Wang Xianling, Yang Yan, Zhao Shuang, Wu Di, Li Le, Zhao Zhifeng
Department of Gastroenterology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
Endoscopy Center, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
Front Pharmacol. 2024 Aug 5;15:1446030. doi: 10.3389/fphar.2024.1446030. eCollection 2024.
Hepatocellular carcinoma accounts for 80% of primary liver cancers, is the most common primary liver malignancy. Hepatocellular carcinoma is the third leading cause of tumor-related deaths worldwide, with a 5-year survival rate of approximately 18%. Chemotherapy, although commonly used for hepatocellular carcinoma treatment, is limited by systemic toxicity and drug resistance. Improving targeted delivery of chemotherapy drugs to tumor cells without causing systemic side effects is a current research focus. Chitosan, a biopolymer derived from chitin, possesses good biocompatibility and biodegradability, making it suitable for drug delivery. Enhanced chitosan formulations retain the anti-tumor properties while improving stability. Chitosan-based biomaterials promote hepatocellular carcinoma apoptosis, exhibit antioxidant and anti-inflammatory effects, inhibit tumor angiogenesis, and improve extracellular matrix remodeling for enhanced anti-tumor therapy.
We summarized published experimental papers by querying them.
This review discusses the physicochemical properties of chitosan, its application in hepatocellular carcinoma treatment, and the challenges faced by chitosan-based biomaterials.
肝细胞癌占原发性肝癌的80%,是最常见的原发性肝脏恶性肿瘤。肝细胞癌是全球肿瘤相关死亡的第三大主要原因,5年生存率约为18%。化疗虽然常用于肝细胞癌的治疗,但受到全身毒性和耐药性的限制。在不引起全身副作用的情况下,提高化疗药物对肿瘤细胞的靶向递送是当前的研究重点。壳聚糖是一种由甲壳素衍生而来的生物聚合物,具有良好的生物相容性和生物降解性,使其适用于药物递送。增强型壳聚糖制剂在提高稳定性的同时保留了抗肿瘤特性。基于壳聚糖的生物材料可促进肝细胞癌凋亡,具有抗氧化和抗炎作用,抑制肿瘤血管生成,并改善细胞外基质重塑以增强抗肿瘤治疗效果。
我们通过查询已发表的实验论文进行了总结。
本综述讨论了壳聚糖的物理化学性质、其在肝细胞癌治疗中的应用以及基于壳聚糖的生物材料所面临的挑战。