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基于纳米技术的头颈部鳞状细胞癌治疗方法的进展

Advances in nanotechnology-based approaches for the treatment of head and neck squamous cell carcinoma.

作者信息

Tang Bicai, Huang Rui, Ma Wenjuan

机构信息

State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University Chengdu Sichuan 610041 China.

Sichuan Provincial Engineering Research Center of Oral Biomaterials Chengdu Sichuan 610041 China.

出版信息

RSC Adv. 2024 Dec 9;14(52):38668-38688. doi: 10.1039/d4ra07193j. eCollection 2024 Dec 3.

Abstract

Head and neck squamous cell carcinoma (HNSCC), one of the most common types of cancers occurring in the head and neck region, is often associated with high mortality rates due to its invasiveness and morbidity. The mainstream treatment methods in clinical settings, including surgery, chemotherapy, and radiotherapy, may cause poor overall survival rate and prognosis, with issues such as drug resistance, damage to adjacent healthy tissues, and potential recurrences. Other treatment approaches such as immunotherapy, photodynamic therapy (PDT), and photothermal therapy (PPT) also suffer from inefficient tumor targeting and suboptimal therapeutic outcomes. Early detection is vital for HNSCC patients, but it is always limited by insensitivity and confusing clinical manifestations. Hence, it is highly desirable to develop optimized therapeutic and diagnostic strategies. With the boom in nanomaterials, nanotechnology-conducted HNSCC therapy has attracted widespread attention. Nanoparticles (NPs) are distinguished by their unique morphology and superior physicochemical property, and some can exhibit direct antitumor activity, while others serve as promising candidates for drug delivery. In addition, NPs offer the potential for structural modification for drug delivery and tumor targeting, enabling specific delivery to tumor cells through conjugation with biomarker ligands and improving cargo biocompatibility. This work reviews current therapies and diagnosis methods for HNSCC, highlights the characteristics of the major NPs, surveys their uses and advantages in the treatment of HNSCC, and discusses the obstacles and prospects in clinical applications, aiming to enlighten future research directions for nanotechnology-based therapy for HNSCC.

摘要

头颈部鳞状细胞癌(HNSCC)是头颈部区域最常见的癌症类型之一,由于其侵袭性和发病率,常与高死亡率相关。临床环境中的主流治疗方法,包括手术、化疗和放疗,可能导致总体生存率和预后较差,存在耐药性、对相邻健康组织的损伤以及潜在复发等问题。免疫疗法、光动力疗法(PDT)和光热疗法(PPT)等其他治疗方法也存在肿瘤靶向效率低下和治疗效果欠佳的问题。早期检测对HNSCC患者至关重要,但它总是受到不敏感性和令人困惑的临床表现的限制。因此,非常需要开发优化的治疗和诊断策略。随着纳米材料的蓬勃发展,纳米技术介导的HNSCC治疗引起了广泛关注。纳米颗粒(NPs)以其独特的形态和优异的物理化学性质而著称,有些可以表现出直接的抗肿瘤活性,而另一些则有望成为药物递送的候选者。此外,NPs为药物递送和肿瘤靶向的结构修饰提供了潜力,通过与生物标志物配体结合实现对肿瘤细胞的特异性递送,并提高货物的生物相容性。这项工作综述了HNSCC的当前治疗和诊断方法,突出了主要NPs的特点,调查了它们在HNSCC治疗中的用途和优势,并讨论了临床应用中的障碍和前景,旨在为基于纳米技术的HNSCC治疗的未来研究方向提供启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ac2/11626385/93d13912ba13/d4ra07193j-f1.jpg

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