Benko Aleksandra, Medina-Cruz David, Vernet-Crua Ada, O'Connell Catherine P, Świętek Małgorzata, Barabadi Hamed, Saravanan Muthupandian, Webster Thomas J
AGH University of Science and Technology, Faculty of Materials Science and Ceramics, Krakow 30059, Poland.
These authors contributed equally to this work.
Cancer Drug Resist. 2021 Jun 19;4(2):264-297. doi: 10.20517/cdr.2020.81. eCollection 2021.
Cancer is one of the biggest healthcare concerns in our century, a disease whose treatment has become even more difficult following reports of drug-resistant tumors. When this happens, chemotherapy treatments fail or decrease in efficiency, leading to catastrophic consequences to the patient. This discovery, along with the fact that drug resistance limits the efficacy of current treatments, has led to a new wave of discovery for new methods of treatment. The use of nanomedicine has been widely studied in current years as a way to effectively fight drug resistance in cancer. Research in the area of cancer nanotechnology over the past decades has led to tremendous advancement in the synthesis of tailored nanoparticles with targeting ligands that can successfully attach to chemotherapy-resistant cancer by preferentially accumulating within the tumor region through means of active and passive targeting. Consequently, these approaches can reduce the off-target accumulation of their payload and lead to reduced cytotoxicity and better targeting. This review explores some categories of nanocarriers that have been used in the treatment of drug-resistant cancers, including polymeric, viral, lipid-based, metal-based, carbon-based, and magnetic nanocarriers, opening the door for an exciting field of discovery that holds tremendous promise in the treatment of these tumors.
癌症是本世纪最大的医疗保健问题之一,随着耐药肿瘤报告的出现,这种疾病的治疗变得更加困难。当这种情况发生时,化疗治疗失败或效率降低,给患者带来灾难性后果。这一发现,以及耐药性限制当前治疗效果的事实,引发了一波探索新治疗方法的热潮。近年来,纳米医学作为一种有效对抗癌症耐药性的方法受到了广泛研究。在过去几十年里,癌症纳米技术领域的研究在合成具有靶向配体的定制纳米颗粒方面取得了巨大进展,这些纳米颗粒可以通过主动和被动靶向优先在肿瘤区域积累,从而成功附着于化疗耐药的癌细胞。因此,这些方法可以减少其有效载荷的非靶向积累,并降低细胞毒性,实现更好的靶向性。本文综述了一些用于治疗耐药癌症的纳米载体类别,包括聚合物、病毒、脂质、金属、碳基和磁性纳米载体,为一个令人兴奋的发现领域打开了大门,该领域在治疗这些肿瘤方面具有巨大潜力。