Shang Baoxin, Yu Zongjiang, Wang Zhengdan
The Afffliated Hospital of Qingdao University, Qingdao University, Qingdao, China.
CAS Key Laboratory of Biobased Materials, Qingdao Institute of Bioenergy and Bioprocess Technology, Chinese Academy of Sciences, Qingdao, China.
Front Pharmacol. 2024 Jul 19;15:1451517. doi: 10.3389/fphar.2024.1451517. eCollection 2024.
Nitroreductase activable agents offer a personalized and targeted approach to cancer theranostics by selectively activating prodrugs within the tumor microenvironment. These agents enable non-invasive tumor imaging, image-guided drug delivery, and real-time treatment monitoring. By leveraging the enzymatic action of tumor-specific nitroreductase enzymes, cytotoxic drugs are delivered directly to cancer cells while minimizing systemic toxicity. This review highlights the key features, mechanisms of action, diagnostic applications, therapeutic potentials, and future directions of nitroreductase activable agents for tumor theranostics. Integration with imaging modalities, advanced drug delivery systems, immunotherapy combinations, and theranostic biomarkers shows promise for optimizing treatment outcomes and improving patient survival in oncology. Continued research and innovation in this field are crucial for advancing novel theranostic strategies and enhancing patient care. Nitroreductase activable agents represent a promising avenue for personalized cancer therapy and have the potential to transform cancer diagnosis and treatment approaches.
硝基还原酶可激活剂通过在肿瘤微环境中选择性激活前药,为癌症诊疗提供了一种个性化且靶向的方法。这些试剂能够实现非侵入性肿瘤成像、图像引导的药物递送以及实时治疗监测。通过利用肿瘤特异性硝基还原酶的酶促作用,细胞毒性药物可直接递送至癌细胞,同时将全身毒性降至最低。本综述重点介绍了用于肿瘤诊疗的硝基还原酶可激活剂的关键特性、作用机制、诊断应用、治疗潜力以及未来方向。与成像模式、先进药物递送系统、免疫治疗联合方案和诊疗生物标志物的整合,有望优化治疗效果并提高肿瘤学患者的生存率。该领域持续的研究和创新对于推进新型诊疗策略及改善患者护理至关重要。硝基还原酶可激活剂是个性化癌症治疗的一个有前景的途径,并且有潜力改变癌症诊断和治疗方法。