Hou Jialong, Xue Zhijun, Chen Yao, Li Jisen, Yue Xin, Zhang Ying, Gao Jing, Hao Yonghong, Shen Jing
Department of Operative Dentistry and Endodontics, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin 300041, China.
Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China.
Polymers (Basel). 2025 Apr 9;17(8):1010. doi: 10.3390/polym17081010.
Hypoxic tumors pose considerable obstacles to cancer treatment, as diminished oxygen levels can impair drug effectiveness and heighten therapeutic resistance. Oral cancer, a prevalent malignancy, encounters specific challenges owing to its intricate anatomical structure and the technical difficulties in achieving complete resection, thereby often restricting treatment efficacy. The impact of hypoxia is particularly critical in influencing both the treatment response and prognosis of oral cancers. This article summarizes and examines the potential of polymer nanomedicines to address these challenges. By engineering nanomedicines that specifically react to the hypoxic tumor microenvironment, these pharmaceuticals can markedly enhance targeting precision and therapeutic effectiveness. Polymer nanomedicines enhance therapeutic efficacy while reducing side effects by hypoxia-targeted accumulation. The article emphasizes that these nanomedicines can overcome the drug resistance frequently observed in hypoxic tumors by improving the delivery and bioavailability of anticancer agents. Furthermore, this review elucidates the design and application of polymer nanomedicines for treating hypoxic tumors, highlighting their transformative potential in cancer therapy. Finally, this article gives an outlook on stimuli-responsive polymeric nanomedicines in the treatment of oral cancer.
缺氧肿瘤对癌症治疗构成了巨大障碍,因为氧水平降低会削弱药物疗效并增强治疗抗性。口腔癌是一种常见的恶性肿瘤,由于其复杂的解剖结构以及实现完全切除的技术困难而面临特定挑战,从而常常限制治疗效果。缺氧对口腔癌的治疗反应和预后的影响尤为关键。本文总结并探讨了聚合物纳米药物应对这些挑战的潜力。通过设计对缺氧肿瘤微环境具有特异性反应的纳米药物,这些药物可以显著提高靶向精度和治疗效果。聚合物纳米药物通过缺氧靶向积累提高治疗效果,同时减少副作用。本文强调,这些纳米药物可以通过改善抗癌药物的递送和生物利用度来克服缺氧肿瘤中常见的耐药性。此外,本综述阐明了用于治疗缺氧肿瘤的聚合物纳米药物的设计和应用,突出了它们在癌症治疗中的变革潜力。最后,本文展望了刺激响应性聚合物纳米药物在口腔癌治疗中的应用前景。