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纳米颗粒作为实验和临床应用中的诊疗载体——聚焦前列腺癌和乳腺癌

Nanoparticles as Theranostic Vehicles in Experimental and Clinical Applications-Focus on Prostate and Breast Cancer.

作者信息

Elgqvist Jörgen

机构信息

Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden.

Department of Physics, University of Gothenburg, 412 96 Gothenburg, Sweden.

出版信息

Int J Mol Sci. 2017 May 20;18(5):1102. doi: 10.3390/ijms18051102.

Abstract

Prostate and breast cancer are the second most and most commonly diagnosed cancer in men and women worldwide, respectively. The American Cancer Society estimates that during 2016 in the USA around 430,000 individuals were diagnosed with one of these two types of cancers, and approximately 15% of them will die from the disease. In Europe, the rate of incidences and deaths are similar to those in the USA. Several different more or less successful diagnostic and therapeutic approaches have been developed and evaluated in order to tackle this issue and thereby decrease the death rates. By using nanoparticles as vehicles carrying both diagnostic and therapeutic molecular entities, individualized targeted theranostic nanomedicine has emerged as a promising option to increase the sensitivity and the specificity during diagnosis, as well as the likelihood of survival or prolonged survival after therapy. This article presents and discusses important and promising different kinds of nanoparticles, as well as imaging and therapy options, suitable for theranostic applications. The presentation of different nanoparticles and theranostic applications is quite general, but there is a special focus on prostate cancer. Some references and aspects regarding breast cancer are however also presented and discussed. Finally, the prostate cancer case is presented in more detail regarding diagnosis, staging, recurrence, metastases, and treatment options available today, followed by possible ways to move forward applying theranostics for both prostate and breast cancer based on promising experiments performed until today.

摘要

前列腺癌和乳腺癌分别是全球男性和女性中第二常见和最常被诊断出的癌症。美国癌症协会估计,2016年在美国约有43万人被诊断出患有这两种癌症中的一种,其中约15%的人将死于该疾病。在欧洲,发病率和死亡率与美国相似。为了解决这个问题并降低死亡率,已经开发并评估了几种不同的、或多或少成功的诊断和治疗方法。通过使用纳米颗粒作为携带诊断和治疗分子实体的载体,个体化靶向治疗诊断纳米医学已成为一种有前景的选择,可提高诊断期间的敏感性和特异性,以及治疗后的存活可能性或延长生存期。本文介绍并讨论了适用于治疗诊断应用的重要且有前景的不同种类的纳米颗粒以及成像和治疗选择。对不同纳米颗粒和治疗诊断应用的介绍较为宽泛,但特别关注前列腺癌。不过也介绍并讨论了一些关于乳腺癌的参考文献和方面。最后,更详细地介绍了前列腺癌在诊断、分期、复发、转移以及当前可用治疗选择方面的情况,随后基于迄今为止进行的有前景的实验,探讨了将治疗诊断应用于前列腺癌和乳腺癌的可能推进方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6fa/5455010/47477437aac2/ijms-18-01102-g001.jpg

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