Ma Nian, Yan Zhihui
The People's Hospital of Danyang, Affiliated Danyang Hospital of Nantong University, Danyang, 212300, Jiangsu Province, China.
The Affiliated Huai'an Hospital of Xuzhou Medical University and The Second People's Hospital of Huai'an, No.62, Huaihai Road (S.), Huai'an, 223002, China.
Nanoscale Res Lett. 2021 Mar 4;16(1):42. doi: 10.1186/s11671-021-03502-5.
Compared with traditional tumor therapy strategies, hydrogel as a drug reservoir system can realize on-demand drug release and deep tissue penetration ability. It also exhibits great tumor-site retention to enhance the permeability and retention effect of tumor treatment. This can significantly overcome the drug's resistance and severe side effects. Inorganic/organic composite hydrogel has attracted wide attention due to its combined effects, enhancing therapeutic effects against various kinds of tumors. In situ injectable hydrogel can securely restrict the drugs in the lesion sites without leakage and guarantee better biosafety. Moreover, hydrogel possesses interconnected macropores which can provide enough space for nutrient transport, cellular activity, and cell-cell interactions. Thermal therapy is an effective strategy for tumor therapy due to its minimal invasiveness and high selectivity. Because the location temperature can be precisely controlled and helps avoid the risks of destroying the body's immune system and ablate normal cells, thermal therapy exhibits significant treatment outcomes. Nonetheless, when the cellular temperature reaches approximately 43 °C, it causes long-term cell inactivation. Based on these merits, thermosensitive hydrogel formulation with adaptive functions shows excellent efficacy, unlimited tissue penetration capacity, and few deleterious side effects. Furthermore, the thermosensitive hydrogel has unique physical properties under the external stimuli, which is the ideal drug delivery system for on-demand release in tumor treatment. This article will review the state of the thermosensitive hydrogel in clinic application for cancer therapy.
与传统的肿瘤治疗策略相比,水凝胶作为一种药物储库系统,可以实现按需释药和深部组织渗透能力。它还具有良好的肿瘤部位滞留性,可增强肿瘤治疗的渗透和滞留效果。这可以显著克服药物耐药性和严重的副作用。无机/有机复合水凝胶因其综合效应而受到广泛关注,可增强对各种肿瘤的治疗效果。原位可注射水凝胶可以将药物安全地限制在病变部位而不泄漏,并保证更好的生物安全性。此外,水凝胶具有相互连通的大孔,可为营养物质运输、细胞活性和细胞间相互作用提供足够的空间。热疗因其微创性和高选择性,是一种有效的肿瘤治疗策略。由于可以精确控制局部温度并有助于避免破坏人体免疫系统和消融正常细胞的风险,热疗显示出显著的治疗效果。尽管如此,当细胞温度达到约43°C时,会导致细胞长期失活。基于这些优点,具有自适应功能的热敏水凝胶制剂显示出优异的疗效、无限的组织渗透能力和极少的有害副作用。此外,热敏水凝胶在外部刺激下具有独特的物理性质,是肿瘤治疗中按需释放的理想药物递送系统。本文将综述热敏水凝胶在癌症治疗临床应用中的现状。