摘要
背景:多药耐药性(MDR)被定义为癌细胞对各种化学疗法的交叉耐药性,并已证明与药物外排泵相关。药物外排泵的可视化对于预选可能对化疗不敏感的患者很有用,从而防止患者不必要的治疗。由于近红外(NIR)成像具有低的组织自发荧光和深层的组织穿透性,因此它是监视MDR的一种有吸引力的方法。 MDR癌症的分子NIR成像需要具有高特异性和亲和力的稳定靶向生物标志物的探针。 目的:本文旨在简要概述新型NIR探针及其在MDR癌症治疗中的应用。 结果:近来,已进行了广泛的研究以开发新型的NIR探针,几种策略显示出巨大的希望。这些策略包括NIR染料与靶向MDR相关的生物标记物的配体之间的化学共轭,具有固有靶向能力的天然NIR染料,可活化的NIR探针以及装有NIR染料的纳米粒子。此外,NIR探针已广泛用于癌症治疗中的光热和光动力疗法,与其他方式相结合以克服MDR。随着纳米技术的迅速发展,各种纳米颗粒都与NIR染料结合在一起,为控制药物输送和抗MDR的联合疗法提供了多功能平台。将讨论针对NDR成像和光疗的MDR癌症探针的构建。集成了MDR监测和联合疗法的多峰纳米级平台也将包括在内。 结论:我们相信这些NIR探针为MDR癌症的诊断和治疗提供了一种有前途的方法,因此具有在癌症治疗中达到临床应用的巨大潜力。
关键词: 分子成像,近红外染料,多药耐药性,P-糖蛋白,探针,光疗。
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