口腔血癌治疗的革命:纳米疗法的突破

Pavithra Bharathy, Elizabeth Rani E, Punniyakoti V. Thanikachalam
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引用次数: 0

摘要

这篇综述探讨了纳米疗法在治疗口腔血癌(尤其是白血病、淋巴瘤和骨髓瘤)方面的潜力。由有机和无机材料制成的纳米颗粒(NPs)在向癌细胞输送治疗物质、增强药效和降低其全身毒性方面显示出良好的前景。人们研究了不同类型的纳米粒子,如脂质体、细胞外载体和聚合物纳米粒子,以了解它们在靶向癌细胞方面的有效性。纳米疗法还用于克服耐药性、靶向癌症干细胞、绕过外排泵和基因沉默。临床试验和研究结果表明,纳米疗法具有改善急性髓性白血病、慢性淋巴细胞白血病、霍奇金淋巴瘤、非霍奇金淋巴瘤和多发性骨髓瘤患者预后的潜力。然而,在应对口腔血癌的异质性、驾驭肿瘤微环境、克服耐药性和调节免疫逃避等方面还存在挑战。未来的方向包括个体化治疗方案、多功能纳米粒子、联合疗法和改进纳米粒子设计。将这些突破转化为临床实践需要研究人员、医生和行业利益相关者之间的合作。总之,纳米疗法有望为口腔血癌带来更有效、更微创的治疗。
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Revolution of blood cancer treatment in the oral cavity: Breakthroughs in nanotherapy

This comprehensive review explores the potential of nanotherapy in the treatment of blood cancers, specifically leukemia, lymphoma, and myeloma, in the oral cavity. Nanoparticles (NPs) made from organic and inorganic materials have shown promise in delivering therapeutic substances to cancer cells, enhancing their pharmacological efficacy, and reducing their systemic toxicity. Different types of nanoparticles, such as liposomes, extracellular vehicles, and polymeric nanoparticles, have been studied for their effectiveness in targeting cancer cells. Nanotherapy has also been investigated for overcoming drug resistance, targeting cancer stem cells, bypassing efflux pumps, and gene silencing. Clinical trials and research findings have demonstrated the potential of nanotherapy for improving outcomes in patients with acute myeloid leukemia, chronic lymphocytic leukemia, Hodgkin lymphoma, non-Hodgkin lymphoma, and multiple myeloma. However, challenges exist in addressing the heterogeneity of blood cancers in the oral cavity, navigating the tumor microenvironment, overcoming drug resistance, and modulating immune evasion. Future directions include individualized treatment plans, multifunctional nanoparticles, combination therapies, and improved nanoparticle design. The translation of these breakthroughs into clinical practice requires collaboration among researchers, physicians, and industry stakeholders. Overall, nanotherapy holds promise for more effective and less invasive treatments for blood cancer in the oral cavity.

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