刺激响应型纳米载体在肿瘤诊疗中的研究进展

刺激响应型纳米载体是通过对外界刺激响应而产生相应结构或理化性质变化的纳米智能载药体系,具有避免药物过早泄露,提高病灶药物浓度的特点,目前已成为肿瘤诊断和治疗领域的研究热点,广泛用于控制药物的呈递和释放.本文从温度、磁场、超声、光、pH等外源和内源刺激角度,阐述了智能响应型纳米载体近年来在肿瘤诊疗领域的研究进展.     

金属有机骨架在肿瘤治疗中的应用进展

金属有机骨架(metal-organic frameworks,MOFs)是一类由金属结点和有机配体配位组装而成的晶体材料.金属有机骨架具有孔隙度大、孔径和尺寸可调、生物相容性好、成分可调、表面可修饰等优越性能,在肿瘤治疗领域具有重要的应用潜力.本文首先介绍了金属有机骨架用于小分子药物、生物大分子药物等药物递送体系的构建方法.随后,我们总结了近年来MOFs药物递送体系在肿瘤的化学治疗、光动力学治疗、放射性治疗、免疫治疗、光热治疗等方面的应用进展.最后,本文总结了MOFs在肿瘤治疗方面的进展和特点,并展望了MOFs在肿瘤治疗领域的研究挑战和应用前景.     

一种溶酶体靶向的原位自组装短肽设计及抗肿瘤活性研究

肿瘤已成为威胁人类生命的一大杀手,目前主要采用手术和放、化疗等手段进行治疗,但由于放、化疗的细胞选择性差、毒副作用明显且易引起肿瘤细胞产生耐受(/药)性,不利于肿瘤的持续治疗,因此亟待研发具有定向定位优势、毒副作用低的新型靶向药物.原位自组装多肽能识别肿瘤部位的特异性高表达物质,在肿瘤部位靶向性聚集形成稳定的纳米结构,实现精准和高效治疗,有望成为一种新型的抗肿瘤药物.本研究基于多肽原位自组装的设计理念,利用溶酶体内组织蛋白酶L的催化活性,设计了靶向溶酶体且能够原位自组装的多肽分子Fmoc-FFRIKFERQ-OH,研究了该分子的自组装特性及抗肿瘤活性.结果显示,在体外酸性条件下,组织蛋白酶L能精准切割Fmoc-FFRIKFERQ-OH分子,其酶切产物FmocFFR-OH自组装形成长纳米纤维结构,对肿瘤细胞A375和SH-SY5Y均具有较好的杀伤作用.该分子通过靶向溶酶体杀伤肿瘤细胞且对正常细胞的毒性较低,有望成为一种新型的抗肿瘤药物.     

基于磁性纳米材料的肿瘤靶向治疗研究进展

磁性纳米材料具有独特的磁学性质，可响应外磁场，产生力、热等效应。如在静磁场下将药物磁靶向递送至肿瘤部位；低频交变磁场下可将纳米药物主动渗透至病灶部位，实现瘤内均一分布；中频交变磁场作用下磁滞损耗产生热和增强的活性氧，用于肿瘤治疗。磁性纳米材料同时具有尺寸依赖的磁学性质以及表面多功能化等特点，可将磁靶向、分子靶向以及磁热疗联合。此外，磁性纳米材料具有磁共振成像性能以及纳米酶催化特性，使其在肿瘤诊疗一体化治疗方面获得了广泛应用。近年来，纳米给药系统不断被优化，基于磁性纳米材料的肿瘤靶向治疗也得到了长足的发展。鉴于此，本文围绕提高靶向肿瘤治疗效果，从磁靶向药物治疗、被动靶向磁热疗和主动分子靶向磁热疗、纳米酶特性以及诊疗一体化应用等几方面出发，综述了基于磁性纳米材料的肿瘤靶向治疗研究进展。     

磁性氧化铁纳米药物载体的研究进展

近年来,磁性氧化铁靶向纳米载体作为载药系统引起了人们的关注。磁性靶向载药系统和靶向药物治疗的目的是药物载体载药后,在外部磁场的作用下直接靶向富集在肿瘤或病损组织,杀伤病损细胞,对人体无害或减少毒副作用。本文介绍了影响磁纳米颗粒在体内作用的设计参数,并总结了被广泛应用于氧化铁纳米颗粒的制备,表面修饰,功能化的方法及氧化铁纳米载体在靶向载药体系中的应用。     

可控释放纳米载体在癌症治疗中的研究进展

癌症治疗的靶向分子药物的设计与构建,是目前生物医学领域的研究前沿热点之一。靶向药物载体的构建,是通过药物直接加载靶向生物分子或者利用载体自身特性,使化疗药物可以到达并富集在特定组织,所以也被称为"分子火车"。纳米药物的研究已经从单靶向发展到多靶向,实现从单一功能到多功能的应用。单纯的被动释放药物的载体颗粒在复杂的细胞微环境中缺乏精确治疗。因此通过构建带有可控释放特性的纳米药物载体,不仅能有效的提高药物在靶向部位的药物浓度,加强药效,而且还能降低对非靶向组织的毒副作用,提高纳米药物的安全性。常用的控制纳米药物释放的方式包括pH响应,酶响应,光响应,磁响应等。本文主要介绍构建可控药物释放纳米载体的研究进展。     

磁性氧化铁纳米药物载体的研究进展

近年来,磁性氧化铁靶向纳米载体作为载药系统引起了人们的关注。磁性靶向载药系统和靶向药物治疗的目的是药物载体载药后,在外部磁场的作用下直接靶向富集在肿瘤或病损组织,杀伤病损细胞,对人体无害或减少毒副作用。本文介绍了影响磁纳米颗粒在体内作用的设计参数,并总结了被广泛应用于氧化铁纳米颗粒的制备,表面修饰,功能化的方法及氧化铁纳米载体在靶向载药体系中的应用。     

pH敏感纳米药物载体在肿瘤治疗中的应用研究

pH敏感的纳米递药系统能有效利用其纳米尺寸以及敏感的连接键响应生物体内外不同的刺激,并通过在肿瘤部位选择性释药、增加药物的蓄积、减少药物在血液循环过程中的渗漏以及减轻毒副作用等方式提高药物生物利用度。根据肿瘤组织内不同的pH值构建多种刺激-响应型纳米载药系统是肿瘤治疗领域的发展趋势。本文综述了pH敏感的纳米药物载体在肿瘤治疗领域的研究与进展,以期为今后相关内容的深入研究提供借鉴。     

纳米载药系统在肿瘤多药耐药中的应用

当今世界,肿瘤已经成为威胁人类健康的重大疾病。在肿瘤疾病中,化疗可控制肿瘤的生长和转移,增强放疗的疗效,是治疗肿瘤疾病的主要手段之一。而肿瘤多药耐药是影响化疗药物疗效、引起化疗失败的重要原因,影响肿瘤患者的治愈效果,降低生存率。如何提高化疗的疗效,延长肿瘤患者的寿命成为医学界的难题。纳米载药系统是生物医学领域研究的热点,相对于单一药物,纳米载药体现了许多优越性,具有良好的应用前景。纳米级颗粒更有利于药代动力学,这些纳米载药颗粒通过被动和主动的机制表现出在全身血液循环寿命延长,持续的药物释放动力,使其能更好的在肿瘤细胞中积累而发挥作用,提高化疗的疗效。本文综述了肿瘤多药耐药研究中主要的纳米载体以及它们在逆转多药耐药方面的应用,并展望载药系统的有更多更好的发展趋势。     

核定位信号肽修饰的抗肿瘤纳米载药体系

纳米载药体系作为一类具有可控性和靶向性的药物递送工具,可以保护生物分子药物免于细胞内快速酶促降解、免于快速血液清除,确保将生物分子药物安全递送至作用部位,从而有效改善药物的生物利用度,提高药物疗效并降低毒副作用,在生物医学领域具有广阔的应用前景,在功能材料研究和肿瘤靶向治疗研究中受到广泛关注.近年来,通过使用功能性生物...     

微生态调节剂在肿瘤治疗中的应用

肿瘤的治疗方法包括手术治疗、化学治疗、放射治疗、靶向治疗、免疫治疗等。但是药物副反应、疾病耐药和肿瘤复发是目前面临的困难。近年来,微生物与肿瘤相互作用的研究成为热点。越来越多的研究表明,可以通过调节微生态来对抗肿瘤,提高肿瘤治疗的疗效,减小治疗的副作用,从而进一步提高肿瘤患者的生活质量。本文就微生态调节剂应用于治疗肿瘤作一综述,我们回顾了有关益生菌在肿瘤治疗中的应用,此外,我们讨论益生菌、益生元、合生元、微生物代谢物和抗生素与化疗及免疫治疗共同应用的益处。     

纳米药物递送系统在前列腺癌治疗中的应用

前列腺癌（PCa）是全球最常见的男性泌尿生殖系统恶性肿瘤。手术、内分泌治疗、放疗和化疗是PCa的主要临床治疗选择。纳米药物递送系统具有良好的可控释放特性和较好的肿瘤靶向能力，并可通过增强的渗透性和保留（EPR）效应被动靶向肿瘤。通过精巧的设计组装和外表修饰赋予纳米递药系统与众不同的肿瘤治疗效果。本文介绍用于PCa治疗的先进纳米药物递送系统以及未来发展。     

Fusion of apoptosis-related protein Cytochrome c with anti-HER-2 single-chain antibody targets the suppression of HER-2+ breast cancer

Cancer treatment has gradually developed from toxic chemotherapy to targeted therapy with fewer side effects. Approximately 30% of breast cancer patients overexpress human epidermal growth factor receptor 2 (HER-2). Previous studies have successfully produced single-chain antibodies (scFv) targeting HER-2+ breast cancer; however, scFv have poor stability, easy aggregation and a shorter half-life, which have no significant effect on targeting therapy. Moreover, scFv has been considered as a drug delivery platform that can kill target cells by effector molecules. However, the functional killing domains of immunotoxins are mainly derived from plant or bacterial toxins, which have a large molecular weight, low tissue permeability and severe side effects. To address these concerns, we designed several apoptotic immune molecules to replace exogenous toxins using endogenous apoptosis-related protein DNA fragmentation factor 40 (DFF40) and tandem-repeat Cytochrome c base on caspase-3 responsive peptide (DEVD). Our results suggest that DFF40 or Cytc fusion scFv specifically targets HER-2 overexpressing breast cancer cells (SK-BR-3 and BT-474) rather than HER-2 negative cells (MDA-MB-231 and MCF-7). Following cellular internalization, apoptosis-related proteins inhibited tumour activity by initiating endogenous apoptosis pathways, which significantly reduced immunogenicity and toxic side effects. Therefore, we suggest that immunoapoptotic molecules may become potential drugs for targeted immunotherapy of breast cancer.     

White light augments chemotherapeutic potential of cyclophosphamide: an in vitro study

Cyclophosphamide (CYC) is a known chemotherapeutic drug used widely for the treatment of leukemias, lymphomas and some solid tumors. Copper is an essential constituent of chromatin and its level is usually elevated in various malignancies. Combined modality chemotherapy involves the use of drug with other components for cancer treatment, such as radiation therapy or surgery. Photosensitizer anticancer drugs can be used in combination with light and may have synergistic effect on cancer. The present study is an attempt to show that CYC acts as prooxidant when used in combination with Cu(II) and white light. We hypothesize that CYC when given as a chemotherapeutic agent possibly interact with endogenous copper associated with chromatin of the cancer cells and generate ROS besides acting as DNA alkylating agent. Thus, during chemotherapy the oxidative stress is possibly generated by the drug through mobilizing endogenous Cu(II) which may attribute to the cytotoxic death of cancer cell.     

Carbon nanotubes in cancer diagnosis and therapy

During the past years, great progress has been made in the field of nanomaterials given their great potential in biomedical applications. Carbon nanotubes (CNTs), due to their unique physicochemical properties, have become a popular tool in cancer diagnosis and therapy. They are considered one of the most promising nanomaterials with the capability of both detecting the cancerous cells and delivering drugs or small therapeutic molecules to these cells. Over the last several years, CNTs have been explored in almost every single cancer treatment modality, including drug delivery, lymphatic targeted chemotherapy, thermal therapy, photodynamic therapy, and gene therapy. In this review, we will show how they have been introduced into the diagnosis and treatment of cancer. Novel SWNT-based tumor-targeted drug delivery systems (DDS) will be highlighted. Furthermore, the in vitro and in vivo toxicity of CNTs reported in recent years will be summarized.     

用于肿瘤治疗的免疫检查点抑制剂相关预测生物标志物的研究进展

恶性肿瘤是严重威胁人类健康和社会发展的疾病。传统的肿瘤治疗方法如手术、放疗、化疗和靶向治疗等不能完全满足临床治疗的需求,新兴的免疫治疗成为了肿瘤治疗领域的研究热点。免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)作为一种肿瘤免疫治疗方法,已获批用于治疗多种肿瘤,如肺癌、肝癌、胃癌和结直肠癌等。然而,ICIs在临床使用过程中,只有少数患者会出现持久反应,一些患者还会出现耐药和不良反应。因此,预测生物标志物的鉴定和开发对提高ICIs的治疗效果至关重要。肿瘤ICIs预测生物标志物主要包括肿瘤生物标志物、肿瘤微环境生物标志物、循环相关生物标志物、宿主环境生物标志物以及组合生物标志物等,对患者筛查、个体化治疗和预后评估具有重要意义。本文就肿瘤ICIs治疗预测生物标志物的前沿进展作一综述。     

Adjuvant chemotherapy with melatonin for targeting human cancers: A review

Melatonin is a multifunctional hormone that has long been known for its antitumoral effects. An advantage of the application of melatonin in cancer therapy is its ability to differentially influence tumors from normal cells. In this review, the roles of melatonin adjuvant therapy in human cancer are discussed. Combination of melatonin with chemotherapy could provide synergistic antitumoral outcomes and resolve drug resistance in affected patients. This combination reduces the dosage for chemotherapeutic agents with the subsequent attenuation of side effects related to these drugs on normal cells around tumor and on healthy organs. The combination therapy increases the rate of survival and improves the quality of life in affected patients. Cancer cell viability is reduced after application of the combinational melatonin therapy. Melatonin does all these functions by adjusting the signals involved in cancer progression, re-establishing the dark/light circadian rhythm, and disrupting the redox system for cancer cells. To achieve effective therapeutic outcomes, melatonin concentration along with the time of incubation for this indoleamine needs to be adjusted. Importantly, a special focus is required to be made on choosing an appropriate chemotherapy agent for using in combination with melatonin. Because of different sensitivities of cancer cells for melatonin combination therapy, cancer-specific targeted therapy is also needed to be considered. For this review, the PubMed database was searched for relevant articles based on the quality of journals, the novelty of articles published by the journals, and the number of citations per year focusing only on human cancers.     

肿瘤类器官在药物筛选和个性化用药中的研究进展*

恶性肿瘤是影响人类生命健康的重大疾病之一,药物治疗是常见的治疗手段。近年来,“精准治疗”已经成为肿瘤治疗的趋势。要实现对恶性肿瘤有效、精准的药物治疗,药物筛选模型至关重要。肿瘤类器官是近年来新兴的一种三维细胞模型,具有经长期传代还保留亲本肿瘤的特征和异质性、培养成功率高、周期短和能够高通量筛选药物等优点,已被用于药物筛选、预测患者对治疗的反应以及为个性化用药提供指导等。重点介绍了肿瘤类器官在药物筛选及个性化用药中的研究进展和面临的挑战。