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用于个性化癌症治疗的靶向纳米递送系统。

Targeted nanodelivery systems for personalized cancer therapy.

作者信息

Roszkowski Szymon, Durczyńska Zofia, Szablewska Sylwia

机构信息

Division of Biochemistry and Biogerontology, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.

Department of Oncology, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.

出版信息

Rep Pract Oncol Radiother. 2025 Feb 19;29(6):776-788. doi: 10.5603/rpor.103524. eCollection 2024.

Abstract

Conventional cancer therapies such as chemotherapy face challenges such as poor tumor targeting, systemic toxicity, and drug resistance. Nanotechnology offers solutions through advanced drug delivery systems that preferentially accumulate in tumors while avoiding healthy tissues. Recent innovations have enabled the optimization of engineered nanocarriers for extended circulation and tumor localization via both passive and active targeting mechanisms. Passive accumulation exploits the leaky vasculature of tumors, whereas active strategies use ligands to selectively bind cancer cell receptors. Multifunctional nanoparticles also allow the combination of imaging, multiple therapeutic modalities and on-demand drug release within a single platform. Overall, precisely tailored nanotherapeutics that leverage unique pathophysiological traits of malignancies provide opportunities to overcome the limitations of traditional treatment regimens. This emerging field promises more effective and personalized nanomedicine approaches to detect and treat cancer. The key aspects highlighted in this review include the biological barriers associated with nanoparticles, rational design principles to optimize nanocarrier pharmacokinetics and tumor uptake, passive and active targeting strategies, multifunctionality, and reversal of multidrug resistance.

摘要

传统的癌症治疗方法,如化疗,面临着肿瘤靶向性差、全身毒性和耐药性等挑战。纳米技术通过先进的药物递送系统提供了解决方案,这些系统优先在肿瘤中积累,同时避开健康组织。最近的创新使得通过被动和主动靶向机制优化工程纳米载体以实现延长循环和肿瘤定位成为可能。被动积累利用肿瘤渗漏的脉管系统,而主动策略则使用配体选择性地结合癌细胞受体。多功能纳米颗粒还允许在单个平台内结合成像、多种治疗方式和按需药物释放。总体而言,利用恶性肿瘤独特病理生理特征精确定制的纳米疗法为克服传统治疗方案的局限性提供了机会。这个新兴领域有望带来更有效、更个性化的纳米医学方法来检测和治疗癌症。本综述中强调的关键方面包括与纳米颗粒相关的生物屏障、优化纳米载体药代动力学和肿瘤摄取的合理设计原则、被动和主动靶向策略、多功能性以及多药耐药性的逆转。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b631/11912883/b8c073e08997/rpor-29-6-776f1.jpg

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