Lapatinib nano-delivery systems: a promising future for breast cancer treatment

被引:39
作者
Bonde, Gunjan Vasant [1 ]
Yadav, Sarita Kumari [1 ,2 ]
Chauhan, Sheetal [3 ]
Mittal, Pooja [1 ]
Ajmal, Gufran [1 ]
Thokala, Sathish [1 ]
Mishra, Brahmeshwar [1 ]
机构
[1] Banaras Hindu Univ, Indian Inst Technol, Dept Pharmaceut Engn & Technol, Varanasi 221005, UP, India
[2] Moti Lal Nehru Med Coll, Dept Pharm, Allahabad, Uttar Pradesh, India
[3] Manipal Univ, Melaka Manipal Med Coll, Dept Pharmacol, Manipal, Karnataka, India
关键词
Active targeting; capecitabine; letrozole; nano-delivery system; passive targeting; tyrosine kinase; GROWTH-FACTOR RECEPTOR; SERUM-ALBUMIN NANOPARTICLES; CO-DELIVERY; IN-VITRO; MULTIDRUG-RESISTANCE; PERSONALIZED THERAPY; TARGETED THERAPIES; POLYMERIC MICELLES; TYROSINE KINASES; HER2; EXPRESSION;
D O I
10.1080/17425247.2018.1449832
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction: Breast cancer stands the second prominent cause of death among women. For its efficient treatment, Lapatinib (LAPA) was developed as a selective tyrosine kinase inhibitor of receptors, overexpressed by breast cancer cells. Various explored delivery strategies for LAPA indicated its controlled release with enhanced aqueous solubility, improved bioavailability, decreased plasma protein binding, reduced dose and toxicity to the other organs with maximized clinical efficacy, compared to its marketed tablet formulation.Areas covered: This comprehensive review deals with the survey, performed through different electronic databases, regarding various challenges and their solutions attained by fabricating delivery systems like nanoparticles, micelle, nanocapsules, nanochannels, and liposomes. It also covers the synthesis of novel LAPA-conjugates for diagnostic purpose.Expert opinion: Unfortunately, clinical use of LAPA is restricted because of its extensive albumin binding capacity, poor oral bioavailability, and poor aqueous solubility. LAPA is marketed as the oral tablet only. Therefore, it becomes imperative to formulate alternate efficient multiparticulate or nano-delivery systems for administration through non-oral routes, for active/passive targeting, and to scale-up by pharmaceutical scientists followed by their clinical trials by clinical experts. LAPA combinations with capecitabine and letrozole should also be tried for breast cancer treatment.
引用
收藏
页码:495 / 507
页数:13
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