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特刊:女性健康中的纳米治疗学 用于三阴性乳腺癌治疗的新兴纳米技术。

Special Issue: Nanotherapeutics in Women's Health Emerging Nanotechnologies for Triple-Negative Breast Cancer Treatment.

机构信息

i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Rua Alfredo Allen 208, Porto, 4200-135, Portugal.

INEB - Instituto de Engenharia Biomédica, Universidade do Porto, Rua Alfredo Allen 208, Porto, 4200-135, Portugal.

出版信息

Small. 2024 Oct;20(41):e2300666. doi: 10.1002/smll.202300666. Epub 2023 Mar 28.

Abstract

Breast cancer appears as the major cause of cancer-related deaths in women, with more than 2 260 000 cases reported worldwide in 2020, resulting in 684 996 deaths. Triple-negative breast cancer (TNBC), characterized by the absence of estrogen, progesterone, and human epidermal growth factor type 2 receptors, represents ≈20% of all breast cancers. TNBC has a highly aggressive clinical course and is more prevalent in younger women. The standard therapy for advanced TNBC is chemotherapy, but responses are often short-lived, with high rate of relapse. The lack of therapeutic targets and the limited therapeutic options confer to individuals suffering from TNBC the poorest prognosis among breast cancer patients, remaining a major clinical challenge. In recent years, advances in cancer nanomedicine provided innovative therapeutic options, as nanoformulations play an important role in overcoming the shortcomings left by conventional therapies: payload degradation and its low solubility, stability, and circulating half-life, and difficulties regarding biodistribution due to physiological and biological barriers. In this integrative review, the recent advances in the nanomedicine field for TNBC treatment, including the novel nanoparticle-, exosome-, and hybrid-based therapeutic formulations are summarized and their drawbacks and challenges are discussed for future clinical applications.

摘要

乳腺癌是女性癌症相关死亡的主要原因,2020 年全球报告病例超过 226 万例,导致 684996 人死亡。三阴性乳腺癌(TNBC)的特点是缺乏雌激素、孕激素和人表皮生长因子 2 受体,约占所有乳腺癌的 20%。TNBC 具有高度侵袭性的临床病程,在年轻女性中更为常见。晚期 TNBC 的标准治疗是化疗,但反应往往是短暂的,复发率很高。缺乏治疗靶点和有限的治疗选择使得 TNBC 患者的预后在乳腺癌患者中最差,这仍然是一个主要的临床挑战。近年来,癌症纳米医学的进展提供了创新的治疗选择,因为纳米制剂在克服传统疗法的缺点方面发挥着重要作用:有效载荷的降解及其低溶解度、稳定性和循环半衰期,以及由于生理和生物屏障导致的生物分布困难。在这篇综合综述中,总结了 TNBC 治疗中纳米医学领域的最新进展,包括新型基于纳米颗粒、外泌体和杂化的治疗制剂,并讨论了它们在未来临床应用中的缺点和挑战。

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