Deng Juan, Yuan Shaofei, Pan Wenjie, Li Qimeng, Chen Zhonglin
The Third Affiliated Hospital of Wenzhou Medical university, Wenzhou, 325200, China.
The First Clinical College of Guangdong Medical University, Zhanjiang, 524023, China.
ACS Omega. 2024 Jun 12;9(25):26878-26899. doi: 10.1021/acsomega.4c03055. eCollection 2024 Jun 25.
Prostate cancer (PCa) is the second most common cancer in males worldwide. Androgen deprivation therapy (ADT) is the primary treatment method used for PCa. Although more effective androgen synthesis and antiandrogen inhibitors have been developed for clinical practice, hormone resistance increases the incidence of ADT-insensitive prostate cancer and poor prognoses. The tumor microenvironment (TME) has become a research hotspot with efforts to identify treatment targets based on the characteristics of the TME to improve prognosis. Herein, we introduce the basic characteristics of the PCa TME and the side effects of traditional prostate cancer treatments. We further highlight the emergence of novel nanotherapy strategies, their therapeutic mechanisms, and their effects on the PCa microenvironment. With further research, clinical applications of nanotherapy for PCa are expected in the near future. Collectively, this Review provides a valuable resource regarding the various nanotherapy types, demonstrating their broad clinical prospects to improve the quality of life in patients with PCa.
前列腺癌(PCa)是全球男性中第二常见的癌症。雄激素剥夺疗法(ADT)是用于PCa的主要治疗方法。尽管已经开发出更有效的雄激素合成和抗雄激素抑制剂用于临床实践,但激素抵抗增加了ADT不敏感前列腺癌的发病率和不良预后。肿瘤微环境(TME)已成为一个研究热点,人们努力根据TME的特征确定治疗靶点以改善预后。在此,我们介绍PCa TME的基本特征以及传统前列腺癌治疗的副作用。我们进一步强调新型纳米治疗策略的出现、其治疗机制及其对PCa微环境的影响。随着进一步研究,纳米治疗在PCa中的临床应用有望在不久的将来实现。总体而言,本综述提供了有关各种纳米治疗类型的宝贵资源,展示了它们改善PCa患者生活质量的广阔临床前景。