Faa Gavino, Gerosa Clara, Fanni Daniela, Lachowicz Joanna I, Nurchi Valeria M
Dipartimento di Scienze Chirurgiche, Anatomia Patologica, University of Cagliari, Via Ospedale 46, I- 09124 Cagliari. Italy.
Dipartimento di Scienze Chimiche e Geologiche, University of Cagliari, Cittadella Universitaria, I-09042 Monserrato-Cagliari, Cagliari. Italy.
Curr Med Chem. 2018;25(1):75-84. doi: 10.2174/0929867324666170330091438.
Research into gold-based drugs for a range of human diseases has seen a revival in recent years. This article reviews the most important applications of gold products in different fields of human pathology. Au(I) and Au(III) compounds have been re-introduced in clinical practice for targeting the cellular components involved in the onset and progression of viral and parasitic diseases, rheumatoid arthritis and cancer.
After some brief historical notes, this article takes into account the applications of gold compounds against Mycobacterium tuberculosis, and also in tuberculosis and in rheumatoid arthritis treatment. The use of gold containing drugs in the cure of cancer are then considered, with special emphasis to the use of nanoparticles and to the photo-thermal cancer therapy. The use of colloidal gold in diagnostics, introduced in the last decade is widely discussed. As a last point a survey on the adverse effects and on the toxicity of the various gold derivatives in use in medicine is presented.
In this review, we described the surprisingly broad spectrum of possible uses of gold in diagnostics and in therapeutic approaches to multiple human diseases, ranging from degenerative to infectious diseases, and to cancer. In particular, gold nanoparticles appear as attractive elements in modern clinical medicine, combining high therapeutic properties, high selectivity in targeting cancer cells and low toxicity.
近年来,针对一系列人类疾病的金基药物研究再度兴起。本文综述了金产品在人类病理学不同领域的最重要应用。金(I)和金(III)化合物已重新引入临床实践,用于靶向参与病毒和寄生虫疾病、类风湿性关节炎和癌症的发生与发展的细胞成分。
在简要介绍了一些历史背景后,本文考虑了金化合物在抗结核分枝杆菌方面的应用,以及在结核病和类风湿性关节炎治疗中的应用。接着讨论了含金药物在癌症治疗中的应用,特别强调了纳米颗粒的使用和光热癌症治疗。文中广泛讨论了近十年来引入的胶体金在诊断中的应用。最后,对医学中使用的各种金衍生物的不良反应和毒性进行了综述。
在本综述中,我们描述了金在诊断和多种人类疾病治疗方法中可能的用途之广,令人惊讶,这些疾病涵盖从退行性疾病到传染病,再到癌症。特别是,金纳米颗粒在现代临床医学中似乎是有吸引力的元素,兼具高治疗特性、对癌细胞的高选择性和低毒性。