School for Radiological and Interdisciplinary Sciences (RAD-X) and Collaborative Innovation Center of Radiation Medicine of Jiangsu Higher Education Institutions, Soochow University, Suzhou, China.
Division of Chemistry & Biological Chemistry, School of Physical & Mathematical Sciences, Nanyang Technological University, Singapore.
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2017 Mar;9(2). doi: 10.1002/wnan.1408. Epub 2016 Apr 20.
Among the various types of diseases, cancer remains one of the most leading causes of mortality that people are always suffering from and fighting with. So far, the effective cancer treatment demands accurate medical diagnosis, precise surgery, expensive medicine administration, which leads to a significant burden on patients, their families, and the whole national healthcare system around the world. In order to increase the therapeutic efficiency and minimize side effects in cancer treatment, various kinds of stimuli-responsive drug delivery systems and bioimaging platforms have been extensively developed within the past decades. Among them, the strategy of photoactivated approach has attracted considerable research interest because light enables the precise control, in a highly spatial and temporal manner, the release of drug molecules as well as the activation of bioimaging agents. In general, several appropriate photoresponsive systems, which are normally sensitive to ultraviolet (UV) or visible light irradiation to undergo the multiple reaction pathways such as photocleavage and photoisomerization strategy etc. have been mainly involved in the light activated cancer therapies. Considering the potential issues of poor tissue penetration and high photoctotoxicity of short wavelength light, the recently emerged therapies based on long-wavelength irradiation, e.g., near-infrared (NIR) light (700-1000 nm), have displayed distinct advantages in biomedical applications. The light irradiation at NIR window indicates minimized photodamage, deep penetration, and low autofluorescence in living cells and tissues, which are of clinical importance in the desired diagnosis and therapy. In this review article, we introduce the recent advances in light-activated drug release and biological imaging mainly for anticancer treatment. Various types of strategies such as photocage, photo-induced isomerization, optical upconversion, and photothermal release by which different wavelength ranges of light can play the important roles in the controlled therapeutic or imaging agents delivery, and activation will be systemically discussed. In addition, the challenges and future perspectives for photo-based cancer theranostics will be also summarized. WIREs Nanomed Nanobiotechnol 2017, 9:e1408. doi: 10.1002/wnan.1408 For further resources related to this article, please visit the WIREs website.
在各种类型的疾病中,癌症仍然是导致人们死亡的主要原因之一。迄今为止,有效的癌症治疗需要准确的医学诊断、精确的手术和昂贵的药物管理,这给患者、他们的家庭和全球整个国家的医疗保健系统带来了巨大的负担。为了提高治疗效率并最大限度地减少癌症治疗的副作用,在过去几十年中,已经广泛开发了各种刺激响应药物输送系统和生物成像平台。其中,光激活方法策略引起了相当多的研究兴趣,因为光可以精确控制药物分子的释放以及生物成像剂的激活,具有高度的时空特异性。一般来说,几种合适的光响应系统通常对紫外线 (UV) 或可见光照射敏感,以经历多种反应途径,如光裂解和光异构化策略等,主要涉及光激活癌症治疗。考虑到短波长光的组织穿透性差和光毒性高的潜在问题,最近出现的基于长波长照射的治疗方法,例如近红外 (NIR) 光 (700-1000nm),在生物医学应用中显示出明显的优势。NIR 窗口中的光照射表明光损伤最小、穿透深、活细胞和组织中的自发荧光低,这对于所需的诊断和治疗具有临床意义。在这篇综述文章中,我们介绍了光激活药物释放和生物成像的最新进展,主要用于癌症治疗。我们将系统地讨论各种类型的策略,例如光笼、光诱导异构化、光学上转换和光热释放,不同波长范围的光可以在控制治疗或成像剂输送和激活方面发挥重要作用。此外,还将总结基于光的癌症治疗学的挑战和未来展望。WIREs Nanomed Nanobiotechnol 2017, 9:e1408. doi: 10.1002/wnan.1408 如需获取本文相关的更多资源,请访问 WIREs 网站。