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索拉非尼纳米颗粒递送系统在肝细胞癌治疗中的现状

Current status of sorafenib nanoparticle delivery systems in the treatment of hepatocellular carcinoma.

作者信息

Kong Fan-Hua, Ye Qi-Fa, Miao Xiong-Ying, Liu Xi, Huang Si-Qi, Xiong Li, Wen Yu, Zhang Zi-Jian

机构信息

Department of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Institute of Hepatobiliary Diseases of Wuhan University, Transplant Centre of Wuhan University, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, Hubei, China.

出版信息

Theranostics. 2021 Mar 13;11(11):5464-5490. doi: 10.7150/thno.54822. eCollection 2021.

Abstract

Hepatocellular carcinoma (HCC) is the most common type of liver cancer and one of the leading causes of cancer-related death worldwide. Advanced HCC displays strong resistance to chemotherapy, and traditional chemotherapy drugs do not achieve satisfactory therapeutic efficacy. Sorafenib is an oral kinase inhibitor that inhibits tumor cell proliferation and angiogenesis and induces cancer cell apoptosis. It also improves the survival rates of patients with advanced liver cancer. However, due to its poor solubility, fast metabolism, and low bioavailability, clinical applications of sorafenib have been substantially restricted. In recent years, various studies have been conducted on the use of nanoparticles to improve drug targeting and therapeutic efficacy in HCC. Moreover, nanoparticles have been extensively explored to improve the therapeutic efficacy of sorafenib, and a variety of nanoparticles, such as polymer, lipid, silica, and metal nanoparticles, have been developed for treating liver cancer. All these new technologies have improved the targeted treatment of HCC by sorafenib and promoted nanomedicines as treatments for HCC. This review provides an overview of hot topics in tumor nanoscience and the latest status of treatments for HCC. It further introduces the current research status of nanoparticle drug delivery systems for treatment of HCC with sorafenib.

摘要

肝细胞癌(HCC)是最常见的肝癌类型,也是全球癌症相关死亡的主要原因之一。晚期HCC对化疗表现出强烈抗性,传统化疗药物无法取得令人满意的治疗效果。索拉非尼是一种口服激酶抑制剂,可抑制肿瘤细胞增殖和血管生成,并诱导癌细胞凋亡。它还提高了晚期肝癌患者的生存率。然而,由于其溶解度差、代谢快和生物利用度低,索拉非尼的临床应用受到了很大限制。近年来,人们对使用纳米颗粒来提高HCC的药物靶向性和治疗效果进行了各种研究。此外,人们还广泛探索了纳米颗粒以提高索拉非尼的治疗效果,并开发了多种纳米颗粒,如聚合物、脂质、二氧化硅和金属纳米颗粒,用于治疗肝癌。所有这些新技术都改善了索拉非尼对HCC的靶向治疗,并推动了纳米药物作为HCC的治疗方法。本综述概述了肿瘤纳米科学的热点话题以及HCC治疗的最新状况。它进一步介绍了用索拉非尼治疗HCC的纳米颗粒药物递送系统的当前研究状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6be8/8039945/1bc24bcfa3e3/thnov11p5464g001.jpg

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