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创新型纳米治疗学:基于智能纳米颗粒的方法克服乳腺癌干细胞介导的化疗和放疗抵抗。

Innovative nanotheranostics: Smart nanoparticles based approach to overcome breast cancer stem cells mediated chemo- and radioresistances.

机构信息

School of Medical Science and Technology, Indian Institute of Technology Kharagpur, Kharagpur, India.

Laboratory of Signal Transduction, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.

出版信息

Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2023 Jul-Aug;15(4):e1876. doi: 10.1002/wnan.1876. Epub 2023 Jan 4.

Abstract

The alarming increase in the number of breast cancer patients worldwide and the increasing death rate indicate that the traditional and current medicines are insufficient to fight against it. The onset of chemo- and radioresistances and cancer stem cell-based recurrence make this problem harder, and this hour needs a novel treatment approach. Competent nanoparticle-based accurate drug delivery and cancer nanotheranostics like photothermal therapy, photodynamic therapy, chemodynamic therapy, and sonodynamic therapy can be the key to solving this problem due to their unique characteristics. These innovative formulations can be a better cargo with fewer side effects than the standard chemotherapy and can eliminate the stability problems associated with cancer immunotherapy. The nanotheranostic systems can kill the tumor cells and the resistant breast cancer stem cells by novel mechanisms like local hyperthermia and reactive oxygen species and prevent tumor recurrence. These theranostic systems can also combine with chemotherapy or immunotherapy approaches. These combining approaches can be the future of anticancer therapy, especially to overcome the breast cancer stem cells mediated chemo- and radioresistances. This review paper discusses several novel theranostic systems and smart nanoparticles, their mechanism of action, and their modifications with time. It explains their relevance and market scope in the current era. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease.

摘要

全球乳腺癌患者数量的惊人增长和死亡率的上升表明,传统和现有药物不足以与之对抗。化疗和放疗耐药以及基于癌症干细胞的复发使这个问题更加复杂,现在需要一种新的治疗方法。基于纳米颗粒的精准药物输送和癌症纳米治疗,如光热疗法、光动力疗法、化学动力学疗法和声动力学疗法,由于其独特的特性,可以成为解决这一问题的关键。与标准化学疗法相比,这些创新制剂可以作为更好的药物载体,副作用更少,并且可以消除癌症免疫疗法相关的稳定性问题。纳米治疗系统可以通过局部高热和活性氧等新机制杀死肿瘤细胞和耐药的乳腺癌干细胞,防止肿瘤复发。这些治疗系统还可以与化疗或免疫疗法相结合。这些联合治疗方法可能是癌症治疗的未来,特别是为了克服乳腺癌干细胞介导的化疗和放疗耐药。本文讨论了几种新型的治疗系统和智能纳米颗粒,及其作用机制,以及随着时间的推移的改进。本文解释了它们在当前时代的相关性和市场范围。本文属于以下类别:治疗方法和药物发现 > 肿瘤纳米医学。

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