Australian Institute of Bioengineering and Nanotechnology, The University of Queensland, St Lucia, QLD, Australia; School of Biomedical Sciences, The University of Queensland, St Lucia, QLD, Australia.
Rev Med Virol. 2015 Mar;25 Suppl 1:72-83. doi: 10.1002/rmv.1825.
Cervical cancer is a major disease with high mortality. All cervical cancers are caused by infection with human papillomaviruses (HPV). Although preventive vaccines for cervical cancer are successful, treatment of cervical cancer is far less satisfactory because of multidrug resistance and side effects. In this review, we summarize the recent application of nanotechnology to the diagnosis and treatment of cervical cancer as well as the development of HPV vaccines. Early detection of cervical cancer enables tumours to be efficiently removed by surgical procedures, leading to increased survival rate. The current method of detecting cervical cancer by Pap smear can only achieve 50% sensitivity, whereas nanotechnology has been used to detect HPVs with greatly improved sensitivity. In cervical cancer treatment, nanotechnology has been used for the delivery of anticancer drugs to increase treatment efficacy and decrease side effects. Nanodelivery of HPV preventive and therapeutic vaccines has also been investigated to increase vaccine efficacy. Overall, these developments suggest that nanoparticle-based vaccine may become the most effective way to prevent and treat cervical cancer, assisted or combined with some other nanotechnology-based therapy.
宫颈癌是一种死亡率较高的主要疾病。所有宫颈癌都是由人乳头瘤病毒(HPV)感染引起的。尽管预防性宫颈癌疫苗取得了成功,但由于多药耐药性和副作用,宫颈癌的治疗远不尽如人意。在这篇综述中,我们总结了纳米技术在宫颈癌的诊断和治疗中的最新应用以及 HPV 疫苗的发展。早期发现宫颈癌可通过手术有效切除肿瘤,从而提高生存率。目前通过巴氏涂片检查宫颈癌的方法只能达到 50%的灵敏度,而纳米技术已被用于检测 HPV,灵敏度大大提高。在宫颈癌治疗中,纳米技术已被用于递抗癌药物以提高治疗效果并降低副作用。HPV 预防性和治疗性疫苗的纳米递药也已被研究以提高疫苗的效力。总的来说,这些进展表明,基于纳米颗粒的疫苗可能成为预防和治疗宫颈癌的最有效方法,辅助或结合其他一些基于纳米技术的治疗方法。