National Heart and Lung Institute, Imperial College London, London, U.K.
Department of Chemistry, Imperial College London, London, U.K.
Emerg Top Life Sci. 2020 Dec 17;4(6):627-643. doi: 10.1042/ETLS20200332.
Lung cancer (LC) is one of the most deadly cancers worldwide, with very low survival rates, mainly due to poor management, which has barely changed in recent years. Nanomedicines, especially gold nanomaterials, with their unique and size-dependent properties offer a potential solution to many challenges in the field. The versatility afforded by the shape, size, charge and surface chemistry of gold nanostructures allows them to be adapted for many applications in the diagnosis, treatment and imaging of LC. In this review, a survey of the most recent advances in the field is presented with an emphasis on the optical properties of gold nanoscale materials and their use in cancer management. Gold nanoparticle toxicology has also been a focus of interest for many years but the studies have also sometimes arrived at contradictory conclusions. To enable extrapolation and facilitate the development of medicines based on gold nanomaterials, it must be assumed that each design will have its own unique characteristics that require evaluation before translation to the clinic. Advances in the understanding and recognition of the molecular signatures of LC have aided the development of personalised medicines. Tailoring the treatment to each case should, ideally increase the survival outcomes as well as reduce medical costs. This review seeks to present the potential of gold nanomaterials in LC management and to provide a unified view, which will be of interest to those in the field as well as researchers considering entering this highly important area of research.
肺癌(LC)是全球最致命的癌症之一,存活率非常低,主要是由于治疗管理不善,近年来几乎没有变化。纳米医学,特别是金纳米材料,具有独特的、依赖尺寸的特性,为该领域的许多挑战提供了潜在的解决方案。金纳米结构的形状、尺寸、电荷和表面化学赋予了它们的多功能性,使它们能够适应 LC 的诊断、治疗和成像的许多应用。本文综述了该领域的最新进展,重点介绍了金纳米材料的光学特性及其在癌症治疗中的应用。金纳米颗粒的毒理学多年来也是研究的重点,但这些研究有时也得出了相互矛盾的结论。为了能够推断并促进基于金纳米材料的药物的开发,必须假设每个设计都有其独特的特性,在转化为临床应用之前需要进行评估。对 LC 分子特征的理解和认识的进步促进了个性化药物的发展。根据每个病例进行治疗,理想情况下可以提高生存率并降低医疗成本。本文旨在探讨金纳米材料在 LC 管理中的应用潜力,并提供一个统一的观点,这将对该领域的研究人员以及考虑进入这一高度重要的研究领域的研究人员都有兴趣。