Breaking Down the Arsenal: Recent Progress in the Nanotherapeutic Strategies for Hepatocellular Carcinoma Treatment

IF 3.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Sumit Roy, Vancha Harish, Sharfuddin Mohd, Sachin Kumar Singh
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Abstract

Hepatocellular carcinoma (HCC) is a progressed form of advanced liver cancer and is one of the major causes of global cancer burden. The primary causes for high HCC mortality is the delayed diagnosis of the diseaseas early stage HCC is typically asymptomatic and patients frequently overlook the warning signs. Currently, the most efficacious single-drug therapy approved by the food and drug administration (FDA) for HCC is Sorafenib and Nivolumab  as a second-line therapy for late stage HCC. Nowadays nanotechnology is used to deliver either a diagnostic tool for biomolecular imaging ortherapeutic agent. Gene therapy based on clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR associated protein 9 (CRISPR-Cas9) are currently studied to find a potential curative option for HCC. Natural products from plants are being extensively extracted and isolated as they may offer a promising alternative in order to control and treat HCC. They exhibit anti-HCC effects by stimulating the immune system and by hindering various growth pathways involved in cancer development and progression. In this review article, an overview is provided on the current global incidence, ongoing systemic treatment strategies, and recent advances in nanomedicine for the management of HCC and also ongoing efforts to overcome these challenges.

Abstract Image

Abstract Image

打破武器库:肝细胞癌纳米治疗策略的最新进展
肝细胞癌(HCC)是晚期肝癌的一种进展形式,是造成全球癌症负担的主要原因之一。HCC 死亡率高的主要原因是疾病诊断延迟,因为早期 HCC 通常无症状,患者经常忽视警示信号。目前,美国食品药品管理局(FDA)批准的治疗 HCC 最有效的单药疗法是索拉非尼和 Nivolumab,作为晚期 HCC 的二线疗法。如今,纳米技术被用于提供生物分子成像诊断工具或治疗药物。目前正在研究基于簇状规则间隔短回文重复序列(CRISPR)-CRISPR相关蛋白9(CRISPR-Cas9)的基因疗法,以寻找治疗HCC的潜在方案。从植物中提取和分离出的天然产品正在被广泛应用,因为它们可能为控制和治疗 HCC 提供一种有前景的替代方法。它们通过刺激免疫系统和阻碍涉及癌症发展和恶化的各种生长途径,表现出抗 HCC 的效果。本综述文章概述了目前全球的发病率、正在采用的系统治疗策略、纳米医学在治疗 HCC 方面的最新进展,以及为克服这些挑战所做的不懈努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advanced Therapeutics
Advanced Therapeutics Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
7.10
自引率
2.20%
发文量
130
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