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用于构建癌症治疗、成像和药物输送新方法的纳米平台:政策应该是什么?

Nanoplatforms for constructing new approaches to cancer treatment, imaging, and drug delivery: what should be the policy?

机构信息

Brain Mapping Foundation, West Hollywood, CA 90046, USA.

出版信息

Neuroimage. 2011 Jan;54 Suppl 1(Suppl 1):S106-24. doi: 10.1016/j.neuroimage.2010.01.105. Epub 2010 Feb 10.

Abstract

Nanotechnology is the design and assembly of submicroscopic devices called nanoparticles, which are 1-100 nm in diameter. Nanomedicine is the application of nanotechnology for the diagnosis and treatment of human disease. Disease-specific receptors on the surface of cells provide useful targets for nanoparticles. Because nanoparticles can be engineered from components that (1) recognize disease at the cellular level, (2) are visible on imaging studies, and (3) deliver therapeutic compounds, nanotechnology is well suited for the diagnosis and treatment of a variety of diseases. Nanotechnology will enable earlier detection and treatment of diseases that are best treated in their initial stages, such as cancer. Advances in nanotechnology will also spur the discovery of new methods for delivery of therapeutic compounds, including genes and proteins, to diseased tissue. A myriad of nanostructured drugs with effective site-targeting can be developed by combining a diverse selection of targeting, diagnostic, and therapeutic components. Incorporating immune target specificity with nanostructures introduces a new type of treatment modality, nano-immunochemotherapy, for patients with cancer. In this review, we will discuss the development and potential applications of nanoscale platforms in medical diagnosis and treatment. To impact the care of patients with neurological diseases, advances in nanotechnology will require accelerated translation to the fields of brain mapping, CNS imaging, and nanoneurosurgery. Advances in nanoplatform, nano-imaging, and nano-drug delivery will drive the future development of nanomedicine, personalized medicine, and targeted therapy. We believe that the formation of a science, technology, medicine law-healthcare policy (STML) hub/center, which encourages collaboration among universities, medical centers, US government, industry, patient advocacy groups, charitable foundations, and philanthropists, could significantly facilitate such advancements and contribute to the translation of nanotechnology across medical disciplines.

摘要

纳米技术是设计和组装被称为纳米粒子的亚微观设备,其直径为 1-100nm。纳米医学是将纳米技术应用于人类疾病的诊断和治疗。细胞表面的疾病特异性受体为纳米粒子提供了有用的靶点。由于纳米粒子可以由(1)在细胞水平识别疾病的成分、(2)在成像研究中可见的、(3)递送治疗化合物的成分来设计和组装,因此纳米技术非常适合于各种疾病的诊断和治疗。纳米技术将使我们能够更早地发现和治疗那些在早期阶段治疗效果最佳的疾病,如癌症。纳米技术的进步还将促进新的治疗化合物输送方法的发现,包括基因和蛋白质,以输送到病变组织。通过结合多种靶向、诊断和治疗成分,可以开发出具有有效部位靶向的多种纳米结构药物。将免疫靶向特异性与纳米结构相结合,为癌症患者引入了一种新的治疗方式,即纳米免疫化学疗法。在这篇综述中,我们将讨论纳米级平台在医学诊断和治疗中的发展和潜在应用。为了影响神经疾病患者的治疗,纳米技术的进步需要加速向脑图谱、中枢神经系统成像和纳米神经外科等领域的转化。纳米平台、纳米成像和纳米药物输送的进步将推动纳米医学、个性化医学和靶向治疗的未来发展。我们相信,形成一个科学、技术、医学、法律、医疗政策(STML)中心/枢纽,鼓励大学、医疗中心、美国政府、工业界、患者权益组织、慈善基金会和慈善家之间的合作,可以显著促进这些进展,并有助于将纳米技术应用于医学领域。

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