National Vaccine & Serum Institute (NVSI), China National Biotech Group (CNBG), Sinopharm Group, No. 38 Jing Hai Second Road, Beijing 101111, China.
School of Life Science and Technology, China Pharmaceutical University, Nanjing, 211195, China.
Theranostics. 2024 Oct 17;14(17):6831-6882. doi: 10.7150/thno.100036. eCollection 2024.
The significance of metabolic processes in cancer biology has garnered substantial attention, as they are essential for meeting the anabolic demands and maintaining the redox balance of rapidly dividing cancer cells. A distinctive feature of tumors is that cancer cells, unlike normal cells, exhibit an increased rate of glucose metabolism. They predominantly relying on aerobic glycolysis to metabolize glucose, which enables these cells to supply energy and produce the necessary building blocks for growth. Targeting glucose metabolism has led to the development of various cancer treatments. However, these agents often have limited efficacy due to factors such as poor stability and solubility, rapid clearance and an insufficient amount of the drug reaching the target site. These limitations can be overcome by preparing nano dosage forms through nanotechnology, which leverages the unique properties of nanomaterials to deliver drugs more precisely to target tissues with controlled release. In this review, we provide a comprehensive overview of the latest advancements in nanomedicine, focusing on the modulation of glucose metabolism in cancer cells. We discuss the design and application of various strategies that have been engineered to target the metabolic hallmarks of cancer. These nanomedicine strategies aim to exploit the metabolic vulnerabilities of cancer cells, thereby offering novel approaches to cancer therapy. The review highlights the innovative nanomaterials and their potential to deliver therapeutic agents more effectively, as well as the challenges and considerations in translating these nanomedicines from bench to bedside. By targeting the glucose metabolism of cancer cells, these nanoscale interventions hold promise for improving treatment outcomes and potentially overcoming the resistance that often plagues conventional cancer therapies.
代谢过程在癌症生物学中的重要性引起了广泛关注,因为它们对于满足快速分裂的癌细胞的合成代谢需求和维持氧化还原平衡至关重要。肿瘤的一个显著特征是,与正常细胞相比,癌细胞表现出葡萄糖代谢率的增加。它们主要依赖有氧糖酵解来代谢葡萄糖,这使这些细胞能够供应能量并产生生长所需的必要构建块。针对葡萄糖代谢已导致了各种癌症治疗方法的发展。然而,由于稳定性和溶解度差、快速清除以及到达靶部位的药物量不足等因素,这些药物往往疗效有限。通过纳米技术制备纳米剂量形式可以克服这些限制,纳米技术利用纳米材料的独特性质更精确地将药物递送到靶组织,并实现控制释放。在这篇综述中,我们全面概述了纳米医学的最新进展,重点关注癌细胞中葡萄糖代谢的调节。我们讨论了设计和应用各种策略的情况,这些策略旨在针对癌症的代谢特征。这些纳米医学策略旨在利用癌细胞的代谢脆弱性,从而为癌症治疗提供新的方法。该综述强调了创新纳米材料及其将治疗剂更有效地递送至靶部位的潜力,以及将这些纳米药物从实验室转化为临床应用所面临的挑战和考虑因素。通过靶向癌细胞的葡萄糖代谢,这些纳米尺度的干预措施有望改善治疗效果,并可能克服常规癌症治疗中经常出现的耐药性。