Department of Hepatobiliary and Pancreatic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumor of Zhejiang Province, Hangzhou, Zhejiang, People's Republic of China.
Int J Nanomedicine. 2024 Jan 26;19:917-944. doi: 10.2147/IJN.S445578. eCollection 2024.
The overall cancer incidence and death toll have been increasing worldwide. However, the conventional therapies have some obvious limitations, such as non-specific targeting, systemic toxic effects, especially the multidrug resistance (MDR) of tumors, in which, autophagy plays a vital role. Therefore, there is an urgent need for new treatments to reduce adverse reactions, improve the treatment efficacy and expand their therapeutic indications more effectively and accurately. Combination therapy based on autophagy regulators is a very feasible and important method to overcome tumor resistance and sensitize anti-tumor drugs. However, the less improved efficacy, more systemic toxicity and other problems limit its clinical application. Nanotechnology provides a good way to overcome this limitation. Co-delivery of autophagy regulators combined with anti-tumor drugs through nanoplatforms provides a good therapeutic strategy for the treatment of tumors, especially drug-resistant tumors. Notably, the nanomaterials with autophagy regulatory properties have broad therapeutic prospects as carrier platforms, especially in adjuvant therapy. However, further research is still necessary to overcome the difficulties such as the safety, biocompatibility, and side effects of nanomedicine. In addition, clinical research is also indispensable to confirm its application in tumor treatment.
全球范围内癌症的发病率和死亡率一直在上升。然而,传统疗法存在一些明显的局限性,如非特异性靶向、全身毒性作用,特别是肿瘤的多药耐药性(MDR),其中自噬起着至关重要的作用。因此,迫切需要新的治疗方法来降低不良反应,提高治疗效果,并更有效地、有针对性地扩大治疗适应症。基于自噬调节剂的联合治疗是克服肿瘤耐药性和增敏抗肿瘤药物的一种非常可行和重要的方法。然而,疗效提高较少、全身毒性更大等问题限制了其临床应用。纳米技术提供了克服这一限制的良好途径。通过纳米平台将自噬调节剂与抗肿瘤药物共递送给肿瘤治疗提供了一种很好的治疗策略,特别是对耐药肿瘤。值得注意的是,具有自噬调节特性的纳米材料作为载体平台具有广阔的治疗前景,特别是在辅助治疗中。然而,仍然需要进一步研究来克服纳米医学的安全性、生物相容性和副作用等困难。此外,临床研究也是必不可少的,以确认其在肿瘤治疗中的应用。
Int J Nanomedicine. 2024
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