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纳米医学在克服当前乳腺癌治疗障碍方面的潜在作用。

The potential role of nanomedicine in the treatment of breast cancer to overcome the obstacles of current therapies.

作者信息

Yang Fan, He Qingjie, Dai Xiangpeng, Zhang Xiaoling, Song Dong

机构信息

Breast Surgery Department of General Surgery, The First Hospital of Jilin University, Changchun, China.

Key Laboratory of Organ Regeneration and Transplantation of Ministry of Education, First Hospital of Jilin University, Changchun, China.

出版信息

Front Pharmacol. 2023 Feb 22;14:1143102. doi: 10.3389/fphar.2023.1143102. eCollection 2023.

Abstract

Breast cancer (BC) is the most frequently diagnosed malignant tumor among women in the world. BC is the heterogeneous tumor with different subtypes including luminal A-like, luminal B-like (HER2-/HER2+), HER2 enriched, and triple-negative BC. The therapeutic strategies including surgery, chemotherapy, radiotherapy, targeted therapy, and endocrine therapy are well developed and commonly used in the treatment of BC. However, some adverse effects of these conventional treatments limited their wide application in clinical. Therefore, it is necessary to develop more safe and more efficient individualized treatment strategies of the BC. Nanomedicine, as the most promising strategy for controlled and targeted drug delivery, is widely used in multiple aspects of cancer therapy. Importantly, accumulative evidences show that nanomedicine has achieved good outcomes in the treatment of BC and a huge amount of BC patients benefited from the nanomedicine related treatments. In this review, we summarized and discussed the major problems occurred during the administration of conventional treatment strategies for BC and the potential roles of nanomedicine in promoting the treatment efficacy of BC by overcoming obstacles of current treatment of BC.

摘要

乳腺癌(BC)是全球女性中最常被诊断出的恶性肿瘤。乳腺癌是一种异质性肿瘤,具有不同的亚型,包括腔面A型、腔面B型(HER2阴性/HER2阳性)、HER2富集型和三阴性乳腺癌。包括手术、化疗、放疗、靶向治疗和内分泌治疗在内的治疗策略已经得到很好的发展,并常用于乳腺癌的治疗。然而,这些传统治疗的一些不良反应限制了它们在临床上的广泛应用。因此,有必要开发更安全、更有效的乳腺癌个体化治疗策略。纳米医学作为最有前景的可控靶向给药策略,广泛应用于癌症治疗的多个方面。重要的是,越来越多的证据表明,纳米医学在乳腺癌治疗中取得了良好的效果,大量乳腺癌患者受益于与纳米医学相关的治疗。在这篇综述中,我们总结并讨论了乳腺癌传统治疗策略给药过程中出现的主要问题,以及纳米医学通过克服当前乳腺癌治疗的障碍在提高乳腺癌治疗效果方面的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0da/9992554/6997dee2a411/fphar-14-1143102-g001.jpg

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