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纳米平台:口腔癌治疗的未来

Nanoplatforms: The future of oral cancer treatment.

作者信息

Senevirathna Kalpani, Jayawickrama Shalindu M, Jayasinghe Yovanthi A, Prabani Karunakalage I P, Akshala Kushani, Pradeep Ratupaskatiye G G R, Damayanthi Hewaratne D W T, Hettiarachchi Kalani, Dorji Thinley, Lucero-Prisno Don E, Rajapakse Rajapakse M G, Kanmodi Kehinde K, Jayasinghe Ruwan D

机构信息

Centre for Research in Oral Cancer, Faculty of Dental Sciences University of Peradeniya Peradeniya Sri Lanka.

Department of Agricultural Biology, Faculty of Agriculture University of Peradeniya Peradeniya Sri Lanka.

出版信息

Health Sci Rep. 2023 Aug 2;6(8):e1471. doi: 10.1002/hsr2.1471. eCollection 2023 Aug.

Abstract

BACKGROUND AND AIMS

Cytotoxicity is a key disadvantage of using chemotherapeutic drugs to treat cancer. This can be overcome by encapsulating chemotherapeutic drugs in suitable carriers for targeted delivery, allowing them to be released only at the cancerous sites. Herein, we aim to review the recent scientific developments in the utilization of nanotechnology-based drug delivery systems for treating oral malignancies that can lead to further improvements in clinical practice.

METHODS

A comprehensive literature search was conducted on PubMed, Google Scholar, ScienceDirect, and other notable databases to identify recent peer-reviewed clinical trials, reviews, and research articles related to nanoplatforms and their applications in oral cancer treatment.

RESULTS

Nanoplatforms offer a revolutionary strategy to overcome the challenges associated with conventional oral cancer treatments, such as poor drug solubility, non-specific targeting, and systemic toxicity. These nanoscale drug delivery systems encompass various formulations, including liposomes, polymeric nanoparticles, dendrimers, and hydrogels, which facilitate controlled release and targeted delivery of therapeutic agents to oral cancer sites. By exploiting the enhanced permeability and retention effect, Nanoplatforms accumulate preferentially in the tumor microenvironment, increasing drug concentration and minimizing damage to healthy tissues. Additionally, nanoplatforms can be engineered to carry multiple drugs or a combination of drugs and diagnostic agents, enabling personalized and precise treatment approaches.

CONCLUSION

The utilization of nanoplatforms in oral cancer treatment holds significant promise in revolutionizing therapeutic strategies. Despite the promising results in preclinical studies, further research is required to evaluate the safety, efficacy, and long-term effects of nanoformulations in clinical settings. If successfully translated into clinical practice, nanoplatform-based therapies have the potential to improve patient outcomes, reduce side effects, and pave the way for more personalized and effective oral cancer treatments.

摘要

背景与目的

细胞毒性是使用化疗药物治疗癌症的一个关键缺点。通过将化疗药物封装在合适的载体中进行靶向递送,可以克服这一缺点,使药物仅在癌灶处释放。在此,我们旨在综述基于纳米技术的药物递送系统在治疗口腔恶性肿瘤方面的最新科学进展,这些进展可能会在临床实践中带来进一步改善。

方法

在PubMed、谷歌学术、ScienceDirect和其他知名数据库上进行了全面的文献检索,以识别最近与纳米平台及其在口腔癌治疗中的应用相关的同行评审临床试验、综述和研究文章。

结果

纳米平台提供了一种革命性的策略,以克服与传统口腔癌治疗相关的挑战,如药物溶解度差、非特异性靶向和全身毒性。这些纳米级药物递送系统包括各种制剂,如脂质体、聚合物纳米颗粒、树枝状大分子和水凝胶,它们有助于治疗剂的控释和靶向递送至口腔癌部位。通过利用增强的渗透和滞留效应,纳米平台优先在肿瘤微环境中积累,提高药物浓度并将对健康组织的损害降至最低。此外,纳米平台可以设计成携带多种药物或药物与诊断剂的组合,实现个性化和精确的治疗方法。

结论

纳米平台在口腔癌治疗中的应用在革新治疗策略方面具有重大前景。尽管临床前研究取得了有希望的结果,但仍需要进一步研究来评估纳米制剂在临床环境中的安全性、有效性和长期影响。如果成功转化为临床实践,基于纳米平台的疗法有可能改善患者预后、减少副作用,并为更个性化和有效的口腔癌治疗铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41da/10397482/ca55ce6b5051/HSR2-6-e1471-g003.jpg

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