上海交通大学学报(医学版) ›› 2023, Vol. 43 ›› Issue (12): 1562-1568.doi: 10.3969/j.issn.1674-8115.2023.12.012

• 综述 • 上一篇    

基于纳米技术的膀胱癌治疗方法研究进展

杨晨凯1(), 李威2, 曹向乾1, 何磊2,3, 李圣洲1, 沈兵1()   

  1. 1.上海交通大学医学院附属第一人民医院泌尿外科,上海 200080
    2.海军军医大学纳米医学研究室,上海细胞工程重点实验室,上海 200433
    3.上海理工大学健康科学与工程学院,上海 200093
  • 收稿日期:2023-08-10 接受日期:2023-11-20 出版日期:2023-12-28 发布日期:2024-02-01
  • 通讯作者: 沈兵 E-mail:derekkaikai@163.com;urodrshenbing@shsmu.edu.cn
  • 作者简介:杨晨凯(1998—),男,硕士生;电子信箱:derekkaikai@163.com
  • 基金资助:
    国家自然科学基金(82072821);上海市松江区自然科学基金(20SJKJGG250)

Research progress in the treatment of bladder cancer based on nanotechnology

YANG Chenkai1(), LI Wei2, CAO Xiangqian1, HE Lei2,3, LI Shengzhou1, SHEN Bing1()   

  1. 1.Department of Urology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
    2.Department of Nanomedicine, Naval Medical University, Shanghai Key Laboratory of Cell Engineering, Shanghai 200433, China
    3.School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China
  • Received:2023-08-10 Accepted:2023-11-20 Online:2023-12-28 Published:2024-02-01
  • Contact: SHEN Bing E-mail:derekkaikai@163.com;urodrshenbing@shsmu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(82072821);Shanghai Songjiang Municipal Natural Science Foundation(20SJKJGG250)

摘要:

膀胱癌是泌尿系统最常见的恶性肿瘤。目前,膀胱癌的临床治疗方案主要包括手术、化学治疗(化疗)、放射治疗(放疗)、免疫治疗、靶向治疗、光动力治疗和联合治疗等。膀胱癌的传统治疗和给药方案主要取决于肿瘤的分期和转移程度。然而,在非手术治疗过程中药物缺乏特异性和靶向性,一旦剂量控制不当,药物攻击癌细胞时对正常细胞造成损伤等会导致疗效差、不良反应多等问题。纳米医学是一门新兴的交叉学科,利用纳米材料和技术的纳米医药具有靶向递送和高效低毒等优点,为传统治疗提供了颠覆性的技术。许多纳米技术已经成为医学领域临床研究的热点。纳米颗粒可以通过改变其表面性质和功能化修饰来实现主动或被动靶向,将药物精准递送到靶器官内的靶细胞(例如膀胱癌细胞),从而提高药物的局部浓度,减少对正常细胞的损伤,进而提高治疗效果。该文综述了膀胱癌经典治疗和新型治疗方案进展,并重点介绍了纳米技术在膀胱癌治疗中的潜在应用及未来发展方向,为膀胱癌的个性化治疗和临床转化提供参考。

关键词: 膀胱癌, 纳米技术, 靶向效应, 治疗

Abstract:

Bladder cancer is the most common malignant tumor in the urinary system. Currently, the clinical treatment options for bladder cancer mainly include surgery, chemotherapy, radiotherapy, immunotherapy, targeted therapy, photodynamic therapy, combination therapy, etc. The conventional treatment and administration strategies for bladder cancer primarily depend on the tumor stage and the extent of metastasis. However, in the process of non-surgical treatment, drugs lack specificity and targeting. Once the dosage is improperly controlled, drugs will damage normal cells when attacking cancer cells, which will lead to poor efficacy and multiple side effects. Nanomedicine is an emerging interdisciplinary field that utilizes nanomaterials and technologies in nanomedicine to provide disruptive technologies for traditional treatments, with advantages such as targeted delivery and high efficiency with low toxicity. Many nanotechnologies have become hot topics in clinical research in the field of medicine. Functionalized nanoparticles can actively or passively target specific cells within target organs, such as bladder cancer cells, by altering their surface properties, thereby enhancing drug delivery precision, reducing damage to normal cells, and improving treatment efficacy. This article provides an overview of the progress in classical and novel treatment approaches to bladder cancer, with a particular focus on the potential applications and future development directions of nanotechnology in the treatment of bladder cancer, providing important reference for personalized therapy and clinical translation in bladder cancer.

Key words: bladder cancer, nanotechnology, targeting effect, treatment

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