Cixi Institute of Biomedical Engineering, CAS Key Laboratory of Magnetic Materials and Devices, & Key Laboratory of Additive Manufacturing Materials of Zhejiang Province, Ningbo Institute of Materials Technology and Engineering, Chinese Academy of Sciences, Ningbo, China.
College of Materials Sciences and Opto-Electronic Technology, University of Chinese Academy of Sciences, Beijing, China.
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2021 May;13(3):e1682. doi: 10.1002/wnan.1682. Epub 2020 Nov 12.
Given the diversity, complexity, and heterogeneity of persistent tumors, traditional nanoscale monotherapeutic systems suffer from dissatisfactory curative efficiency with incidence of metastasis or relapse. In parallel, the trend of clinical research on the basis of nanomedicines has increasingly shifted from monotherapy toward combinatorial therapy for admirable synergetic performances. In this regard, cutting-edge nanomedicines harnessing photothermal-chemodynamic bimodal therapy (PTT/CDT) have opened up a highly-efficient and relatively-safe cancer theranostic paradigm. Still, the integration of PTT/CDT functional units into one nanomedicine remains a herculean but meaningful task to achieve notable super-additive effects. This review aims to elucidate underlying synergistic interactions of PTT/CDT and highlight intriguing designs of nanomedicines for PTT/CDT including nanomaterial selection, performance optimization, multimodal therapy, visualization strategies, and targeting strategies. Furthermore, an outlook on further improvements of PTT/CDT is provided, emphasizing significant scientific issues that require remediation for clinical translation. This article is categorized under: Diagnostic Tools > in vivo Nanodiagnostics and Imaging Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease.
鉴于持续性肿瘤的多样性、复杂性和异质性,传统的纳米单药治疗系统的治疗效果不尽如人意,存在转移或复发的风险。与此同时,基于纳米医学的临床研究趋势越来越倾向于组合治疗,以获得令人钦佩的协同作用。在这方面,利用光热-化学动力学双重疗法(PTT/CDT)的前沿纳米医学为高效和相对安全的癌症治疗开辟了范例。然而,将 PTT/CDT 功能单元集成到一种纳米药物中仍然是一项艰巨但有意义的任务,以实现显著的超加性效果。本综述旨在阐明 PTT/CDT 的协同作用,并强调用于 PTT/CDT 的纳米药物的有趣设计,包括纳米材料的选择、性能优化、多模态治疗、可视化策略和靶向策略。此外,还对 PTT/CDT 的进一步改进进行了展望,强调了需要解决的重大科学问题,以实现临床转化。本文属于以下分类:诊断工具 > 体内纳米诊断和成像 治疗方法和药物发现 > 用于肿瘤疾病的纳米医学。