Acta Pharmaceutica Sinica B

Acta Pharmaceutica Sinica B

Volume 13, Issue 8, August 2023, Pages 3252-3276
Acta Pharmaceutica Sinica B

REVIEW
Self-assembled nanoformulations of paclitaxel for enhanced cancer theranostics

https://doi.org/10.1016/j.apsb.2023.02.021Get rights and content
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Abstract

Chemotherapy has occupied the critical position in cancer therapy, especially towards the post-operative, advanced, recurrent, and metastatic tumors. Paclitaxel (PTX)-based formulations have been widely used in clinical practice, while the therapeutic effect is far from satisfied due to off-target toxicity and drug resistance. The caseless multi-components make the preparation technology complicated and aggravate the concerns with the excipients-associated toxicity. The self-assembled PTX nanoparticles possess a high drug content and could incorporate various functional molecules for enhancing the therapeutic index. In this work, we summarize the self-assembly strategy for diverse nanodrugs of PTX. Then, the advancement of nanodrugs for tumor therapy, especially emphasis on mono-chemotherapy, combinational therapy, and theranostics, have been outlined. Finally, the challenges and potential improvements have been briefly spotlighted.

Graphical abstract

The advancements of paclitaxel (PTX) nanoformulations based on self-assembly of pure drugs, homodimeric prodrug, heterodimeric prodrug, or poly-prodrug for mono-chemotherapy, combinational therapy and theranostics are presented.

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Key words

Paclitaxel
Self-assembly
Homodimeric prodrug
Heterodimeric prodrug
Poly-prodrug
Chemotherapy
Combinational therapy
Theranostics

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Peer review under the responsibility of Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences.