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探讨生物钟生物学与药物输送之间的联系:对癌症治疗的影响。

Exploring the link between chronobiology and drug delivery: effects on cancer therapy.

机构信息

CICS-UBI - Health Sciences Research Centre, University of Beira Interior, Av. Infante D. Henrique, 6200-506, Covilha, Portugal.

出版信息

J Mol Med (Berl). 2021 Oct;99(10):1349-1371. doi: 10.1007/s00109-021-02106-x. Epub 2021 Jul 2.

Abstract

Circadian clock is an impressive timing system responsible for the control of several metabolic, physiological and behavioural processes. Nowadays, the connection between the circadian clock and cancer occurrence and development is consensual. Therefore, the inclusion of circadian timing into cancer therapy may potentially offer a more effective and less toxic approach. This way, chronotherapy has been shown to improve cancer treatment efficacy. Despite this relevant finding, its clinical application is poorly exploited. The conception of novel anticancer drug delivery systems and the combination of chronobiology with nanotechnology may provide a powerful tool to optimize cancer therapy, instigating the incorporation of the circadian timing into clinical practice towards a more personalized drug delivery. This review focuses on the recent advances in the field of cancer chronobiology, on the link between cancer and the disruption of circadian rhythms and on the promising targeted drug nanodelivery approaches aiming the clinical application of cancer chronotherapy.

摘要

生物钟是一个令人印象深刻的时间控制系统,负责控制多种代谢、生理和行为过程。如今,生物钟与癌症的发生和发展之间的联系已经得到共识。因此,将生物钟计时纳入癌症治疗可能提供一种更有效、毒性更小的方法。这种方式,时间治疗已被证明可以提高癌症治疗的疗效。尽管有这一相关发现,但它的临床应用却没有得到充分利用。新型抗癌药物输送系统的概念以及生物钟生物学与纳米技术的结合,可能为优化癌症治疗提供一个强大的工具,促使将生物钟计时纳入临床实践,以实现更个性化的药物输送。本综述重点介绍了癌症生物钟生物学领域的最新进展,探讨了癌症与生物钟紊乱之间的联系,以及有前途的靶向药物纳米递药方法,旨在将癌症时间治疗推向临床应用。

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