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用于调节肿瘤微环境的癌症治疗纳米粒子。

Nanoparticles designed to regulate tumor microenvironment for cancer therapy.

机构信息

State Key Laboratory of Natural Medicines, Department of Pharmaceutics, China Pharmaceutical University, 24 Tongjiaxiang, Nanjing 210009, China.

State Key Laboratory of Natural Medicines, Department of Pharmaceutics, China Pharmaceutical University, 24 Tongjiaxiang, Nanjing 210009, China.

出版信息

Life Sci. 2018 May 15;201:37-44. doi: 10.1016/j.lfs.2018.03.044. Epub 2018 Mar 22.

Abstract

Increasing understanding in tumor pathology reveals that tumor microenvironment (TME), which supports tumor progression and poses barriers for available therapies, takes a great responsibility in inefficient treatment and poor prognosis. In recent years, the versatile nanotechnology employed in TME regulation has made great progress. The nanoparticles (NPs) can be tailored as needed to accurately target TME components by distinguishing healthy tissues from malignancy, and to regulate TME to promote tumor regression. Meanwhile, the emerging microRNAs (miRNAs) demonstrate great potentials for TME regulation, but are regrettably restricted by quick degradation. NPs systems enable the successful delivery of miRNA to TME without the limitation, expanding the application of nucleic acid drug. In this review, we summarized recent NPs-based strategies aiming at regulating TME in different ways, including anti-angiogenesis, extracellular matrix (ECM) remodeling, tumor-associated fibroblasts (TAFs) treatment and tumor-associated macrophages (TAMs) treatment, along with the miRNAs-loaded NPs for TME regulation. Catching and utilizing the features of TME for NPs design can contribute to reversing drug-resistance, optimized drug distribution, and eventually more efficient cancer therapy.

摘要

日益深入的肿瘤病理学研究表明,肿瘤微环境(TME)在促进肿瘤进展和对现有治疗方法构成障碍方面起着重要作用,这也是治疗效果不佳和预后不良的主要原因。近年来,用于 TME 调控的多功能纳米技术取得了重大进展。纳米颗粒(NPs)可以根据需要进行定制,通过区分健康组织和恶性组织,准确靶向 TME 成分,并调节 TME 以促进肿瘤消退。同时,新兴的 microRNAs(miRNAs)在 TME 调控方面显示出巨大的潜力,但遗憾的是,它们容易快速降解。NPs 系统能够成功地将 miRNA 递送至 TME 而不受限制,从而扩大了核酸药物的应用。在这篇综述中,我们总结了最近基于 NPs 的各种策略,旨在通过抗血管生成、细胞外基质(ECM)重塑、肿瘤相关成纤维细胞(TAFs)治疗和肿瘤相关巨噬细胞(TAMs)治疗等不同方式来调节 TME,以及负载 miRNA 的 NPs 用于 TME 调节。捕捉和利用 TME 的特征进行 NPs 设计有助于逆转耐药性、优化药物分布,并最终实现更有效的癌症治疗。

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