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用于协同治疗的智能癌症纳米药物

Smart Cancer Nanomedicine for Synergetic Therapy.

作者信息

Kanungo Anwesha, Mohanty Chandana, Acharya Sarbari

机构信息

School of Applied Sciences, Kalinga Institute of Industrial Technology, Bhubaneswar, 751024, Odisha, India.

出版信息

Curr Med Chem. 2025;32(2):286-300. doi: 10.2174/0109298673300897240602130258.

DOI:10.2174/0109298673300897240602130258
PMID:38860907
Abstract

Cancer is the second leading cause of death. Notwithstanding endeavors to comprehend tumor causes and therapeutic modalities, no noteworthy advancements in cancer therapy have been identified. Nanomedicine has drawn interest for its diagnostic potential because of its ability to deliver therapeutic agents specifically to tumors with little adverse effects. Nanomedicines have become prevalent in the treatment of cancer. Here, we present four strategic suggestions for improvement in the functionality and use of nanomedicine. (1) Smart drug selection is a prerequisite for both medicinal and commercial achievement. Allocating resources to the advancement of modular (pro)drugs and nanocarrier design ought to consider the role of opportunistic decisions depending on drug availability. (2) Stimuli-responsive nanomedicine for cancer therapy is being designed to release medications at particular locations precisely. (3) The cornerstone of clinical cancer treatment is combination therapy. Nanomedicines should be included more frequently in multimodal combination therapy regimens since they complement pharmacological and physical co-treatments. (4) Regulation by the immune system is transforming cancer therapy. Nanomedicines can improve the effectiveness of the immune system and control the behavior of anticancer immunity. These four approaches, both separately and particularly in combination, will accelerate and promote the creation of effective cancer nanomedicine treatments.

摘要

癌症是第二大致死原因。尽管人们努力去理解肿瘤成因和治疗方式,但在癌症治疗方面尚未发现显著进展。纳米医学因其能够将治疗剂特异性地递送至肿瘤部位且副作用极小的诊断潜力而备受关注。纳米药物在癌症治疗中已变得普遍。在此,我们针对纳米医学功能的改善及应用提出四条战略建议。(1)明智的药物选择是医学和商业成功的先决条件。将资源分配到模块化(前体)药物和纳米载体设计的改进上,应考虑根据药物可及性做出机会主义决策的作用。(2)用于癌症治疗的刺激响应型纳米医学旨在精确地在特定部位释放药物。(3)联合治疗是临床癌症治疗的基石。纳米药物应更频繁地纳入多模式联合治疗方案,因为它们能补充药物和物理联合治疗。(4)免疫系统调节正在改变癌症治疗。纳米药物可以提高免疫系统的效能并控制抗癌免疫的行为。这四种方法,无论是单独使用还是特别是联合使用,都将加速并促进有效的癌症纳米医学治疗方法的创建。

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Stimuli-responsive crosslinked nanomedicine for cancer treatment.用于癌症治疗的刺激响应性交联纳米药物
Exploration (Beijing). 2022 Apr 21;2(6):20210134. doi: 10.1002/EXP.20210134. eCollection 2022 Dec.
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A Recent Review on Cancer Nanomedicine.癌症纳米医学的近期综述
Cancers (Basel). 2023 Apr 12;15(8):2256. doi: 10.3390/cancers15082256.
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Liposome-mediated PD-L1 multivalent binding promotes the lysosomal degradation of PD-L1 for T cell-mediated antitumor immunity.脂质体介导的 PD-L1 多价结合促进 PD-L1 通过溶酶体降解以介导 T 细胞抗肿瘤免疫。
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Nanocarriers escaping from hyperacidified endo/lysosomes in cancer cells allow tumor-targeted intracellular delivery of antibodies to therapeutically inhibit c-MYC.纳米载体从癌细胞中过度酸化的内体/溶酶体逃逸,使抗体能够靶向肿瘤细胞内递送,从而抑制 c-MYC 的治疗作用。
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Nanoliposomes in Cancer Therapy: Marketed Products and Current Clinical Trials.纳米脂质体在癌症治疗中的应用:市售产品和当前临床试验。
Int J Mol Sci. 2022 Apr 12;23(8):4249. doi: 10.3390/ijms23084249.
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A Review of Liposomes as a Drug Delivery System: Current Status of Approved Products, Regulatory Environments, and Future Perspectives.脂质体作为药物传递系统的综述:已批准产品的现状、监管环境和未来展望。
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Preparation and Characterization of Docetaxel-PLGA Nanoparticles Coated with Folic Acid-chitosan Conjugate for Cancer Treatment.用于癌症治疗的叶酸-壳聚糖共轭物包被的多西他赛-PLGA纳米粒的制备与表征
J Pharm Sci. 2022 Feb;111(2):485-494. doi: 10.1016/j.xphs.2021.10.034. Epub 2021 Oct 30.
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J Control Release. 2021 Aug 10;336:410-432. doi: 10.1016/j.jconrel.2021.06.025. Epub 2021 Jun 24.
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