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基于聚合物的材料在癌症治疗中的应用:从治疗载体、超声造影剂到诊疗一体化应用

Polymer-Based Materials in Cancer Treatment: From Therapeutic Carrier and Ultrasound Contrast Agent to Theranostic Applications.

作者信息

Methachan Boriphat, Thanapprapasr Kamolrat

机构信息

Biomedical Engineering Research Unit, National Metal and Materials Technology Center, National Science and Technology Development Agency, Pathumthani, Thailand.

Biomedical Engineering Research Unit, National Metal and Materials Technology Center, National Science and Technology Development Agency, Pathumthani, Thailand.

出版信息

Ultrasound Med Biol. 2017 Jan;43(1):69-82. doi: 10.1016/j.ultrasmedbio.2016.09.009. Epub 2016 Oct 15.

Abstract

The emergence of theranostics with ultrasound technology is a promising development, as it opens pathways to providing more effective treatments for cancer. Advancements in ultrasound imaging would give a more detailed and accurate image for better diagnosis and treatment planning. Polymeric ultrasound contrast agents (UCAs) are appealing because they are stable and easily modified for active targeting. In addition, a better therapy could be achieved in conjunction with advancements in UCAs. The active targeting not only makes the precise imaging possible, but also leads to targeted delivery of active components to specific local treatment sites. A polymeric nanocarrier with surface bioconjugation is the key to prolonging the bioavailability of the encapsulated drugs or genes and the capacity to target the specific tumor site. Using ultrasound with other imaging modalities will open more precise and better ways for diagnosis and therapy and bring us a step closer to personalized medicine. This review focuses on polymer-based materials of UCAs, multimodal imaging agents and therapeutic carriers that have been currently explored for their theranostic applications involving ultrasound for cancer diagnosis and treatment.

摘要

超声技术在诊疗一体化方面的出现是一个很有前景的发展方向,因为它为癌症治疗提供了更有效的途径。超声成像技术的进步能够提供更详细、准确的图像,以利于更好地进行诊断和治疗规划。聚合物超声造影剂(UCAs)很有吸引力,因为它们稳定且易于修饰以实现主动靶向。此外,结合UCAs的进展可以实现更好的治疗效果。主动靶向不仅使精确成像成为可能,还能将活性成分靶向递送至特定的局部治疗部位。具有表面生物共轭的聚合物纳米载体是延长包封药物或基因的生物利用度以及靶向特定肿瘤部位能力的关键。将超声与其他成像方式结合使用将为诊断和治疗开辟更精确、更好的途径,并使我们向个性化医疗迈进一大步。本综述重点关注目前已探索用于涉及超声的癌症诊断和治疗的诊疗一体化应用的基于聚合物的UCAs材料、多模态成像剂和治疗载体。

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