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用于结直肠癌治疗的生物基聚合物进展:水凝胶和纳米平台

Advances in Bio-Based Polymers for Colorectal CancerTreatment: Hydrogels and Nanoplatforms.

作者信息

Maspes Anna, Pizzetti Fabio, Rossetti Arianna, Makvandi Pooyan, Sitia Giovanni, Rossi Filippo

机构信息

Dipartimento di Chimica, Materiali e Ingegneria Chimica "Giulio Natta", Politecnico di Milano, 20131 Milan, Italy.

Istituto Italiano di Tecnologia, Centre for Micro-BioRobotics, 56025 Pisa, Italy.

出版信息

Gels. 2021 Jan 11;7(1):6. doi: 10.3390/gels7010006.

Abstract

Adenocarcinoma of the colon is the most common malignant neoplasia of the gastrointestinal tract and is a major contributor to mortality worldwide. Invasiveness and metastatic behavior are typical of malignant tumors and, because of its portal drainage, the liver is the closest capillary bed available in this case, hence the common site of metastatic dissemination. Current therapies forecast total resection of primary tumor when possible and partial liver resection at advanced stages, along with systemic intravenous therapies consisting of chemotherapeutic agents such as 5-fluorouracil. These cures are definitely not exempt from drawbacks and heavy side effects. Biocompatible polymeric networks, both in colloids and bulk forms, able to absorb large quantities of water and load a variety of molecules-belong to the class of innovative drug delivery systems, thus suitable for the purpose and tunable on each patient can represent a promising alternative. Indeed, the implantation of polymeric scaffolds easy to synthesize can substitute chemotherapy and combination therapies scheduling, shortening side effects. Moreover, they do not require a surgical removal thanks to spontaneous degradation and guarantees an extended and regional cargo release, maintaining high drug concentrations. In this review, we focus our attention on the key role of polymeric networks as drug delivery systems potentially able to counteract this dramatic disease.

摘要

结肠癌是胃肠道最常见的恶性肿瘤,也是全球死亡率的主要促成因素。侵袭性和转移行为是恶性肿瘤的典型特征,由于其门静脉引流,肝脏是这种情况下最接近的毛细血管床,因此是转移扩散的常见部位。目前的治疗方法是在可能的情况下对原发性肿瘤进行全切除,在晚期进行部分肝切除,同时采用由5-氟尿嘧啶等化疗药物组成的全身静脉治疗。这些治疗方法肯定并非没有缺点和严重的副作用。胶体和块状形式的生物相容性聚合物网络能够吸收大量水分并负载各种分子,属于创新药物递送系统类别,因此适合该目的且可针对每个患者进行调整,可能是一种有前途的替代方法。事实上,易于合成的聚合物支架的植入可以替代化疗和联合治疗方案,缩短副作用。此外,由于其自发降解,它们不需要手术切除,并保证延长和局部的药物释放,保持高药物浓度。在本综述中,我们将注意力集中在聚合物网络作为潜在能够对抗这种严重疾病的药物递送系统的关键作用上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ff/7838948/dd6fc4f7059f/gels-07-00006-g001.jpg

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