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基于纳米技术的潜在疗法,通过肿瘤微环境细胞驱动群体预防癌症进展。

Potential Nanotechnology-Based Therapeutics to Prevent Cancer Progression through TME Cell-Driven Populations.

作者信息

Ali Rafia, Shao Huimin, Varamini Pegah

机构信息

School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.

The University of Sydney Nano Institute, The University of Sydney, Sydney, NSW 2006, Australia.

出版信息

Pharmaceutics. 2022 Dec 29;15(1):112. doi: 10.3390/pharmaceutics15010112.

Abstract

Triple-negative breast cancer (TNBC) is the most aggressive subtype of breast cancer with a high risk of metastasis and therapeutic resistance. These issues are closely linked to the tumour microenvironment (TME) surrounding the tumour tissue. The association between residing TME components with tumour progression, survival, and metastasis has been well elucidated. Focusing on cancer cells alone is no longer considered a viable approach to therapy; thus, there is a high demand for TME targeting. The benefit of using nanoparticles is their preferential tumour accumulation and their ability to target TME components. Several nano-based platforms have been investigated to mitigate microenvironment-induced angiogenesis, therapeutic resistance, and tumour progression. These have been achieved by targeting mesenchymal originating cells (e.g., cancer-associated fibroblasts, adipocytes, and stem cells), haematological cells (e.g., tumour-associated macrophages, dendritic cells, and myeloid-derived suppressor cells), and the extracellular matrix within the TME that displays functional and architectural support. This review highlights the importance of nanotechnology-based therapeutics as a promising approach to target the TME and improve treatment outcomes for TNBC patients, which can lead to enhanced survival and quality of life. The role of different nanotherapeutics has been explored in the established TME cell-driven populations.

摘要

三阴性乳腺癌(TNBC)是最具侵袭性的乳腺癌亚型,具有高转移风险和治疗抗性。这些问题与肿瘤组织周围的肿瘤微环境(TME)密切相关。TME成分与肿瘤进展、生存及转移之间的关联已得到充分阐明。仅关注癌细胞不再被认为是一种可行的治疗方法;因此,对TME靶向治疗的需求很高。使用纳米颗粒的好处在于它们优先在肿瘤中蓄积以及能够靶向TME成分。已经研究了几种基于纳米的平台来减轻微环境诱导的血管生成、治疗抗性和肿瘤进展。这是通过靶向间充质来源细胞(如癌症相关成纤维细胞、脂肪细胞和干细胞)、血液细胞(如肿瘤相关巨噬细胞、树突状细胞和髓源性抑制细胞)以及TME内具有功能和结构支持作用的细胞外基质来实现的。本综述强调了基于纳米技术的治疗作为一种有前景的靶向TME并改善TNBC患者治疗结果的方法的重要性,这可提高生存率和生活质量。已在既定的TME细胞驱动群体中探索了不同纳米疗法的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbfc/9864587/ccd0bf50e731/pharmaceutics-15-00112-g001.jpg

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