Lab of Biocompatible Polymers, Department of Biological, Chemical and Pharmaceutical Sciences and Technologies (STEBICEF), University of Palermo, via Archirafi 32, 90123 Palermo, Italy.
Advanced Technologies Network Center, University of Palermo, Viale delle Scienze, Ed. 18, 90128 Palermo, Italy.
Molecules. 2021 May 21;26(11):3085. doi: 10.3390/molecules26113085.
Cancer theranostics is a new concept of medical approach that attempts to combine in a unique nanoplatform diagnosis, monitoring and therapy so as to provide eradication of a solid tumor in a non-invasive fashion. There are many available solutions to tackle cancer using theranostic agents such as photothermal therapy (PTT) and photodynamic therapy (PDT) under the guidance of imaging techniques (e.g., magnetic resonance-MRI, photoacoustic-PA or computed tomography-CT imaging). Additionally, there are several potential theranostic nanoplatforms able to combine diagnosis and therapy at once, such as gold nanoparticles (GNPs), graphene oxide (GO), superparamagnetic iron oxide nanoparticles (SPIONs) and carbon nanodots (CDs). Currently, surface functionalization of these nanoplatforms is an extremely useful protocol for effectively tuning their structures, interface features and physicochemical properties. This approach is much more reliable and amenable to fine adjustment, reaching both physicochemical and regulatory requirements as a function of the specific field of application. Here, we summarize and compare the most promising metal- and carbon-based theranostic tools reported as potential candidates in precision cancer theranostics. We focused our review on the latest developments in surface functionalization strategies for these nanosystems, or hybrid nanocomposites consisting of their combination, and discuss their main characteristics and potential applications in precision cancer medicine.
癌症治疗学是一种新的医学方法概念,试图将诊断、监测和治疗结合在一个独特的纳米平台中,以便以非侵入式的方式根除实体瘤。有许多可用的解决方案可以使用治疗剂来治疗癌症,例如光热疗法(PTT)和光动力疗法(PDT),这些方法在成像技术的指导下进行(例如磁共振-MRI、光声-PA 或计算机断层扫描-CT 成像)。此外,还有几种潜在的治疗纳米平台能够将诊断和治疗结合在一次,例如金纳米颗粒(GNPs)、氧化石墨烯(GO)、超顺磁性氧化铁纳米颗粒(SPIONs)和碳点(CDs)。目前,这些纳米平台的表面功能化是一种非常有用的方法,可以有效地调整它们的结构、界面特征和物理化学性质。这种方法更加可靠,并且易于进行微调,以满足特定应用领域的物理化学和监管要求。在这里,我们总结和比较了作为精准癌症治疗中潜在候选物的最有前途的基于金属和碳的治疗工具。我们重点介绍了这些纳米系统表面功能化策略的最新进展,或它们组合而成的混合纳米复合材料,并讨论了它们在精准癌症医学中的主要特点和潜在应用。