新兴纳米药物在癌症早期检测和治疗改善方面的应用:当前的视角和未来的前景。

Emerging nanomedicines for early cancer detection and improved treatment: current perspective and future promise.

机构信息

The Pharmaceutical Research Institute at Albany College of Pharmacy and Health Sciences, One Discovery Drive, Rensselaer, NY 12144, USA.

出版信息

Pharmacol Ther. 2010 Nov;128(2):324-35. doi: 10.1016/j.pharmthera.2010.07.007. Epub 2010 Aug 10.

Abstract

The application of nanotechnology to medicine, commonly referred to as 'nanomedicine', has the potential to transform our approach to human health and disease. Research at the nanoscale level affords the opportunity to address some of the most confounding human diseases at the molecular level, with the potential for significant improvements in disease prevention, diagnosis and treatment. Rapid advances and emerging technologies in nanoscale systems, particularly nanoparticles, are having a profound impact on cancer diagnosis, treatment and monitoring. The development of nanoparticulate systems that offer improved chemotherapeutic delivery through increased solubility and sustained retention times is an area of intense focus in nanomedicine. In addition, active targeting of nanoparticles through conjugation of tumor-specific cell surface markers such as tumor-specific antibodies or ligands can enhance the efficacy of nanoparticle drug delivery systems while significantly reducing toxicity. Perhaps some of the most exciting advances in nanomedicine are multifunctional nanoparticulate systems for simultaneous imaging of tumor mass and drug delivery. In a relatively short period of time, nanomedicine has already begun to have a strong presence in the global market. This review provides a comprehensive summary of recent progress in nanomedicine as it relates specifically to nanoparticles and anticancer drug delivery. Research into different nanoprobes for cancer detection/imaging will also be discussed. Lastly, the future of this growing and dynamic field and its potential impact will be discussed.

摘要

纳米技术在医学上的应用,通常被称为“纳米医学”,有可能改变我们治疗人类健康和疾病的方法。在纳米尺度的研究为我们提供了在分子水平上解决一些最令人困惑的人类疾病的机会,有可能在疾病预防、诊断和治疗方面取得重大进展。纳米级系统,特别是纳米粒子,在癌症诊断、治疗和监测方面的快速发展和新兴技术正在产生深远的影响。通过增加溶解度和延长保留时间来开发能够改善化疗药物输送的纳米粒子系统是纳米医学的一个重点领域。此外,通过将肿瘤特异性细胞表面标志物(如肿瘤特异性抗体或配体)与纳米粒子偶联进行主动靶向,可以提高纳米粒子药物输送系统的疗效,同时显著降低毒性。也许纳米医学中最令人兴奋的进展之一是用于同时对肿瘤进行成像和药物输送的多功能纳米粒子系统。在相对较短的时间内,纳米医学已经开始在全球市场中占据重要地位。本文全面总结了纳米医学在纳米粒子和抗癌药物输送方面的最新进展。还将讨论用于癌症检测/成像的不同纳米探针的研究。最后,将讨论这个不断发展和充满活力的领域的未来及其潜在影响。

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