Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China.
Rehabilitation Department, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China.
Drug Deliv. 2024 Dec;31(1):2391001. doi: 10.1080/10717544.2024.2391001. Epub 2024 Sep 6.
A common malignant bone neoplasm in teenagers is Osteosarcoma. Chemotherapy, surgical therapy, and radiation therapy together comprise the usual clinical course of treatment for Osteosarcoma. While Osteosarcoma and other bone tumors are typically treated surgically, however, surgical resection frequently fails to completely eradicate tumors, and in turn becomes the primary reason for postoperative recurrence and metastasis, ultimately leading to a high rate of mortality. Patients still require radiation and/or chemotherapy after surgery to stop the spread of the tumor and its metastases, and both treatments have an adverse influence on the body's organ systems. In the postoperative management of osteosarcoma, bone scaffolds can load cargos (growth factors or drugs) and function as drug delivery systems (DDSs). This review describes the different kinds of bone scaffolds that are currently available and highlights key studies that use scaffolds as DDSs for the treatment of osteosarcomas. The discussion also includes difficulties and perspectives regarding the use of scaffold-based DDSs. The study may serve as a source for outlining efficient and secure postoperative osteosarcoma treatment plans.
青少年常见的恶性骨肿瘤是骨肉瘤。骨肉瘤的常规临床治疗方法包括化疗、手术治疗和放射治疗。虽然骨肉瘤和其他骨肿瘤通常需要手术治疗,但手术切除往往无法完全根除肿瘤,反而成为术后复发和转移的主要原因,最终导致高死亡率。手术后,患者仍需接受放疗和/或化疗以阻止肿瘤及其转移的扩散,这两种治疗方法都会对身体的各个器官系统产生不良影响。在骨肉瘤的术后管理中,骨支架可以负载药物(生长因子或药物)并作为药物输送系统(DDS)发挥作用。本文综述了目前可用的不同种类的骨支架,并重点介绍了将支架作为 DDS 用于治疗骨肉瘤的关键研究。讨论还包括支架基 DDS 使用的难点和前景。该研究可以为制定高效、安全的骨肉瘤术后治疗方案提供参考。