Harnessing the power of targeted metal nanocarriers mediated photodynamic and photothermal therapy.

Jyoti Chandra, Nazim Nasir, Shadma Wahab, Amirhossein Sahebkar, Prashant Kesharwani
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Abstract

The treatment of cancer has become a profoundly intricate procedure. Traditional treatment methods, including chemotherapy, surgery and radiotherapy, have been utilized, while notable progress has been achieved in recent years. Among targeted therapies for cancer, folic acid (FA) conjugated metal-based nanoparticles (NP) have emerged as an innovative strategy, namely for photodynamic therapy (PDT) and photothermal therapy (PTT). These NP exploit the strong attraction between FA and folate receptors, which are excessively produced in several cancer cells, in order to enable precise administration and improved effectiveness of treatment. During PDT, metal-based NP functionalized with FA are used as photosensitizers which are activated by light, and produce reactive oxygen species that cause cancer cells to undergo apoptosis. Within the framework of PTT, these NP effectively transform light energy into concentrated heat, specifically targeting and destroying tumor cells. This review examines the fundamental mechanisms by which these NP improve the effectiveness of PDT and PTT while simultaneously presenting important findings that demonstrate the effectiveness of FA-functionalized MNP in laboratory and animal models. In addition, the paper also discusses the problems and potential directions for their clinical translation.

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利用靶向金属纳米载体介导的光动力和光热疗法。
癌症的治疗已成为一项极其复杂的程序。传统的治疗方法包括化疗、手术和放疗,近年来也取得了显著进展。在癌症靶向疗法中,叶酸(FA)共轭金属基纳米粒子(NP)已成为一种创新策略,即用于光动力疗法(PDT)和光热疗法(PTT)。这些 NP 利用了叶酸受体与 FA 之间的强大吸引力,从而实现精确给药并提高治疗效果。在光热疗法中,用叶酸进行功能化的金属基 NP 可用作光敏剂,在光的作用下被激活,产生活性氧,导致癌细胞凋亡。在 PTT 的框架内,这些 NP 能有效地将光能转化为高浓度的热能,从而特异性地靶向并摧毁肿瘤细胞。本综述探讨了这些 NP 提高 PDT 和 PTT 效力的基本机制,同时介绍了在实验室和动物模型中证明 FA 功能化 MNP 效力的重要发现。此外,本文还讨论了其临床转化的问题和潜在方向。
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