College of Pharmaceutical Science, Jilin University, Changchun, China.
Department of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China.
Cancer Sci. 2022 Mar;113(3):828-837. doi: 10.1111/cas.15250. Epub 2022 Feb 7.
Iron is an essential element for cell proliferation and homeostasis by engaging in cell metabolism including DNA synthesis, cell cycle, and redox cycling; however, iron overload could contribute to tumor initiation, proliferation, metastasis, and angiogenesis. Therefore, manipulating iron metabolisms, such as using iron chelators, transferrin receptor 1 (TFR1) Abs, and cytotoxic ligands conjugated to transferrin, has become a considerable strategy for cancer therapy. However, there remain major limitations for potential translation to the clinic based on the regulation of iron metabolism in cancer treatment. Nanotechnology has made great advances for cancer treatment by improving the therapeutic potential and lowering the side-effects of the proved drugs and those under various stages of development. Early studies that combined nanotechnology with therapeutic means for the regulation of iron metabolism have shown certain promise for developing specific treatment options based on the intervention of cancer iron acquisition, transportation, and utilization. In this review, we summarize the current understanding of iron metabolism involved in cancer and review the recent advances in iron-regulatory nanotherapeutics for improved cancer therapy. We also envision the future development of nanotherapeutics for improved treatment for certain types of cancers.
铁是细胞代谢所必需的元素,包括 DNA 合成、细胞周期和氧化还原循环;然而,铁过载可能导致肿瘤的起始、增殖、转移和血管生成。因此,操纵铁代谢,如使用铁螯合剂、转铁蛋白受体 1(TFR1)Abs 和与转铁蛋白偶联的细胞毒性配体,已成为癌症治疗的一种重要策略。然而,基于癌症治疗中铁代谢的调节,将其转化为临床应用仍然存在重大限制。纳米技术通过提高已证实药物和处于不同开发阶段的药物的治疗潜力并降低其副作用,为癌症治疗带来了巨大进步。早期将纳米技术与治疗手段相结合,调节铁代谢的研究表明,基于干预癌症铁摄取、转运和利用,开发特定治疗方案具有一定的前景。在这篇综述中,我们总结了目前对癌症中铁代谢的理解,并综述了铁调节纳米治疗学的最新进展,以改善癌症治疗。我们还设想了纳米治疗学的未来发展,以改善某些类型癌症的治疗效果。