Tian Meng, Hu Shiqi, Sun Wen, Hu Ying, Ma Xingyi
School of Biomedical Engineering & School of Science, Harbin Institute of Technology, Shenzhen, 518055, China.
Shenzhen Keyto Fluid Technology Co., Shenzhen, 518100, China.
Theranostics. 2025 Aug 30;15(18):9695-9728. doi: 10.7150/thno.119678. eCollection 2025.
Breast cancer, being the most prevalent malignant tumor among women, confronts severe challenges in its early detection and precise treatment. Traditional diagnostic approaches have drawbacks in terms of sensitivity and specificity, and are invasive, thereby making it arduous to satisfy practical demands. Nanomedicine has introduced novel diagnostic and therapeutic modalities for breast cancer, particularly gold nanoparticles (AuNPs), which have been utilized on account of their distinctive optical and physicochemical attributes. Hot-spot empowered AuNPs have rapidly emerged and demonstrated significant potential in the diagnosis and treatment of breast cancer. From a technical standpoint, the design and synthesis of AuNPs hot-spot are constantly evolving, ranging from the control of number to the control of structure and efficient control of hot-spot utilizations, establishing a development model of "number-structure-efficient utilization". Hot-spot empowered AuNPs are extensively employed in diagnosis and therapy, facilitating targeted drug delivery, photothermal and photodynamic therapy, and multimodal integration therapy, and also achieving the function of theranostics in an innovative manner. We have deliberated on the challenges and future development prospects of precision medicine for the diagnosis of early breast cancer and individualized treatment.
乳腺癌是女性中最常见的恶性肿瘤,在早期检测和精准治疗方面面临严峻挑战。传统诊断方法在灵敏度和特异性方面存在缺陷,且具有侵入性,因此难以满足实际需求。纳米医学为乳腺癌引入了新型诊断和治疗方式,尤其是金纳米颗粒(AuNPs),因其独特的光学和物理化学特性而被广泛应用。具有热点增强功能的金纳米颗粒迅速崛起,并在乳腺癌的诊断和治疗中展现出巨大潜力。从技术角度来看,金纳米颗粒热点的设计与合成不断发展,从数量控制到结构控制,再到热点利用的有效控制,建立了“数量 - 结构 - 高效利用”的发展模式。具有热点增强功能的金纳米颗粒广泛应用于诊断和治疗,促进了靶向给药、光热和光动力治疗以及多模态整合治疗,还以创新方式实现了诊疗一体化功能。我们探讨了早期乳腺癌诊断精准医学和个体化治疗所面临的挑战及未来发展前景。