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纳米诊断和纳米治疗在肺癌中的应用与策略。

Applications and strategies in nanodiagnosis and nanotherapy in lung cancer.

机构信息

Canterbury Christ Church University, School of Human and Life Sciences, Life Sciences Industry Liaison Lab, Sandwich, United Kingdom.

Canterbury Christ Church University, School of Human and Life Sciences, Life Sciences Industry Liaison Lab, Sandwich, United Kingdom; Jubilee Centre for Medical Research, Jubilee Mission Medical College & Research Institute, Thrissur, Kerala, India.

出版信息

Semin Cancer Biol. 2021 Feb;69:349-364. doi: 10.1016/j.semcancer.2020.02.009. Epub 2020 Feb 20.

Abstract

Lung cancer is the second most common cancer and the leading cause of death in both men and women in the world. Lung cancer is heterogeneous in nature and diagnosis is often at an advanced stage as it develops silently in the lung and is frequently associated with high mortality rates. Despite the advances made in understanding the biology of lung cancer, progress in early diagnosis, cancer therapy modalities and considering the mechanisms of drug resistance, the prognosis and outcome still remains low for many patients. Nanotechnology is one of the fastest growing areas of research that can solve many biological problems such as cancer. A growing number of therapies based on using nanoparticles (NPs) have successfully entered the clinic to treat pain, cancer, and infectious diseases. Recent progress in nanotechnology has been encouraging and directed to developing novel nanoparticles that can be one step ahead of the cancer reducing the possibility of multi-drug resistance. Nanomedicine using NPs is continuingly impacting cancer diagnosis and treatment. Chemotherapy is often associated with limited targeting to the tumor, side effects and low solubility that leads to insufficient drug reaching the tumor. Overcoming these drawbacks of chemotherapy by equipping NPs with theranostic capability which is leading to the development of novel strategies. This review provides a synopsis of current progress in theranostic applications for lung cancer diagnosis and therapy using NPs including liposome, polymeric NPs, quantum dots, gold NPs, dendrimers, carbon nanotubes and magnetic NPs.

摘要

肺癌是全球男性和女性中第二常见的癌症和主要死因。肺癌在性质上具有异质性,且通常在晚期才被诊断出来,因为它在肺部中悄然发展,并且常常与高死亡率相关。尽管在理解肺癌生物学方面取得了进展,但在早期诊断、癌症治疗方式以及考虑药物耐药机制方面的进展,仍然导致许多患者的预后和结局较差。纳米技术是研究领域中发展最快的领域之一,可以解决许多生物学问题,如癌症。越来越多的基于使用纳米颗粒(NPs)的疗法已成功进入临床,用于治疗疼痛、癌症和传染病。纳米技术的最新进展令人鼓舞,并致力于开发新型纳米颗粒,可以领先癌症一步,降低多药耐药的可能性。纳米医学使用 NPs 正在不断影响癌症的诊断和治疗。化疗常常与对肿瘤的靶向性有限、副作用和低溶解性相关,导致药物无法充分到达肿瘤。通过为 NPs 配备治疗诊断能力来克服化疗的这些缺点,从而导致新策略的发展。这篇综述概述了使用 NPs 进行肺癌诊断和治疗的治疗诊断应用的最新进展,包括脂质体、聚合物 NPs、量子点、金 NPs、树枝状大分子、碳纳米管和磁性 NPs。

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