Xin He, Chang Zhihui, Niu Meng
Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, People's Republic of China.
Int J Nanomedicine. 2025 Jun 10;20:7271-7294. doi: 10.2147/IJN.S520616. eCollection 2025.
Colorectal cancer (CRC) is the third most common malignant tumor worldwide. Early detection and treatment of CRC can significantly improve patient survival and quality of life, while advanced-stage patients still face numerous challenges, such as drug resistance and adverse effects. Consequently, researchers are developing more efficient early screening and diagnostic strategies for CRC. Consequently, researchers are actively developing more efficient strategies for diagnosis and refined treatments. This review comprehensively examines the diverse applications of various nanomaterials in CRC management, including screening, diagnostic imaging, surgical guidance, drug delivery, radiotherapy, and modulation of the tumor microenvironment. Firstly, we explored how nanomaterials are revolutionizing CRC screening by enhancing the detection of early-stage tumors. In the realm of diagnostic imaging, nanomaterials are employed to improve the clarity and specificity of imaging modalities, thereby facilitating more accurate diagnoses. The review also examines the use of nanomaterials in surgical guidance, where they aid in the precise identification and removal of tumors, potentially improving surgical outcomes. Furthermore, the review underscores the significance of nanomaterials in drug delivery systems, which enable targeted therapy and reduce systemic side effects. We also discussed the role of nanomaterials in radio-sensitization, where they enhance the efficacy of radiotherapy by increasing the sensitivity of tumor cells to radiation. Additionally, the modulation of the tumor immune microenvironment using nanomaterials is highlighted as a promising strategy to induce immune response against cancer cells. Throughout the review, the mechanisms of action of these nanomaterials are meticulously examined, providing insights into how they interact with biological systems to achieve their therapeutic effects. The efficacy of these nanomaterials in overcoming drug resistance is also a focal point, as this is a critical factor in improving the long-term outcomes for CRC patients. In conclusion, while nanomaterials hold great promise for the management of CRC, addressing their biocompatibility and clinical translation challenges is crucial for their safe and effective application in clinical settings.
结直肠癌(CRC)是全球第三大常见恶性肿瘤。CRC的早期检测和治疗可显著提高患者生存率和生活质量,而晚期患者仍面临诸多挑战,如耐药性和不良反应。因此,研究人员正在开发更有效的CRC早期筛查和诊断策略。因此,研究人员正在积极开发更有效的诊断和精准治疗策略。本综述全面考察了各种纳米材料在CRC治疗中的不同应用,包括筛查、诊断成像、手术引导、药物递送、放射治疗以及肿瘤微环境的调节。首先,我们探讨了纳米材料如何通过增强早期肿瘤的检测来彻底改变CRC筛查。在诊断成像领域,纳米材料被用于提高成像模态的清晰度和特异性,从而有助于更准确的诊断。该综述还考察了纳米材料在手术引导中的应用,它们有助于精确识别和切除肿瘤,可能改善手术效果。此外,该综述强调了纳米材料在药物递送系统中的重要性,这能够实现靶向治疗并减少全身副作用。我们还讨论了纳米材料在放射增敏中的作用,它们通过提高肿瘤细胞对辐射的敏感性来增强放射治疗的疗效。此外,利用纳米材料调节肿瘤免疫微环境被突出为一种诱导针对癌细胞的免疫反应的有前景的策略。在整个综述中,对这些纳米材料的作用机制进行了细致考察,深入了解它们如何与生物系统相互作用以实现其治疗效果。这些纳米材料在克服耐药性方面的疗效也是一个重点,因为这是改善CRC患者长期预后的关键因素。总之,虽然纳米材料在CRC治疗方面前景广阔,但解决它们的生物相容性和临床转化挑战对于其在临床环境中的安全有效应用至关重要。