Department of Pharmaceutical Sciences, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario M5S 3M2, Canada.
Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada; Department of Radiation Physics, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada; STTARR Innovation Centre, Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada; Techna Institute, University Health Network, Toronto, Ontario, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
Adv Drug Deliv Rev. 2017 Jan 15;109:84-101. doi: 10.1016/j.addr.2015.12.012. Epub 2015 Dec 19.
Gold nanoparticles (AuNPs) have emerged as novel radiosensitizers owing to their high X-ray absorption, synthetic versatility, and unique chemical, electronic and optical properties. Multi-disciplinary research performed over the past decade has demonstrated the potential of AuNP-based radiosensitizers, and identified possible mechanisms underlying the observed radiation enhancement effects of AuNPs. Despite promising findings from pre-clinical studies, the benefits of AuNP radiosensitization have yet to successfully translate into clinical practice. In this review, we present an overview of the current state of AuNP-based radiosensitization in the context of the physical, chemical and biological modes of radiosensitization. As well, recent advancements that focus on formulation design and enable multi-modality treatment and clinical utilization are discussed, concluding with design considerations to guide the development of next generation AuNPs for clinical applications.
金纳米颗粒(AuNPs)由于其高 X 射线吸收率、合成的多功能性以及独特的化学、电子和光学特性,已成为新型放射增敏剂。过去十年的多学科研究已经证明了基于 AuNP 的放射增敏剂的潜力,并确定了观察到的 AuNPs 增强辐射效应的可能机制。尽管临床前研究有了有希望的发现,但 AuNP 放射增敏的益处尚未成功转化为临床实践。在这篇综述中,我们介绍了基于 AuNP 的放射增敏在物理、化学和生物学放射增敏模式下的现状。此外,还讨论了最近集中在配方设计上的进展,这些进展使多模态治疗和临床应用成为可能,并以设计注意事项作为结论,以指导下一代 AuNP 用于临床应用的开发。