Krasteva Natalia, Georgieva Milena
Institute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, "Acad. Georgi Bonchev" Str., bl. 21, 1113 Sofia, Bulgaria.
Institute of Molecular Biology "Acad. R. Tsanev", Bulgarian Academy of Sciences, "Acad. Georgi Bonchev" Str., bl. 21, 1113 Sofia, Bulgaria.
Pharmaceutics. 2022 Jun 7;14(6):1213. doi: 10.3390/pharmaceutics14061213.
Colorectal cancer (CRC) is a global health problem responsible for 10% of all cancer incidences and 9.4% of all cancer deaths worldwide. The number of new cases increases per annum, whereas the lack of effective therapies highlights the need for novel therapeutic approaches. Conventional treatment methods, such as surgery, chemotherapy and radiotherapy, are widely applied in oncology practice. Their therapeutic success is little, and therefore, the search for novel technologies is ongoing. Many efforts have focused recently on the development of safe and efficient cancer nanomedicines. Nanoparticles are among them. They are uniquewith their properties on a nanoscale and hold the potential to exploit intrinsic metabolic differences between cancer and healthy cells. This feature allows them to induce high levels of toxicity in cancer cells with little damage to the surrounding healthy tissues. Graphene oxide is a promising 2D material found to play an important role in cancer treatments through several strategies: direct killing and chemosensitization, drug and gene delivery, and phototherapy. Several new treatment approaches based on nanoparticles, particularly graphene oxide, are currently under research in clinical trials, and some have already been approved. Here, we provide an update on the recent advances in nanomaterials-based CRC-targeted therapy, with special attention to graphene oxide nanomaterials. We summarise the epidemiology, carcinogenesis, stages of the CRCs, and current nanomaterials-based therapeutic approaches for its treatment.
结直肠癌(CRC)是一个全球性的健康问题,在全球所有癌症发病率中占10%,在所有癌症死亡中占9.4%。新病例数量每年都在增加,而缺乏有效的治疗方法凸显了新型治疗方法的必要性。传统的治疗方法,如手术、化疗和放疗,在肿瘤学实践中被广泛应用。它们的治疗效果甚微,因此,对新技术的探索仍在进行中。最近,许多努力都集中在开发安全有效的癌症纳米药物上。纳米颗粒就是其中之一。它们在纳米尺度上具有独特的性质,并且有潜力利用癌症细胞与健康细胞之间的内在代谢差异。这一特性使它们能够在对周围健康组织几乎没有损害的情况下,在癌细胞中诱导高水平的毒性。氧化石墨烯是一种很有前景的二维材料,已发现它通过几种策略在癌症治疗中发挥重要作用:直接杀伤和化学增敏、药物和基因递送以及光疗。目前,几种基于纳米颗粒,特别是氧化石墨烯的新治疗方法正在临床试验中研究,有些已经获得批准。在此,我们提供基于纳米材料的结直肠癌靶向治疗的最新进展,特别关注氧化石墨烯纳米材料。我们总结了结直肠癌的流行病学、致癌作用、分期以及目前基于纳米材料的治疗方法。