摘要
肺癌仍然是死亡的一个主要原因。目前的治疗方法通常无效,故迫切需要寻求治疗的新方法。过去二十年已发现了大量的具有生物活性的化疗剂,生物屏障包括最小水溶解度,稳定性,和细胞抵抗阻碍。为了克服这些限制,纳米颗粒被设计成选择性地递送化疗剂到癌组织,同时将药物动力学阻碍最小化。许多研究都正在进行分析纳米颗粒在给药,治疗诊断应用程序,以及光热治疗中的作用。然而,尽管纳米颗粒在治疗某些癌症中已显示出疗效,但其潜在的毒性和靶点缺乏可能阻碍潜在的临床应用。为帮助解决这些问题,本文将概述近期纳米技术在肺癌的治疗和诊断中的应用。我们首先提供详细的统计数据,病因,病理分级,分期,诊断和目前的治疗方案。其次是阐述纳米治疗的应用现状,主要侧重于描述过去5年公布的结果,对与潜在毒性有关的纳米疗法进行评估,为进一步的研究揭示尚无定论的信息。最后阐述数学建模和仿真计算方面的最新进展,已表明其在预测肿瘤对纳米治疗剂的响应方面具有治疗潜力。因此,尽管纳米粒子在治疗肺癌方面显示出了广阔前景,但仍需进一步进行多学科研究,以量化最佳剂量,并评估可能的毒性。为此,目前,在临床试验中纳米治疗方案为帮助解决其中的一些关键问题提供了参考。
关键词: 癌症治疗,肺癌纳米治疗剂,肺癌治疗,纳米颗粒的毒性,纳米治疗肺癌。
图形摘要
Current Drug Targets
Title:A Review of Pharmacological Treatment Options for Lung Cancer: Emphasis on Novel Nanotherapeutics and Associated Toxicity
Volume: 16 Issue: 10
Author(s): Christopher G. England, Chin F. Ng, Victor van Berkel and Hermann B. Frieboes
Affiliation:
关键词: 癌症治疗,肺癌纳米治疗剂,肺癌治疗,纳米颗粒的毒性,纳米治疗肺癌。
摘要: Lung cancer remains a leading cause of death. Current treatment options are generally ineffective, highlighting the dire need for novel approaches. While numerous biologically-active chemotherapeutics have been discovered in the last two decades, biological barriers including minimal water solubility, stability, and cellular resistance hinder in vivo effectiveness. To overcome these limitations, nanoparticles have been designed to deliver chemotherapeutics selectively to cancerous tissue while minimizing pharmacokinetics hindrance. Numerous studies are underway analyzing the efficacy of nanoparticles in drug delivery, theranostic applications, and photothermal therapy. However, while nanoparticles have shown efficacy in treating some cancers, their potential toxicity and lack of targeting may hinder clinical potential. With the aim to help sort through these issues, we conduct a review to describe recent applications of nanotherapeutics for the treatment and diagnosis of lung cancer. We first provide a detailed background of statistics, etiology, histological classification, staging, diagnosis, and current treatment options. This is followed by a description of current applications of nanotherapeutics, focusing primarily on results published during the past five years. The potential toxicity associated with nanoparticles is evaluated, revealing inconclusive information which highlights the need for further studies. Lastly, recent advances in mathematical modeling and computational simulation have shown potential in predicting tumor response to nanotherapeutics. Thus, although nanoparticles have shown promise in treating lung cancer, further multi-disciplinary studies to quantify optimal dosages and assess possible toxicity are still needed. To this end, nanotherapeutic options currently in clinical trials offer hope to help address some of these critical issues.
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Cite this article as:
Christopher G. England, Chin F. Ng, Victor van Berkel and Hermann B. Frieboes , A Review of Pharmacological Treatment Options for Lung Cancer: Emphasis on Novel Nanotherapeutics and Associated Toxicity, Current Drug Targets 2015; 16 (10) . https://dx.doi.org/10.2174/1389450116666150505122109
DOI https://dx.doi.org/10.2174/1389450116666150505122109 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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