Peng Shan, Yuan Xiaomeng, Li Hongjie, Wei Yanan, Zhou Baolong, Ding Gang, Bai Jingkun
School of Stomatology, Weifang Medical University, Weifang, 261053, China.
School of Bioscience and Technology, Weifang Medical University, Weifang, 261053, China.
Eur J Med Chem. 2023 Apr 5;252:115259. doi: 10.1016/j.ejmech.2023.115259. Epub 2023 Mar 13.
Tumour metastasis is one of the major factors leading to poor prognosis as well as lower survival among cancer patients. A number of studies investigating the inhibition of tumour metastasis have been conducted. It is difficult to achieve satisfactory results with surgery alone for distant metastatic tumours, and chemotherapy can boost the healing rate and prognosis of patients. However, the poor therapeutic efficacy of chemotherapy drugs due to their low solubility, lack of tumour targeting, instability in vivo, high toxicity and multidrug resistance hinder their application. Immunotherapy is beneficial to the treatment of metastatic cancers, but it also has disadvantages such as adverse reactions and acquired resistance. Fortunately, delivery of chemotherapeutic drugs with nanocarriers can reduce systemic reactions caused by chemotherapeutic agents and inhibit metastasis. This review discusses the underlying mechanisms of metastasis, therapeutic approaches for antitumour metastasis, the advantages of nanodrug delivery systems and their application in reducing metastasis.
肿瘤转移是导致癌症患者预后不良和生存率降低的主要因素之一。已经开展了许多研究来探究肿瘤转移的抑制作用。对于远处转移性肿瘤,仅靠手术难以取得令人满意的效果,而化疗可以提高患者的治愈率和预后。然而,化疗药物存在溶解度低、缺乏肿瘤靶向性、体内不稳定、毒性高和多药耐药等问题,导致其治疗效果不佳,阻碍了它们的应用。免疫疗法对转移性癌症的治疗有益,但也存在不良反应和获得性耐药等缺点。幸运的是,用纳米载体递送化疗药物可以减少化疗药物引起的全身反应并抑制转移。本文综述了转移的潜在机制、抗肿瘤转移的治疗方法、纳米药物递送系统的优势及其在减少转移方面的应用。