Department of Intervention Radiology, Traditional Chinese Medicine Hospital Affiliated to Southwest Medical University, Luzhou, 646000, China.
State Key Laboratory of Quality Research in Chinese Medicine, Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Taipa, Macau SAR, China.
J Nanobiotechnology. 2023 Feb 27;21(1):68. doi: 10.1186/s12951-023-01820-7.
Hepatocellular carcinoma (HCC) has the sixth-highest new incidence and fourth-highest mortality worldwide. Transarterial chemoembolization (TACE) is one of the primary treatment strategies for unresectable HCC. However, the therapeutic effect is still unsatisfactory due to the insufficient distribution of antineoplastic drugs in tumor tissues and the worsened post-embolization tumor microenvironment (TME, e.g., hypoxia and reduced pH). Recently, using nanomaterials as a drug delivery platform for TACE therapy of HCC has been a research hotspot. With the development of nanotechnology, multifunctional nanoplatforms have been developed to embolize the tumor vasculature, creating conditions for improving the distribution and bioavailability of drugs in tumor tissues. Currently, the researchers are focusing on functionalizing nanomaterials to achieve high drug loading efficacy, thorough vascular embolization, tumor targeting, controlled sustained release of drugs, and real-time imaging in the TACE process to facilitate precise embolization and enable therapeutic procedures follow-up imaging of tumor lesions. Herein, we summarized the recent advances and applications of functionalized nanomaterials based on TACE against HCC, believing that developing these functionalized nanoplatforms may be a promising approach for improving the TACE therapeutic effect of HCC.
肝细胞癌(HCC)是全球发病率第六高、死亡率第四高的癌症。经动脉化疗栓塞术(TACE)是不可切除 HCC 的主要治疗策略之一。然而,由于抗肿瘤药物在肿瘤组织中的分布不足以及栓塞后肿瘤微环境(TME,如缺氧和降低的 pH 值)恶化,治疗效果仍然不尽人意。最近,利用纳米材料作为 HCC 的 TACE 治疗的药物递送平台已成为研究热点。随着纳米技术的发展,已经开发出了多功能纳米平台来栓塞肿瘤血管,为提高药物在肿瘤组织中的分布和生物利用度创造了条件。目前,研究人员专注于对纳米材料进行功能化,以实现高载药效率、彻底的血管栓塞、肿瘤靶向、药物的控制和持续释放,以及在 TACE 过程中的实时成像,以促进精确栓塞,并实现肿瘤病变的治疗后随访成像。在此,我们总结了基于 TACE 治疗 HCC 的功能化纳米材料的最新进展和应用,相信开发这些功能化纳米平台可能是提高 HCC 的 TACE 治疗效果的一种有前途的方法。
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