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纳米医学在急性淋巴细胞白血病中的应用。

Nanomedicine approaches in acute lymphoblastic leukemia.

机构信息

Nanobiophotonics and Laser Microspectroscopy Center, Interdisciplinary Research Institute on Bio-Nano-Sciences, Babes-Bolyai University, T. Laurian 42, 400271 Cluj-Napoca, Romania; Faculty of Physics, Babes-Bolyai University, Kogalniceanu 1, 400084 Cluj-Napoca, Romania.

Nanobiophotonics and Laser Microspectroscopy Center, Interdisciplinary Research Institute on Bio-Nano-Sciences, Babes-Bolyai University, T. Laurian 42, 400271 Cluj-Napoca, Romania.

出版信息

J Control Release. 2016 Sep 28;238:123-138. doi: 10.1016/j.jconrel.2016.07.035. Epub 2016 Jul 25.

Abstract

Acute lymphoblastic leukemia (ALL) is the malignancy with the highest incidence amongst children (26% of all cancer cases), being surpassed only by the cancers of the brain and of the nervous system. The most recent research on ALL is focusing on new molecular therapies, like targeting specific biological structures in key points in the cell cycle, or using selective inhibitors for transmembranary proteins involved in cell signalling, and even aiming cell surface receptors with specifically designed antibodies for active targeting. Nanomedicine approaches, especially by the use of nanoparticle-based compounds for the delivery of drugs, cancer diagnosis or therapeutics may represent new and modern ways in the near future anti-cancer therapies. This review offers an overview on the recent role of nanomedicine in the detection and treatment of acute lymphoblastic leukemia as resulting from a thorough literature survey. A short introduction on the basics of ALL is presented followed by the description of the conventional methods used in the ALL detection and treatment. We follow our discussion by introducing some of the general nano-strategies used for cancer detection and treatment. The detailed role of organic and inorganic nanoparticles in ALL applications is further presented, with a special focus on gold nanoparticle-based nanocarriers of antileukemic drugs.

摘要

急性淋巴细胞白血病 (ALL) 是儿童中发病率最高的恶性肿瘤(占所有癌症病例的 26%),仅次于脑癌和神经系统癌症。目前针对 ALL 的最新研究集中在新的分子治疗方法上,例如针对细胞周期关键部位的特定生物结构,或使用跨膜蛋白的选择性抑制剂,这些蛋白参与细胞信号转导,甚至针对细胞表面受体,使用专门设计的抗体进行主动靶向。纳米医学方法,特别是使用基于纳米颗粒的化合物来递药、癌症诊断或治疗,可能在不久的将来代表着癌症治疗的新途径。本文通过全面的文献调查,综述了纳米医学在急性淋巴细胞白血病的检测和治疗中的最新作用。首先介绍 ALL 的基础知识,然后描述 ALL 检测和治疗中常用的方法。接下来,我们介绍了一些用于癌症检测和治疗的一般纳米策略。进一步详细介绍了有机和无机纳米颗粒在 ALL 应用中的作用,特别关注基于金纳米颗粒的抗白血病药物纳米载体。

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