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近年来用于结直肠癌管理的分子标志物、治疗方法和新型药物传递系统的研究进展:综述

Recent Approaches on Molecular Markers, Treatment and Novel Drug Delivery System Used for the Management of Colorectal Cancer: A Comprehensive Review.

机构信息

Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, U.P, 201306, India.

出版信息

Curr Pharm Biotechnol. 2024;25(15):1969-1985. doi: 10.2174/0113892010270975231208113157.

Abstract

Colorectal cancer affects 1 in 25 females and 1 in 24 males, making it the third most frequent cancer with over 6,08,030 deaths worldwide, despite advancements in detection and treatments, including surgery, chemotherapeutics, radiotherapy, and immune therapeutics. Novel potential agents have increased survival in acute and chronic disease conditions, with a higher risk of side effects and cost. However, metastatic disease has an insignificant long-term diagnosis, and significant challenges remain due to last-stage diagnosis and treatment failure. Early detection, survival, and treatment efficacy are all improved by biomarkers. The advancement of cancer biomarkers' molecular pathology and genomics during the last three decades has improved therapy. Clinically useful prognostic biomarkers assist clinical judgment, for example, by predicting the success of EGFR-inhibiting antibodies in the presence of KRAS gene mutations. Few biomarkers are currently used in clinical settings, so further research is still needed. Nanocarriers, with materials like Carbon nanotubes and gold nanoparticles, provide targeted CRC drug delivery and diagnostics. Light-responsive drugs with gold and silica nanoparticles effectively target and destroy CRC cells. We evaluate the potential use of the long non-coding RNA (non-coding RNA) oncogene plasmacytoma variant translocation 1 (PVT1) as a diagnostic, prognostic, and therapeutic biomarker, along with the latest nanotech breakthroughs in CRC diagnosis and treatment.

摘要

结直肠癌影响 1/25 的女性和 1/24 的男性,是全球第三大常见癌症,全世界有超过 608,030 人死亡,尽管在检测和治疗方面取得了进展,包括手术、化疗、放疗和免疫治疗。新型潜在药物提高了急性和慢性疾病的生存率,但副作用和成本风险更高。然而,转移性疾病的长期诊断意义不大,由于晚期诊断和治疗失败,仍存在重大挑战。生物标志物可提高早期检测、生存和治疗效果。在过去三十年中,癌症生物标志物的分子病理学和基因组学的进步改善了治疗效果。临床有用的预后生物标志物有助于临床判断,例如,通过预测 KRAS 基因突变时 EGFR 抑制剂抗体的成功。目前临床上使用的生物标志物很少,因此仍需要进一步研究。纳米载体,如碳纳米管和金纳米粒子,可提供针对 CRC 的药物输送和诊断。具有金和硅纳米粒子的光响应药物可有效靶向和破坏 CRC 细胞。我们评估了长链非编码 RNA(lncRNA)癌基因浆细胞瘤变异易位 1(PVT1)作为诊断、预后和治疗生物标志物的潜在用途,以及 CRC 诊断和治疗方面的最新纳米技术突破。

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