Quader Sabina, Kataoka Kazunori
Innovation Center of Nanomedicine, Kawasaki Institute of Industrial Promotion, 3-25-14 Tonomachi, Kawasaki-ku, Kawasaki 212-0821, Japan.
Innovation Center of Nanomedicine, Kawasaki Institute of Industrial Promotion, 3-25-14 Tonomachi, Kawasaki-ku, Kawasaki 212-0821, Japan; Policy Alternatives Research Institute, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-1709, Japan.
Mol Ther. 2017 Jul 5;25(7):1501-1513. doi: 10.1016/j.ymthe.2017.04.026. Epub 2017 May 19.
While cancer remains the major cause of death worldwide, nanomaterial (NM)-based diagnosis and treatment modalities are showing remarkable potential to better tackle clinical oncology by effectively targeting therapeutic agents to tumors. NMs can selectively accumulate in solid tumors, and they can improve the bioavailability and reduce the toxicity of encapsulated cytotoxic agents. Additional noteworthy functions of NMs in cancer treatment include the delivery of contrast agents to image tumor sites, delivery of genetic materials for gene therapy, and co-delivery of multiple agents to achieve combination therapy or simultaneous diagnostic and therapeutic outcomes. Although several NM therapeutics have been successfully translated to clinical applications, the gap between the bench and the bedside remains ominously wide. Tumor heterogeneity and the disparity between pre-clinical and clinical studies have been identified as two of the major translational challenges of NM-based cancer therapies. Herein, we review a handful of recent research studies on the use of NMs in cancer therapy and imaging, with a limited discussion on the consequences of tumor heterogeneity and pre-clinical studies on translational research of NM-based delivery systems and propositions in the literature to overcome these challenges.
尽管癌症仍是全球主要死因,但基于纳米材料(NM)的诊断和治疗方式在通过将治疗剂有效靶向肿瘤来更好地应对临床肿瘤学方面显示出巨大潜力。纳米材料可以选择性地在实体瘤中积累,并且可以提高生物利用度并降低封装的细胞毒性剂的毒性。纳米材料在癌症治疗中的其他值得注意的功能包括递送造影剂以对肿瘤部位进行成像、递送用于基因治疗的遗传物质以及共同递送多种药物以实现联合治疗或同时实现诊断和治疗效果。尽管几种纳米材料疗法已成功转化为临床应用,但实验室与临床应用之间的差距仍然非常大。肿瘤异质性以及临床前研究与临床研究之间的差异已被确定为基于纳米材料的癌症疗法的两个主要转化挑战。在此,我们回顾了一些近期关于纳米材料在癌症治疗和成像中的应用的研究,对肿瘤异质性的影响以及临床前研究对基于纳米材料的递送系统转化研究的影响进行了有限的讨论,并介绍了文献中提出的克服这些挑战的建议。