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基于纳米平台的级联工程用于癌症治疗。

Nanoplatform-based cascade engineering for cancer therapy.

机构信息

State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai, 200050, P. R. China.

出版信息

Chem Soc Rev. 2020 Dec 21;49(24):9057-9094. doi: 10.1039/d0cs00607f. Epub 2020 Oct 28.

Abstract

Various therapeutic techniques have been studied for treating cancer precisely and effectively, such as targeted drug delivery, phototherapy, tumor-specific catalytic therapy, and synergistic therapy, which, however, evoke numerous challenges due to the inherent limitations of these therapeutic modalities and intricate biological circumstances as well. With the remarkable advances of nanotechnology, nanoplatform-based cascade engineering, as an efficient and booming strategy, has been tactfully introduced to optimize these cancer therapies. Based on the designed nanoplatforms, pre-supposed cascade processes could be triggered under specific conditions to generate/deliver more therapeutic species or produce stronger tumoricidal effects inside tumors, aiming to achieve cancer therapy with increased anti-tumor efficacy and diminished side effects. In this review, the recent advances in nanoplatform-based cascade engineering for cancer therapy are summarized and discussed, with an emphasis on the design of smart nanoplatforms with unique structures, compositions and properties, and the implementation of specific cascade processes by means of endogenous tumor microenvironment (TME) resources and/or exogenous energy inputs. This fascinating strategy presents unprecedented potential in the enhancement of cancer therapies, and offers better controllability, specificity and effectiveness of therapeutic functions compared to the corresponding single components/functions. In the end, challenges and prospects of such a burgeoning strategy in the field of cancer therapy will be discussed, hopefully to facilitate its further development to meet the personalized treatment demands.

摘要

各种治疗技术已被研究用于精确有效地治疗癌症,如靶向药物输送、光疗、肿瘤特异性催化治疗和协同治疗,但由于这些治疗方式的固有局限性和复杂的生物学环境,也引发了许多挑战。随着纳米技术的显著进步,基于纳米平台的级联工程作为一种高效且蓬勃发展的策略,已被巧妙地引入以优化这些癌症治疗方法。基于设计的纳米平台,可以在特定条件下触发预设的级联过程,以在肿瘤内产生/输送更多的治疗物质或产生更强的肿瘤杀伤效应,旨在实现具有更高抗肿瘤疗效和更低副作用的癌症治疗。在这篇综述中,总结和讨论了基于纳米平台的级联工程在癌症治疗中的最新进展,重点介绍了具有独特结构、组成和性质的智能纳米平台的设计,以及通过内源性肿瘤微环境(TME)资源和/或外源性能量输入来实现特定级联过程。与相应的单一成分/功能相比,这种迷人的策略在增强癌症治疗方面具有前所未有的潜力,为治疗功能提供了更好的可控性、特异性和有效性。最后,讨论了这一新兴策略在癌症治疗领域面临的挑战和前景,希望能够促进其进一步发展,以满足个性化治疗的需求。

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