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(纳米)平台在乳腺癌治疗中的应用:药物/基因递送、先进的纳米载体和免疫疗法。

(Nano)platforms in breast cancer therapy: Drug/gene delivery, advanced nanocarriers and immunotherapy.

机构信息

Department of General Surgery and Institute of Precision Diagnosis and Treatment of Digestive System Tumors, Carson International Cancer Center, Shenzhen University General Hospital, Shenzhen University, Shenzhen, Guangdong, China.

Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China.

出版信息

Med Res Rev. 2023 Nov;43(6):2115-2176. doi: 10.1002/med.21971. Epub 2023 May 11.

Abstract

Breast cancer is the most malignant tumor in women, and there is no absolute cure for it. Although treatment modalities including surgery, chemotherapy, and radiotherapy are utilized for breast cancer, it is still a life-threatening disease for humans. Nanomedicine has provided a new opportunity in breast cancer treatment, which is the focus of the current study. The nanocarriers deliver chemotherapeutic agents and natural products, both of which increase cytotoxicity against breast tumor cells and prevent the development of drug resistance. The efficacy of gene therapy is boosted by nanoparticles and the delivery of CRISPR/Cas9, Noncoding RNAs, and RNAi, promoting their potential for gene expression regulation. The drug and gene codelivery by nanoparticles can exert a synergistic impact on breast tumors and enhance cellular uptake via endocytosis. Nanostructures are able to induce photothermal and photodynamic therapy for breast tumor ablation via cell death induction. The nanoparticles can provide tumor microenvironment remodeling and repolarization of macrophages for antitumor immunity. The stimuli-responsive nanocarriers, including pH-, redox-, and light-sensitive, can mediate targeted suppression of breast tumors. Besides, nanoparticles can provide a diagnosis of breast cancer and detect biomarkers. Various kinds of nanoparticles have been employed for breast cancer therapy, including carbon-, lipid-, polymeric- and metal-based nanostructures, which are different in terms of biocompatibility and delivery efficiency.

摘要

乳腺癌是女性最恶性的肿瘤,目前尚无绝对治愈方法。尽管手术、化疗和放疗等治疗方式被用于乳腺癌,但它仍然是人类的一种危及生命的疾病。纳米医学为乳腺癌治疗提供了新的机会,这是当前研究的重点。纳米载体可以输送化疗药物和天然产物,这两者都可以提高对乳腺癌细胞的细胞毒性,防止耐药性的发展。纳米粒和 CRISPR/Cas9、非编码 RNA 和 RNAi 的递送增强了基因治疗的疗效,促进了它们在基因表达调控方面的潜力。纳米粒的药物和基因共递送可以对乳腺癌肿瘤产生协同作用,并通过内吞作用增强细胞摄取。纳米结构能够通过诱导细胞死亡来进行光热和光动力治疗,以消融乳腺癌肿瘤。纳米粒可以为肿瘤微环境重塑和巨噬细胞的极化提供抗肿瘤免疫。刺激响应性纳米载体,包括 pH、氧化还原和光敏感型纳米载体,可以介导针对乳腺癌肿瘤的靶向抑制。此外,纳米粒还可以用于乳腺癌的诊断和检测生物标志物。各种纳米粒已被用于乳腺癌治疗,包括碳基、脂质基、聚合物基和金属基纳米结构,它们在生物相容性和输送效率方面有所不同。

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