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纳米药物递送系统在治疗间变性甲状腺癌中的应用现状。

Current Application of Nanoparticle Drug Delivery Systems to the Treatment of Anaplastic Thyroid Carcinomas.

机构信息

Department of Thyroid Surgery, Nanjing Hospital of Chinese Medicine, Nanjing, 210001, People's Republic of China.

School of Medicine, Southeast University, Nanjing, 210001, People's Republic of China.

出版信息

Int J Nanomedicine. 2023 Oct 25;18:6037-6058. doi: 10.2147/IJN.S429629. eCollection 2023.

Abstract

Anaplastic thyroid carcinomas (ATCs) are a rare subtype of thyroid cancers with a low incidence but extremely high invasiveness and fatality. The treatment of ATCs is very challenging, and currently, a comprehensive individualized therapeutic strategy involving surgery, radiotherapy (RT), chemotherapy, BRAF/MEK inhibitors (BRAFi/MEKi) and immunotherapy is preferred. For ATC patients in stage IVA/IVB, a surgery-based comprehensive strategy may provide survival benefits. Unfortunately, ATC patients in IVC stage barely get benefits from the current treatment. Recently, nanoparticle delivery of siRNAs, targeted drugs, cytotoxic drugs, photosensitizers and other agents is considered as a promising anti-cancer treatment. Nanoparticle drug delivery systems have been mainly explored in the treatment of differentiated thyroid cancer (DTC). With the rapid development of drug delivery techniques and nanomaterials, using hybrid nanoparticles as the drug carrier to deliver siRNAs, targeted drugs, immune drugs, chemotherapy drugs and phototherapy drugs to ATC patients have become a hot research field. This review aims to describe latest findings of nanoparticle drug delivery systems in the treatment of ATCs, thus providing references for the further analyses.

摘要

间变性甲状腺癌(ATC)是一种罕见的甲状腺癌亚型,发病率低,但侵袭性和致死率极高。ATC 的治疗极具挑战性,目前,综合个体化治疗策略包括手术、放疗(RT)、化疗、BRAF/MEK 抑制剂(BRAFi/MEKi)和免疫疗法。对于 IVA/IVB 期的 ATC 患者,基于手术的综合治疗策略可能带来生存获益。不幸的是,IVC 期的 ATC 患者几乎无法从目前的治疗中获益。最近,siRNA、靶向药物、细胞毒性药物、光敏剂和其他药物的纳米颗粒递药系统被认为是一种很有前途的抗癌治疗方法。纳米颗粒药物递送系统主要在分化型甲状腺癌(DTC)的治疗中进行了探索。随着药物递送技术和纳米材料的快速发展,使用混合纳米颗粒作为药物载体将 siRNA、靶向药物、免疫药物、化疗药物和光疗药物递送给 ATC 患者已成为一个热门研究领域。本综述旨在描述纳米颗粒药物递送系统在 ATC 治疗中的最新研究发现,为进一步分析提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af1b/10613415/1a52ed2cda17/IJN-18-6037-g0001.jpg

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