Liang Xing-Jie, Chen Chunying, Zhao Yuliang, Wang Paul C
Key Laboratory of Biomedical Effects of Nanomaterials and Nanosafety, National Center for Nanosciences and Technology of China, Beijing, China,
Methods Mol Biol. 2010;596:467-88. doi: 10.1007/978-1-60761-416-6_21.
Patient relapse and metastasis of malignant cells is very common after standard cancer treatment with surgery, radiation, and/or chemotherapy. Chemotherapy, a cornerstone in the development of present day cancer therapy, is one of the most effective and potent strategies to treat malignant tumors. However, the resistance of cancer cells to the drugs remains a significant impediment to successful chemotherapy. An additional obstacle is the inability of chemotherapeutic drugs to selectively target tumor cells. Almost all the anticancer agents have severe side effects on normal tissues and organs. The toxicity of currently available anticancer drugs and the inefficiency of chemotherapeutic treatments, especially for advanced stages of the disease, have limited the optimization of clinical drug combinations and effective chemotherapeutic protocols. Nanomedicine allows the release of drugs by biodegradation and self-regulation of nanomaterials in vitro and in vivo. Nanotechnologies are characterized by effective drug encapsulation, controllable self-assembly, specificity and biocompatibility as a result of their own material properties. Nanotechnology has the potential to overcome current chemotherapeutic barriers in cancer treatment, because of the unique nanoscale size and distinctive bioeffects of nanomaterials. Nanotechnology may help to solve the problems associated with traditional chemotherapy and multidrug resistance.
在采用手术、放疗和/或化疗进行标准癌症治疗后,患者出现恶性细胞复发和转移的情况非常常见。化疗是当今癌症治疗发展的基石之一,是治疗恶性肿瘤最有效、最有力的策略之一。然而,癌细胞对药物的耐药性仍然是化疗成功的重大障碍。另一个障碍是化疗药物无法选择性地靶向肿瘤细胞。几乎所有抗癌药物都会对正常组织和器官产生严重副作用。目前可用抗癌药物的毒性以及化疗治疗的低效率,尤其是对于疾病晚期,限制了临床药物组合和有效化疗方案的优化。纳米医学能够通过纳米材料在体外和体内的生物降解和自我调节来实现药物释放。纳米技术因其自身的材料特性,具有有效药物封装、可控自组装、特异性和生物相容性等特点。由于纳米材料独特的纳米级尺寸和独特的生物效应,纳米技术有潜力克服当前癌症治疗中的化疗障碍。纳米技术可能有助于解决与传统化疗和多药耐药相关的问题。
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