Zhang Chengcheng, Fan Jiang, Wu Liang
Department of Thoracic Surgery, Shanghai General Hospital Shanghai Jiao Tong University School of Medicine, No. 100 Haining Road, Hongkou District, Shanghai 200080, China.
iScience. 2024 Dec 26;28(1):111704. doi: 10.1016/j.isci.2024.111704. eCollection 2025 Jan 17.
Lung cancer remains one of the most prevalent and lethal malignancies worldwide, characterized by high mortality rates due to its aggressive nature, metastatic potential, and drug resistance. Despite advancements in conventional therapies, their efficacy is often limited by systemic toxicity, poor tumor specificity, and the emergence of resistance mechanisms. Nanomedicine has emerged as a promising approach to address these challenges, leveraging the unique physicochemical properties of nanomaterials to enhance drug delivery, reduce off-target effects, and enable combination therapies. This review provides a comprehensive overview of the applications of nanomaterials in lung cancer treatment, focusing on advancements in chemotherapy, phototherapy, and immunotherapy. Key strategies include the development of stimuli-responsive nanoparticles, active targeting mechanisms, and multifunctional platforms for co-delivery of therapeutic agents. Notable successes, such as liposomal formulations and polymeric nanoparticles, highlight the potential to overcome biological barriers and improve therapeutic outcomes. However, significant challenges remain, including limited tumor penetration, immunogenicity, scalability in manufacturing, and regulatory complexities. Addressing these limitations through innovative design, advanced manufacturing technologies, and interdisciplinary collaboration will be critical to translating nanomedicine from bench to bedside. Overall, nanomedicine represents a transformative frontier in lung cancer therapy, offering the potential to improve patient outcomes and quality of life.
肺癌仍然是全球最普遍且致命的恶性肿瘤之一,因其侵袭性、转移潜能和耐药性而死亡率极高。尽管传统疗法取得了进展,但其疗效往往受到全身毒性、肿瘤特异性差以及耐药机制出现的限制。纳米医学已成为应对这些挑战的一种有前景的方法,它利用纳米材料独特的物理化学性质来增强药物递送、减少脱靶效应并实现联合治疗。本文综述全面概述了纳米材料在肺癌治疗中的应用,重点介绍化疗、光疗和免疫疗法的进展。关键策略包括开发刺激响应性纳米颗粒、主动靶向机制以及用于共递送治疗剂的多功能平台。显著的成功案例,如脂质体制剂和聚合物纳米颗粒,凸显了克服生物屏障和改善治疗效果的潜力。然而,重大挑战依然存在,包括肿瘤穿透受限、免疫原性、制造可扩展性以及监管复杂性。通过创新设计、先进制造技术和跨学科合作来解决这些限制对于将纳米医学从实验室转化到临床至关重要。总体而言,纳米医学代表了肺癌治疗的一个变革性前沿领域,具有改善患者治疗效果和生活质量的潜力。
iScience. 2024-12-26
Int J Biol Macromol. 2025-5
Nanoscale. 2025-3-28
J Funct Biomater. 2025-1-14
Drug Deliv Transl Res. 2025-8-11
Int J Mol Sci. 2024-9-16
Adv Mater. 2024-10
Chem Rev. 2024-5-8
Expert Rev Anticancer Ther. 2024-5