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口腔和口咽癌纳米递送系统的未来趋势与新出现的问题

Future trends and emerging issues for nanodelivery systems in oral and oropharyngeal cancer.

作者信息

Irimie Alexandra Iulia, Sonea Laura, Jurj Ancuta, Mehterov Nikolay, Zimta Alina Andreea, Budisan Liviuta, Braicu Cornelia, Berindan-Neagoe Ioana

机构信息

Department of Prosthodontics and Dental Materials, Faculty of Dental Medicine.

MedFuture Research Center for Advanced Medicine.

出版信息

Int J Nanomedicine. 2017 Jun 26;12:4593-4606. doi: 10.2147/IJN.S133219. eCollection 2017.

Abstract

Oral cancer is a prevalent cancer type on a global scale, whose traditional treatment strategies have several drawbacks that could in the near future be overcome through the development of novel therapeutic and prognostic strategies. Nanotechnology provides an alternative to traditional therapy that leads to enhanced efficiency and less toxicity. Various nanosystems have been developed for the treatment of oral cancer, including polymeric, metallic, and lipid-based formulations that incorporate chemotherapeutics, natural compounds, siRNA, or other molecules. This review summarizes the main benefits of using these nanosystems, in parallel with a particular focus on the issues encountered in medical practice. These novel strategies have provided encouraging results in both in vitro and in vivo studies, but few have entered clinical trials. The use of nanosystems in oral cancer has the potential of becoming a valid therapeutic option for patients suffering from this malignancy, considering that clinical trials have already been completed and others are currently being developed.

摘要

口腔癌是全球范围内一种常见的癌症类型,其传统治疗策略存在若干缺点,有望在不久的将来通过开发新的治疗和预后策略得以克服。纳米技术为传统治疗提供了一种替代方案,可提高治疗效率并降低毒性。已开发出各种用于治疗口腔癌的纳米系统,包括含有化疗药物、天然化合物、小干扰RNA(siRNA)或其他分子的聚合物、金属和脂质基制剂。本综述总结了使用这些纳米系统的主要益处,同时特别关注医学实践中遇到的问题。这些新策略在体外和体内研究中均取得了令人鼓舞的结果,但进入临床试验的却很少。考虑到一些临床试验已经完成,其他试验正在开展,纳米系统在口腔癌治疗中有可能成为这种恶性肿瘤患者的有效治疗选择。

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