Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School , Boston, Massachusetts 02114, United States.
Research Center for Pharmaceutical Nanotechnology (RCPN), Tabriz University of Medical Science (TUOMS) , Tabriz, Iran.
J Am Chem Soc. 2017 Apr 5;139(13):4584-4610. doi: 10.1021/jacs.6b08313. Epub 2017 Mar 13.
Nanotechnology has begun to play a remarkable role in various fields of science and technology. In biomedical applications, nanoparticles have opened new horizons, especially for biosensing, targeted delivery of therapeutics, and so forth. Among drug delivery systems (DDSs), smart nanocarriers that respond to specific stimuli in their environment represent a growing field. Nanoplatforms that can be activated by an external application of light can be used for a wide variety of photoactivated therapies, especially light-triggered DDSs, relying on photoisomerization, photo-cross-linking/un-cross-linking, photoreduction, and so forth. In addition, light activation has potential in photodynamic therapy, photothermal therapy, radiotherapy, protected delivery of bioactive moieties, anticancer drug delivery systems, and theranostics (i.e., real-time monitoring and tracking combined with a therapeutic action to different diseases sites and organs). Combinations of these approaches can lead to enhanced and synergistic therapies, employing light as a trigger or for activation. Nonlinear light absorption mechanisms such as two-photon absorption and photon upconversion have been employed in the design of light-responsive DDSs. The integration of a light stimulus into dual/multiresponsive nanocarriers can provide spatiotemporal controlled delivery and release of therapeutic agents, targeted and controlled nanosystems, combined delivery of two or more agents, their on-demand release under specific conditions, and so forth. Overall, light-activated nanomedicines and DDSs are expected to provide more effective therapies against serious diseases such as cancers, inflammation, infections, and cardiovascular disease with reduced side effects and will open new doors toward the treatment of patients worldwide.
纳米技术已开始在科学技术的各个领域发挥显著作用。在生物医学应用中,纳米颗粒开辟了新的视野,特别是在生物传感、治疗药物的靶向传递等方面。在药物传递系统(DDS)中,对环境中的特定刺激做出响应的智能纳米载体代表了一个不断发展的领域。可以通过外部施加光来激活的纳米平台可用于各种光激活治疗,特别是依赖光致异构化、光交联/解交联、光还原等的光触发 DDS。此外,光激活在光动力疗法、光热疗法、放射治疗、生物活性物质的保护传递、抗癌药物传递系统和治疗学(即对不同疾病部位和器官进行实时监测和跟踪结合治疗作用)中有应用潜力。这些方法的组合可以导致增强和协同的治疗,用光作为触发或激活剂。双光子吸收和光子上转换等非线性光吸收机制已被应用于光响应 DDS 的设计中。将光刺激集成到双/多响应纳米载体中,可以提供治疗剂的时空控制释放和传递、靶向和受控纳米系统、两种或多种药物的联合传递、在特定条件下按需释放等。总体而言,光激活的纳米药物和 DDS 有望为癌症、炎症、感染和心血管疾病等严重疾病提供更有效的治疗方法,副作用更小,并为全球患者的治疗开辟新的途径。