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基于纳米医学的多模态疗法:结肠癌的最新进展和展望。

Nanomedicine-based multimodal therapies: Recent progress and perspectives in colon cancer.

机构信息

State Key Laboratory of Metastable Materials Science and Technology, Nano-Biotechnology Key Laboratory of Hebei Province, Applying Chemistry Key Laboratory of Hebei Province, Yanshan University, Qinhuangdao 066000, Hebei Province, China.

出版信息

World J Gastroenterol. 2023 Jan 28;29(4):670-681. doi: 10.3748/wjg.v29.i4.670.

Abstract

Colon cancer has attracted much attention due to its annually increasing incidence. Conventional chemotherapeutic drugs are unsatisfactory in clinical application because of their lack of targeting and severe toxic side effects. In the past decade, nanomedicines with multimodal therapeutic strategies have shown potential for colon cancer because of their enhanced permeability and retention, high accumulation at tumor sites, co-loading with different drugs, and comb-ination of various therapies. This review summarizes the advances in research on various nanomedicine-based therapeutic strategies including chemotherapy, radiotherapy, phototherapy (photothermal therapy and photodynamic therapy), chemodynamic therapy, gas therapy, and immunotherapy. Additionally, the therapeutic mechanisms, limitations, improvements, and future of the above therapies are discussed.

摘要

由于结肠癌的发病率逐年上升,因此受到了广泛关注。由于缺乏靶向性和严重的毒副作用,传统的化疗药物在临床应用中并不令人满意。在过去的十年中,具有多种治疗策略的纳米药物由于其增强的通透性和滞留性、在肿瘤部位的高积累、不同药物的共同装载以及各种疗法的联合,在结肠癌的治疗中显示出了潜力。本综述总结了基于各种纳米药物的治疗策略的研究进展,包括化疗、放疗、光疗(光热疗和光动力疗)、化学动力学治疗、气体治疗和免疫治疗。此外,还讨论了上述疗法的治疗机制、局限性、改进和未来发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f3a/9896619/98dc78474bce/WJG-29-670-g001.jpg

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