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纳米颗粒:治疗结直肠癌的有吸引力的工具。

Nanoparticles: Attractive tools to treat colorectal cancer.

机构信息

Brigham and Women's Hospital-Harvard Medical School, Boston, MA, USA.

Department of Biology, American University of Beirut, Beirut, Lebanon.

出版信息

Semin Cancer Biol. 2022 Nov;86(Pt 2):1-13. doi: 10.1016/j.semcancer.2022.08.006. Epub 2022 Aug 23.

Abstract

Colorectal Cancer (CRC) is one of the leading causes of cancer-related deaths worldwide. Despite the notable advances achieved over the last few decades, CRC remains a hard-to-treat deadly disease in many patients. This is attributed mainly to chemo- and immuno-resistance, which frequently emerge soon after treatment with conventional therapeutics. Systemic treatments are also constrained by their many undesired and serious side effects. More recently, nanomedicine has emerged as an attractive modality that can overcome issues of therapeutic resistance, improper delivery, or suboptimal targeting of tumor cells. Many nanomaterials, having already been examined in pre-clinical and clinical studies, are now considered biocompatible and relatively safe. Indeed, around 50 nano-formulations have so far been approved as diagnostic and therapeutic agents in humans. Here, in this review, we describe a set of imperative nanoparticles (NPs) involved in diagnosing and treating CRC. In particular, we discuss the theragnostic roles of quantum dots, iron oxide NPs, Polylactide-co-glycolic acid (PLGA) NPs, dendrimer NPs, carbon nanotubes, liposomes, and gold NPs. We dissect the molecular and clinical evidence supporting the use of these NPs in CRC. We also highlight their implications in targeted drug delivery as well as their anti-tumorigenic properties and effects on the cardinal hallmarks of CRC. We conclude by highlighting the notion that nanomedicine is emerging as an attractive approach to address the unmet needs in managing several diseases, including CRC.

摘要

结直肠癌(CRC)是全球癌症相关死亡的主要原因之一。尽管在过去几十年中取得了显著进展,但在许多患者中,CRC 仍然是一种难以治疗的致命疾病。这主要归因于化疗和免疫耐药性,这些耐药性在常规治疗后不久就经常出现。系统治疗也受到其许多不良和严重副作用的限制。最近,纳米医学已成为一种有吸引力的治疗方法,可以克服治疗耐药性、不当传递或肿瘤细胞靶向不佳的问题。许多纳米材料已经在临床前和临床研究中进行了检查,现在被认为是生物相容的和相对安全的。事实上,到目前为止,大约有 50 种纳米制剂已被批准为人类的诊断和治疗剂。在这里,我们在这篇综述中描述了一组用于诊断和治疗 CRC 的重要纳米颗粒(NP)。特别是,我们讨论了量子点、氧化铁 NP、聚乳酸-共-羟基乙酸(PLGA)NP、树枝状聚合物 NP、碳纳米管、脂质体和金 NP 的治疗作用。我们剖析了支持这些 NP 在 CRC 中应用的分子和临床证据。我们还强调了它们在靶向药物输送中的应用,以及它们对 CRC 的主要标志的抗肿瘤特性和影响。最后,我们强调了纳米医学作为一种有吸引力的方法来满足管理包括 CRC 在内的多种疾病的未满足需求的观点。

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