慢性炎症向癌症的转化:一种纳米治疗范式。

Chronic Inflammation's Transformation to Cancer: A Nanotherapeutic Paradigm.

机构信息

Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

出版信息

Molecules. 2023 May 29;28(11):4413. doi: 10.3390/molecules28114413.

Abstract

The body's normal immune response against any invading pathogen that causes infection in the body results in inflammation. The sudden transformation in inflammation leads to the rise of inflammatory diseases such as chronic inflammatory bowel disease, autoimmune disorders, and colorectal cancer (different types of cancer develop at the site of chronic infection and inflammation). Inflammation results in two ways: short-term inflammation i.e., non-specific, involves the action of various immune cells; the other results in long-term reactions lasting for months or years. It is specific and causes angiogenesis, fibrosis, tissue destruction, and cancer progression at the site of inflammation. Cancer progression relies on the interaction between the host microenvironment and tumor cells along with the inflammatory responses, fibroblast, and vascular cells. The two pathways that have been identified connecting inflammation and cancer are the extrinsic and intrinsic pathways. Both have their own specific role in linking inflammation to cancer, involving various transcription factors such as Nuclear factor kappa B, Activator of transcription, Single transducer, and Hypoxia-inducible factor, which in turn regulates the inflammatory responses via Soluble mediators cytokines (such as Interleukin-6, Hematopoietin-1/Erythropoietin, and tumor necrosis factor), chemokines (such as Cyclooxygenase-2, C-X-C Motif chemokines ligand-8, and IL-8), inflammatory cells, cellular components (such as suppressor cells derived from myeloid, tumor-associated macrophage, and acidophils), and promotes tumorigenesis. The treatment of these chronic inflammatory diseases is challenging and needs early detection and diagnosis. Nanotechnology is a booming field nowadays for its rapid action and easy penetration inside the infected destined cells. Nanoparticles are widely classified into different categories based on their different factors and properties such as size, shape, cytotoxicity, and others. Nanoparticles emerged as excellent with highly progressive medical inventions to cure diseases such as cancer, inflammatory diseases, and others. Nanoparticles have shown higher binding capacity with the biomolecules in inflammation reduction and lowers the oxidative stress inside tissue/cells. In this review, we have overall discussed inflammatory pathways that link inflammation to cancer, major inflammatory diseases, and the potent action of nanoparticles in chronic inflammation-related diseases.

摘要

人体对任何导致体内感染的入侵病原体的正常免疫反应都会导致炎症。炎症的突然转变会导致炎症性疾病的发生,如慢性炎症性肠病、自身免疫性疾病和结直肠癌(不同类型的癌症发生在慢性感染和炎症的部位)。炎症有两种方式:短期炎症,即非特异性的,涉及各种免疫细胞的作用;另一种是持续数月或数年的长期反应。它是特异性的,会导致炎症部位的血管生成、纤维化、组织破坏和癌症进展。癌症的进展依赖于宿主微环境与肿瘤细胞以及炎症反应、成纤维细胞和血管细胞的相互作用。已确定的将炎症与癌症联系起来的两种途径是外在途径和内在途径。两者在将炎症与癌症联系起来方面都有其特定的作用,涉及各种转录因子,如核因子 kappa B、转录激活因子、单转导子和缺氧诱导因子,它们通过可溶性介质细胞因子(如白细胞介素-6、造血素-1/红细胞生成素和肿瘤坏死因子)、趋化因子(如环氧化酶-2、C-X-C 基序趋化因子配体-8 和 IL-8)、炎症细胞、细胞成分(如来自髓样细胞的抑制细胞、肿瘤相关巨噬细胞和嗜酸性粒细胞)来调节炎症反应,并促进肿瘤发生。这些慢性炎症性疾病的治疗具有挑战性,需要早期发现和诊断。纳米技术是当今一个蓬勃发展的领域,因为它具有快速作用和易于穿透感染靶细胞的特点。纳米颗粒根据其大小、形状、细胞毒性和其他不同的因素和特性被广泛分为不同的类别。纳米颗粒已成为治疗癌症、炎症性疾病等疾病的极具创新性的医学发明的杰出代表。纳米颗粒在减少炎症和降低组织/细胞内氧化应激方面显示出更高的与生物分子的结合能力。在这篇综述中,我们全面讨论了将炎症与癌症联系起来的炎症途径、主要的炎症性疾病以及纳米颗粒在慢性炎症相关疾病中的有效作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e126/10254455/cc0b1899717c/molecules-28-04413-g001.jpg

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