Department of Urology, The Third Affiliated Hospital of Shenzhen University, Shenzhen University, Shenzhen 518000, China.
Institute of Functional Nano & Soft Materials (FUNSOM), Soochow University, Suzhou 215123, China.
Biosensors (Basel). 2023 Jan 6;13(1):106. doi: 10.3390/bios13010106.
Bladder cancer (BCa) is one of the most expensive and common malignancies in the urinary system due to its high progression and recurrence rate. Although there are various methods, including cystoscopy, biopsy, and cytology, that have become the standard diagnosis methods for BCa, their intrinsic invasive and inaccurate properties need to be overcome. The novel urine cancer biomarkers are assisted by nanomaterials-based biosensors, such as field-effect transistors (FETs) with high sensitivity and specificity, which may provide solutions to these problems. In addition, nanomaterials can be applied for the advancement of next-generation optical imaging techniques and the contrast agents of conventional techniques; for example, magnetic resonance imaging (MRI) for the diagnosis of BCa. Regarding BCa therapy, nanocarriers, including mucoadhesive nanoparticles and other polymeric nanoparticles, successfully overcome the disadvantages of conventional intravesical instillation and improve the efficacy and safety of intravesical chemotherapy for BCa. Aside from chemotherapy, nanomedicine-based novel therapies, including photodynamic therapy (PDT), photothermal therapy (PTT), chemodynamic therapy (CDT), sonodynamic therapy (SDT), and combination therapy, have afforded us new ways to provide BC therapy and hope, which can be translated into the clinic. In addition, nanomotors and the nanomaterials-based solid tumor disassociation strategy provide new ideas for future research. Here, the advances in BCa diagnosis and therapy mentioned above are reviewed in this paper.
膀胱癌(BCa)是泌尿系统中最昂贵和最常见的恶性肿瘤之一,因为其高进展和复发率。尽管有各种方法,包括膀胱镜检查、活检和细胞学检查,已成为 BCa 的标准诊断方法,但它们具有内在的侵袭性和不准确性,需要加以克服。新型尿液癌症生物标志物与基于纳米材料的生物传感器(如具有高灵敏度和特异性的场效应晶体管(FET))相结合,可能为这些问题提供解决方案。此外,纳米材料可应用于下一代光学成像技术和传统技术的对比剂的发展;例如,用于诊断 BCa 的磁共振成像(MRI)。关于 BCa 治疗,纳米载体,包括黏附纳米颗粒和其他聚合物纳米颗粒,成功克服了传统膀胱内灌注的缺点,并提高了膀胱癌膀胱内化疗的疗效和安全性。除化疗外,基于纳米医学的新型疗法,包括光动力疗法(PDT)、光热疗法(PTT)、化学动力学疗法(CDT)、声动力疗法(SDT)和联合疗法,为我们提供了提供 BCa 治疗和希望的新方法,可以转化为临床。此外,纳米马达和基于纳米材料的实体瘤分离策略为未来的研究提供了新的思路。在这里,本文综述了上述在 BCa 诊断和治疗方面的进展。