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纳米药物在肺癌治疗与诊断中的作用:机遇与挑战。

Role of nanomedicines in lung cancer treatment and diagnosis: opportunities and challenges.

作者信息

Shah Kiramat Ali, Razzaq Anam, Ali Tariq, Ullah Saeed, You Bengang, Iqbal Haroon, Cui Jing-Hao

机构信息

College of Pharmaceutical Science, Soochow University, Renai Road 199, SIP, Suzhou City, 215213, China.

Department of Civil and Environmental Engineering, Shantou University, Shantou, 515063, Guangdong, China.

出版信息

Med Oncol. 2025 Jun 30;42(8):305. doi: 10.1007/s12032-025-02862-7.

DOI:10.1007/s12032-025-02862-7
PMID:40588712
Abstract

Lung cancer (LC) is one of the leading causes of cancer-related mortality globally, and despite numerous available treatment modalities, the 5-year survival rate for LC patients remains approximately 20%. A large proportion of LC patients are diagnosed at advanced stages, and conventional treatments frequently exhibit poor efficacy and are often associated with numerous side effects. Therefore, there is an urgent need for innovative therapeutic strategies to meet the needs of LC patients. Recent advances in nanotechnology have opened new avenues for the diagnosis and treatment of LC, particularly through the use of nanoparticles (NPs) as a drug delivery system, which offer enhanced therapeutic potential. Due to their unique physicochemical properties, NPs are widely employed in LC drug delivery systems. They can efficiently load pharmaceuticals and specifically target cancer cells to enhance diagnostics and treatment. Additionally, NPs can encapsulate multiple therapeutic agents, including targeted molecules and photosensitive reagents. Despite the substantial promise of nanotechnology in LC treatment, several challenges remain in its clinical application. This review represents a comprehensive overview of LC, encompassing risk factors, types, stages, mechanisms, and traditional treatment strategies. Furthermore, we thoroughly emphasized the current nanotechnology-based diagnostics and therapies for LC. In summary, the ongoing advancement of drug delivery systems highlights the potential of nanotechnology to enhance traditional LC treatments and facilitate the development of new therapeutic strategies. Future research will focus on optimizing the unique properties of various NPs to enhance treatment outcomes and offer personalized therapeutic strategies, ultimately improving the prognosis and quality of life for LC patients.

摘要

肺癌(LC)是全球癌症相关死亡的主要原因之一,尽管有多种可用的治疗方式,但LC患者的5年生存率仍约为20%。很大一部分LC患者在晚期被诊断出来,传统治疗往往疗效不佳,且常伴有多种副作用。因此,迫切需要创新的治疗策略来满足LC患者的需求。纳米技术的最新进展为LC的诊断和治疗开辟了新途径,特别是通过使用纳米颗粒(NPs)作为药物递送系统,其具有更高的治疗潜力。由于其独特的物理化学性质,NPs被广泛应用于LC药物递送系统。它们可以有效地负载药物并特异性地靶向癌细胞,以增强诊断和治疗效果。此外,NPs可以封装多种治疗剂,包括靶向分子和光敏试剂。尽管纳米技术在LC治疗中有很大前景,但其临床应用仍存在一些挑战。本综述全面概述了LC,包括危险因素、类型、阶段、机制和传统治疗策略。此外,我们详细强调了当前基于纳米技术的LC诊断和治疗方法。总之,药物递送系统的不断进步凸显了纳米技术增强传统LC治疗和促进新治疗策略发展的潜力。未来的研究将集中于优化各种NPs的独特性质,以提高治疗效果并提供个性化治疗策略,最终改善LC患者的预后和生活质量。

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本文引用的文献

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Smart nanomedicines powered by artificial intelligence: a breakthrough in lung cancer diagnosis and treatment.由人工智能驱动的智能纳米药物:肺癌诊断与治疗的一项突破。
Med Oncol. 2025 Mar 25;42(5):134. doi: 10.1007/s12032-025-02680-x.
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Global trends and research hotspots in perioperative management of lung cancer: a bibliometric analysis from 2004 to 2024.肺癌围手术期管理的全球趋势与研究热点:2004年至2024年的文献计量分析
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Inhalable Anti-EGFR Antibody-Conjugated Osimertinib Liposomes for Non-Small Cell Lung Cancer.
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Silibinin-Loaded Amphiphilic PLGA-Poloxamer Nanoparticles: Physicochemical Characterization, Release Kinetics, and Bioactivity Evaluation in Lung Cancer Cells.载有水飞蓟宾的两亲性聚乳酸-羟基乙酸共聚物-泊洛沙姆纳米粒:肺癌细胞中的理化特性、释放动力学及生物活性评估
Materials (Basel). 2024 Nov 10;17(22):5480. doi: 10.3390/ma17225480.
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New strategies for lung cancer diagnosis and treatment: applications and advances in nanotechnology.肺癌诊断与治疗的新策略:纳米技术的应用与进展
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Unveiling the potential of pulmonary surfactant-based nanocarriers for protein inhalation therapy.揭示基于肺表面活性剂的纳米载体在蛋白质吸入治疗中的潜力。
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