Abstract
Breast cancer is one of the malignant tumors with the highest morbidity and mortality. It is helpful to reduce the rate of tumor recurrence and metastasis by treating breast cancer with adjuvant chemotherapy, so as to increase the cure rate or survival of patients. In recent years, liposomes have been regarded as a kind of new carrier for targeted drugs. Being effective for enhancing drug efficacy and reducing side effects, they have been widely used for developing anticancer drugs. As a kind of anthracycline with high anticancer activity, doxorubicin can treat or alleviate a variety of malignant tumors effectively when it is used on its own or in combination with other anticancer drugs. Although liposomal doxorubicin has been extensively used in the adjuvant chemotherapy of breast cancer, its exact therapeutic efficacy and side effects have not been definitely proven. Various clinical studies have adopted different combined regimes, dosages, and staging, so their findings differ to certain extent. This paper reviews the clinical application of liposomal doxorubicin in the adjuvant chemotherapy of breast cancer and illustrates therapeutic effects and side effects of pegylated liposomal doxorubicin (PLD) and non-PLD (NPLD) in clinical research, in order to discuss the strategies for applying these drugs in such adjuvant chemotherapy, looking forward to providing references for related research and clinical treatment in terms of dosage, staging, combined regimes, and analysis methods and so on.
概 要
通过综述多柔比星脂质体在乳腺癌辅助化疗中的临床应用, 分别阐述临床研究中聚乙二醇多柔比星脂质体(PLD)与非聚乙二醇多柔比星脂质体(NPLD)的治疗效果及毒副作用。进而探讨其在乳腺癌辅助化疗中的使用策略, 在用药剂量、分期、联合方案及分析方法等方面, 为相关研究及临床治疗提供有价值的参考。
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Project supported by the “151” Excellent Middle-Aged and Talented Young Persons of Zhejiang Province, China (No. 2010382) and the Key Platform Technological Project of Zhejiang Medical Science and Hygiene (No. 2016ZDB003), China
ORCID: Xi-ping ZHANG, http://orcid.org/0000-0002-3556-9681
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Zhao, M., Ding, Xf., Shen, Jy. et al. Use of liposomal doxorubicin for adjuvant chemotherapy of breast cancer in clinical practice. J. Zhejiang Univ. Sci. B 18, 15–26 (2017). https://doi.org/10.1631/jzus.B1600303
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DOI: https://doi.org/10.1631/jzus.B1600303