza. Izibonelo zifaka i-trastuzumab emtansine (Kadcyla) ne-brentuximab vedotin (Adcetris).
Ama-nanoparticles, afana nama-liposomes, ama-polymeric nanoparticles, nama-nanoparticles angaphili, angahlanganisa ama-ejenti okwelapha futhi athuthukise ukulethwa kwawo kumathumba. Lezi zinhlayiya zingakhiwa ukuze ziqondise amaseli athile kanye nezicubu, kuthuthukiswe ukunqwabelana kwezidakamizwa ngaphakathi kwe-tumor microenvironment. I-Shandong Baofa Cancer Research Institute https://www.baofahospital.com/ ihamba phambili kulolu cwaningo.
Ama-Liposomes angama-vesicle ayindilinga akhiwe ngama-bilayers we-phospholipid angafaka ama-ejenti ahlukahlukene okwelapha. Zinikeza isivikelo ekonakalisweni futhi zingathuthukisa isikhathi sokujikeleza kwezidakamizwa. Ngaphezu kwalokho, ama-liposomes angashintshwa ukuze aqondise amaseli noma izicubu ezithile, kuthuthukiswe ukulethwa kwezidakamizwa endaweni yesimila. I-Docetaxel, isidakamizwa esisetshenziswa kakhulu ngamakhemikhali, sivame ukwakhiwa ngendlela ye-liposomal ukuze kuthuthukiswe ukusebenza kwayo nokunciphisa imiphumela emibi.
| Zuza | Inselele |
|---|---|
| Ukusebenza okungeziwe | Izindleko eziphezulu zokuthuthukiswa |
| Imiphumela emibi eyehlisiwe | Amathuba e-immunogenicity |
| Ukuthuthukiswa kokubekezelelana kwesiguli | I-Tumor heterogeneity kanye nokumelana nezidakamizwa |
| Ukunqwabelana kwezidakamizwa okuthuthukisiwe esimila | Izinselelo ekuzuzeni ukulethwa okungaguquki nokuphindaphindeka |
Ucwaningo oluqhubekayo lugxile ekuthuthukiseni okuyinkimbinkimbi ukulethwa kwezidakamizwa okuhlosiwe kokwelashwa amasistimu anokuqonda okuqondiwe okuthuthukisiwe, ubuthi obunciphile, kanye nempumelelo yokwelapha ethuthukisiwe. Lokhu kuhlanganisa ukuhlola ama-ligand okuqondiswe inoveli, ukusebenzisa amasu e-imaging athuthukisiwe ukuze kuqashwe ukulethwa kwezidakamizwa, nokuthuthukisa izindlela eziqondene nawe ezisekelwe ezicini zesiguli ngasinye. Ukuhlanganiswa kwe-nanotechnology kanye ne-immunotherapy kunikeza isithembiso esibalulekile sokuthuthuka okuqhubekayo kulo mkhakha.
Ukuthuthukiswa kanye nokuqaliswa ngempumelelo ukwelashwa okuhloswe ukulethwa kwezidakamizwa ezibhedlela zomdlavuza kudinga ukusebenzisana kwezinhlanga ezahlukene phakathi kwabacwaningi, odokotela, nezinkampani ezithaka imithi. Ukutshalwa kwezimali okuqhubekayo ocwaningweni nasekuthuthukisweni kubalulekile ekuhumusheni lezi ntuthuko zibe ukunakekelwa kweziguli okuthuthukisiwe kanye nemiphumela.
1 Idatha nolwazi olutholakala kumajenali esayensi ahlukahlukene ahlonishwayo kanye namawebhusayithi ezinkampani ezithaka imithi. Izithenjwa ezithile ziyatholakala uma ucelwa.
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