Integrating natural woody composites with modern therapies for enhanced lung cancer treatment

IF 23.2 2区 材料科学 Q1 MATERIALS SCIENCE, COMPOSITES Advanced Composites and Hybrid Materials Pub Date : 2024-12-30 DOI:10.1007/s42114-024-01197-7
QingYu,  GuanyanLi, Yafeng Yang, Yuhong Zhang, Dong Wang, Dangquan Zhang, Wanxi Peng, Su Shiung Lam, Haiping Gu
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Abstract

Lung cancer accounts for the majority of cancer-related deaths globally. Exploring more efficacious and low-toxicity treatments has become a top priority. While there have been advancements in established therapies like surgery, chemotherapy, and immunotherapy, these treatments often lead to side effects, limited effectiveness in advanced stages, and development of drug resistance. These challenges persistently hinder efforts to improve patient outcomes. Here, we review the utilization of medicine of natural woody composites (MNWC) in treating lung cancer with a specific focus on its integration with contemporary therapeutic modalities, for instance, chemotherapy, radiotherapy, molecularly targeted therapies and immunotherapy. The examination indicates that MNWC not only amplifies the efficacy of these treatments but also diminishes associated adverse effects. Clinical research demonstrates that when MNWC and chemotherapy are used jointly, it can extend the median survival rate of advanced non-small cell lung cancer (NSCLC) sufferers by 33% (from 12 to 16 months). Moreover, MNWC can upregulate apoptosis-related pathways and downregulate PD-L1 expression, thereby increasing immune response efficacy by 25% in preclinical models. However, the effectiveness of MNWC necessitates comprehensive validation through large-scale clinical trials, while the standardization of dosing regimens presents a significant challenge. These findings emphasize the potential of MNWC to revolutionize lung cancer therapy by providing a complementary and synergistic approach that maximizes treatment efficacy while minimizing adverse effects. Nonetheless, careful consideration is essential to fully integrate these treatments into conventional oncology practice.

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将天然木质复合材料与现代疗法相结合,增强肺癌治疗效果
肺癌占全球癌症相关死亡的大多数。探索更有效和低毒性的治疗方法已成为当务之急。虽然手术、化疗和免疫疗法等现有治疗方法取得了进展,但这些治疗方法往往会产生副作用,在晚期疗效有限,并产生耐药性。这些挑战一直阻碍着改善患者预后的努力。本文综述了天然木质复合材料(MNWC)在肺癌治疗中的应用,重点介绍了其与化疗、放疗、分子靶向治疗和免疫治疗等现代治疗方式的结合。研究表明,MNWC不仅可以增强这些治疗的疗效,还可以减少相关的不良反应。临床研究表明,当MNWC与化疗联合使用时,晚期非小细胞肺癌(NSCLC)患者的中位生存率可延长33%(12 ~ 16个月)。此外,MNWC可以上调凋亡相关通路并下调PD-L1表达,从而在临床前模型中使免疫应答疗效提高25%。然而,MNWC的有效性需要通过大规模临床试验进行全面验证,而给药方案的标准化则是一个重大挑战。这些发现强调了MNWC的潜力,通过提供一种互补和协同的方法,最大限度地提高治疗效果,同时最大限度地减少不良反应,从而彻底改变肺癌治疗。尽管如此,仔细考虑将这些治疗方法完全纳入常规肿瘤学实践是必不可少的。
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来源期刊
CiteScore
26.00
自引率
21.40%
发文量
185
期刊介绍: Advanced Composites and Hybrid Materials is a leading international journal that promotes interdisciplinary collaboration among materials scientists, engineers, chemists, biologists, and physicists working on composites, including nanocomposites. Our aim is to facilitate rapid scientific communication in this field. The journal publishes high-quality research on various aspects of composite materials, including materials design, surface and interface science/engineering, manufacturing, structure control, property design, device fabrication, and other applications. We also welcome simulation and modeling studies that are relevant to composites. Additionally, papers focusing on the relationship between fillers and the matrix are of particular interest. Our scope includes polymer, metal, and ceramic matrices, with a special emphasis on reviews and meta-analyses related to materials selection. We cover a wide range of topics, including transport properties, strategies for controlling interfaces and composition distribution, bottom-up assembly of nanocomposites, highly porous and high-density composites, electronic structure design, materials synergisms, and thermoelectric materials. Advanced Composites and Hybrid Materials follows a rigorous single-blind peer-review process to ensure the quality and integrity of the published work.
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