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纳米技术在癌症诊断与治疗中的应用——综述

Application of Nanotechnology in Cancer Diagnosis and Therapy - A Mini-Review.

机构信息

Department of Oncology, Affiliated Dongyang People's Hospital of Wenzhou Medical University, Dongyang, Zhejiang 322100,China.

Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China.

出版信息

Int J Med Sci. 2020 Oct 18;17(18):2964-2973. doi: 10.7150/ijms.49801. eCollection 2020.

Abstract

Cancer is a leading cause of death and poor quality of life globally. Even though several strategies are devised to reduce deaths, reduce chronic pain and improve the quality of life, there remains a shortfall in the adequacies of these cancer therapies. Among the cardinal steps towards ensuring optimal cancer treatment are early detection of cancer cells and drug application with high specificity to reduce toxicities. Due to increased systemic toxicities and refractoriness with conventional cancer diagnostic and therapeutic tools, other strategies including nanotechnology are being employed to improve diagnosis and mitigate disease severity. Over the years, immunotherapeutic agents based on nanotechnology have been used for several cancer types to reduce the invasiveness of cancerous cells while sparing healthy cells at the target site. Nanomaterials including carbon nanotubes, polymeric micelles and liposomes have been used in cancer drug design where they have shown considerable pharmacokinetic and pharmacodynamic benefits in cancer diagnosis and treatment. In this review, we outline the commonly used nanomaterials which are employed in cancer diagnosis and therapy. We have highlighted the suitability of these nanomaterials for cancer management based on their physicochemical and biological properties. We further reviewed the challenges that are associated with the various nanomaterials which limit their uses and hamper their translatability into the clinical setting in certain cancer types.

摘要

癌症是全球范围内导致死亡和生活质量下降的主要原因之一。尽管已经设计了几种策略来降低死亡率、减轻慢性疼痛和提高生活质量,但这些癌症治疗方法的充分性仍然存在不足。确保癌症治疗最优化的主要步骤之一是早期发现癌细胞,并应用具有高特异性的药物,以减少毒性。由于传统癌症诊断和治疗工具的全身毒性和耐药性增加,正在采用其他策略,包括纳米技术,以改善诊断和减轻疾病严重程度。多年来,基于纳米技术的免疫治疗剂已被用于多种癌症类型,以降低癌细胞的侵袭性,同时保护靶部位的健康细胞。碳纳米管、聚合物胶束和脂质体等纳米材料已被用于癌症药物设计,在癌症诊断和治疗中显示出相当大的药代动力学和药效学益处。在这篇综述中,我们概述了常用于癌症诊断和治疗的纳米材料。我们根据这些纳米材料的物理化学和生物学特性,强调了它们在癌症管理中的适用性。我们进一步综述了与各种纳米材料相关的挑战,这些挑战限制了它们的应用,并阻碍了它们在某些癌症类型中的临床转化。

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