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[热疗对结直肠癌的作用:金纳米壳介导的光热疗法]

[Hyperthermia on colorectal cancer: gold nanoshells-mediated photothermal therapy].

作者信息

Ochoa-Hugo Sarah Eliuth, Gutiérrez-Mercado Yanet Karina, Canales-Aguirre Alejandro Arturo, Hernández-Gutiérrez Rodolfo

机构信息

Centro de Investigación y Asistencia en Tecnología y Diseño del Estado de Jalisco, Unidad de Biotecnología Médica y Farmacéutica, Laboratorio de Investigación Traslacional de Terapias contra el Cáncer. Guadalajara, Jalisco, México.

Universidad de Guadalajara, Centro Universitario de los Altos, Departamento de Clínicas, Laboratorio Biotecnológico de Investigación y Diagnóstico. Tepatitlán, Jalisco, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2024 Jul 1;62(4):1-8. doi: 10.5281/zenodo.11397181.

Abstract

Colon cancer or colorectal cancer is one of the most common malignant neoplasms in the world, characterized by uncontrolled cell growth on the colon mucosa. Treatment approaches depend primarily on the characteristics of the tumor´s localization, size, metastasis, and the health status of the patient. Nanomedicine shows itself as a novelty strategy to overcome the limitations of the therapies used in the clinic due to the disregard of the mechanisms associated with multidrug resistance because of the nanometric size of the particles utilized. Gold nanoshells are spheric structures of an approximate size of 30 nm, coated with an ultrathin gold layer that can absorb near-infrared light and convert it to thermal energy to produce hyperthermia on in vivo models of cancer tumors. Nanoparticles-assisted hyperthermia consists of control, direct, and specific heating against the tumor cells by nanoparticle irradiation with an external power source capable of increasing temperature to 39°C - 45°C without damaging surrounding healthy tissue. Compared with other nanomaterials, gold nanoshells show high biocompatibility and low cytotoxicity, which is why adjuvant chemotherapy and hyperthermia on gold nanoshells is a novel and promising approach for the treatment of colorectal cancer.

摘要

结肠癌或结直肠癌是世界上最常见的恶性肿瘤之一,其特征是结肠黏膜上细胞的无节制生长。治疗方法主要取决于肿瘤的定位、大小、转移情况以及患者的健康状况。纳米医学作为一种新颖的策略崭露头角,它能够克服临床治疗中所使用疗法的局限性,这是因为所使用颗粒的纳米尺寸忽略了与多药耐药性相关的机制。金纳米壳是近似尺寸为30纳米的球形结构,表面包覆有一层超薄金层,该金层能够吸收近红外光并将其转化为热能,从而在癌症肿瘤的体内模型上产生热疗效果。纳米颗粒辅助热疗包括通过用外部电源对纳米颗粒进行照射,对肿瘤细胞进行可控、直接且特异性的加热,能够将温度升高至39°C - 45°C而不损伤周围健康组织。与其他纳米材料相比,金纳米壳具有高生物相容性和低细胞毒性,这就是为什么金纳米壳辅助化疗和热疗是一种用于治疗结直肠癌的新颖且有前景的方法。

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