PMID- 28070993 OWN - NLM STAT- MEDLINE DCOM- 20170711 LR - 20220408 IS - 1862-1783 (Electronic) IS - 1673-1581 (Print) IS - 1673-1581 (Linking) VI - 18 IP - 1 DP - 2017 Jan. TI - Use of liposomal doxorubicin for adjuvant chemotherapy of breast cancer in clinical practice. PG - 15-26 LID - 10.1631/jzus.B1600303 [doi] AB - 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. FAU - Zhao, Ming AU - Zhao M AD - College of Life Sciences, Zhejiang Sci-Tech University, Hangzhou 310018, China. FAU - Ding, Xian-Feng AU - Ding XF AD - College of Life Sciences, Zhejiang Sci-Tech University, Hangzhou 310018, China. FAU - Shen, Jian-Yu AU - Shen JY AD - College of Life Sciences, Zhejiang Sci-Tech University, Hangzhou 310018, China. FAU - Zhang, Xi-Ping AU - Zhang XP AD - Department of Tumor Surgery, Zhejiang Cancer Hospital, Hangzhou 310022, China. FAU - Ding, Xiao-Wen AU - Ding XW AD - Department of Tumor Surgery, Zhejiang Cancer Hospital, Hangzhou 310022, China. FAU - Xu, Bin AU - Xu B AD - Institute of Occupational Diseases, Zhejiang Academy of Medical Sciences, Hangzhou 310013, China. LA - eng PT - Journal Article PT - Review PL - China TA - J Zhejiang Univ Sci B JT - Journal of Zhejiang University. Science. B JID - 101236535 RN - 0 (Anthracyclines) RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Antineoplastic Agents) RN - 0 (Lipid Bilayers) RN - 0 (liposomal doxorubicin) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - 80168379AG (Doxorubicin) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Animals MH - Anthracyclines/therapeutic use MH - Antibiotics, Antineoplastic/therapeutic use MH - Antineoplastic Agents/therapeutic use MH - Apoptosis MH - Breast Neoplasms/*drug therapy MH - Chemotherapy, Adjuvant/*methods MH - Doxorubicin/*analogs & derivatives/therapeutic use MH - Female MH - Humans MH - Lipid Bilayers MH - Neoplasm Metastasis MH - Neoplasm Recurrence, Local MH - Polyethylene Glycols/chemistry/therapeutic use MH - Prognosis MH - Receptor, ErbB-2/metabolism PMC - PMC5260474 OTO - NOTNLM OT - Liposomal doxorubicin; Breast cancer; Adjuvant chemotherapy; Therapeutic effect; Toxic and side effects COIS- Compliance with ethics guidelines: Ming ZHAO, Xian-feng DING, Jian-yu SHEN, Xi-ping ZHANG, Xiao-wen DING, and Bin XU declare that they have no conflict of interest. The article does not contain any studies with human or animal subjects performed by any of the authors. EDAT- 2017/01/11 06:00 MHDA- 2017/07/14 06:00 PMCR- 2017/01/01 CRDT- 2017/01/11 06:00 PHST- 2017/01/11 06:00 [entrez] PHST- 2017/01/11 06:00 [pubmed] PHST- 2017/07/14 06:00 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - 10.1631/jzus.B1600303 [doi] PST - ppublish SO - J Zhejiang Univ Sci B. 2017 Jan.;18(1):15-26. doi: 10.1631/jzus.B1600303.