State Key Laboratory of High Performance Ceramics and Superfine Microstructures, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, 200050, P. R. China.
Small. 2019 Mar;15(13):e1805339. doi: 10.1002/smll.201805339. Epub 2019 Feb 18.
Serious side effects to surrounding normal tissues and unsatisfactory therapeutic efficacy hamper the further clinic applications of conventional cancer-therapeutic strategies, such as chemotherapy and surgery. The fast development of nanotechnology provides unprecedented superiorities for cancer therapeutics. Externally activatable therapeutic modalities mediated by nanomaterials, relying on highly effective energy transformation to release therapeutic elements/effects (cytotoxic reactive oxygen species, thermal effect, photoelectric effect, Compton effect, cavitation effect, mechanical effect or chemotherapeutic drug) for cancer therapies, categorized and termed as "energy-converting nanomedicine," have arouse considerable concern due to their noninvasiveness, desirable tissue-penetration depth, and accurate modulation of therapeutic dose. This review summarizes the recent advances in the engineering of intelligent functional nanotherapeutics for energy-converting nanomedicine, including photo-based, radiation-based, ultrasound-based, magnetic field-based, microwave-based, electric field-based, and radiofrequency-based nanomedicines, which are enabled by external stimuli (light, radiation, ultrasound, magnetic field, microwave, electric field, and radiofrequency). Furthermore, biosafety issues of energy-converting nanomedicine related to future clinical translation are also addressed. Finally, the potential challenges and prospects of energy-converting nanomedicine for future clinical translation are discussed.
传统的癌症治疗策略,如化疗和手术,会对周围正常组织产生严重的副作用,治疗效果也不尽如人意,从而阻碍了其进一步的临床应用。纳米技术的快速发展为癌症治疗提供了前所未有的优势。基于纳米材料的外部激活治疗方式,依赖于高效的能量转换来释放治疗元素/效应(细胞毒性活性氧、热效应、光电效应、康普顿效应、空化效应、机械效应或化疗药物)进行癌症治疗,被分类并称为“能量转换纳米医学”,由于其非侵入性、理想的组织穿透深度和对治疗剂量的精确调节,引起了相当大的关注。本综述总结了智能功能纳米疗法在能量转换纳米医学中的最新进展,包括基于光、辐射、超声、磁场、微波、电场和射频的纳米医学,这些纳米医学可以通过外部刺激(光、辐射、超声、磁场、微波、电场和射频)来实现。此外,还讨论了与未来临床转化相关的能量转换纳米医学的生物安全性问题。最后,讨论了能量转换纳米医学未来临床转化的潜在挑战和前景。