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治疗口腔癌的创新纳米颗粒策略。

Innovative nanoparticle strategies for treating oral cancers.

作者信息

Irannejadrankouhi Shahryar, Mivehchi Hassan, Eskandari-Yaghbastlo Aisan, Nejati Seyedeh Tabasom, Emrahoglu Sahand, Nazarian Mohammad, Zahedi Farhad, Madani Seyed Mahdi, Nabi-Afjadi Mohsen

机构信息

Faculty of Dentistry, Alborz University of Medical Sciences, Karaj, Iran.

Faculty of Dentistry, University of Debrecen, Debrecen, Hungary.

出版信息

Med Oncol. 2025 Apr 26;42(6):182. doi: 10.1007/s12032-025-02728-y.

Abstract

Conventional therapies for oral squamous cell carcinoma (OSCC), a serious worldwide health problem, are frequently constrained by inadequate targeting and serious side effects. Drug delivery systems (DDS) based on nanoparticles provide a possible substitute by improving drug stability, target accuracy, and lowering toxicity. By addressing issues like irregular vasculature and thick tumor matrices, these methods allow for more effective medication administration. For instance, the delivery of cisplatin via liposomes, as opposed to free drug formulations, results in a 40% improvement in tumor suppression. Likewise, compared to traditional techniques, poly (lactic-co-glycolic acid) (PLGA) nanoparticles can produce up to 2.3 times more intertumoral drug accumulation. These platforms have effectively administered natural substances like curcumin and chemotherapeutics like paclitaxel, enhancing therapeutic results while reducing adverse effects. Despite their promise, several types of nanoparticles have drawbacks. For example, PLGA nanoparticles have scaling issues because of their complicated production, whereas liposomes are quickly removed from circulation. In preclinical investigations, functionalized nanoparticles-like EGFR-targeted gold nanoparticles-improve selectivity and effectiveness by obtaining up to 90% receptor binding. By preferentially accumulating in tumors via the increased permeability and retention (EPR) effect, nanoparticles also improve immunotherapy and radiation. Mechanistically, they increase the death of cancer cells by causing DNA damage, interfering with cell division, and producing reactive oxygen species (ROS). There are still issues with toxicity (such as the buildup of metallic nanoparticles in the liver) and large-scale manufacturing. Nevertheless, developments in multifunctional platforms and stimuli-responsive nanoparticles show promise for getting over these obstacles. These developments open the door to more individualized and successful OSCC therapies.

摘要

口腔鳞状细胞癌(OSCC)是一个严重的全球性健康问题,其传统疗法常常受到靶向不足和严重副作用的限制。基于纳米颗粒的药物递送系统(DDS)通过提高药物稳定性、靶向准确性和降低毒性提供了一种可能的替代方案。通过解决诸如不规则血管系统和厚肿瘤基质等问题,这些方法能够实现更有效的药物给药。例如,与游离药物制剂相比,通过脂质体递送顺铂可使肿瘤抑制效果提高40%。同样,与传统技术相比,聚(乳酸-乙醇酸)(PLGA)纳米颗粒可使肿瘤间药物积累量提高多达2.3倍。这些平台已有效地递送了姜黄素等天然物质和紫杉醇等化疗药物,在提高治疗效果的同时减少了副作用。尽管它们前景广阔,但几种类型的纳米颗粒存在缺点。例如,PLGA纳米颗粒由于其复杂的生产工艺而存在放大问题,而脂质体则会迅速从循环中清除。在临床前研究中,功能化纳米颗粒如表皮生长因子受体(EGFR)靶向的金纳米颗粒通过实现高达90%的受体结合来提高选择性和有效性。纳米颗粒还通过增强的渗透和滞留(EPR)效应优先在肿瘤中积累,从而改善免疫疗法和放疗。从机制上讲,它们通过引起DNA损伤、干扰细胞分裂和产生活性氧(ROS)来增加癌细胞的死亡。毒性(如金属纳米颗粒在肝脏中的积累)和大规模生产方面仍然存在问题。然而,多功能平台和刺激响应性纳米颗粒的发展显示出克服这些障碍的希望。这些进展为更个性化和成功的OSCC治疗打开了大门。

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