{"title":"Magnetic Nanoparticles-Based Targeted Drug Delivery System in Tumor Pain Management.","authors":"Xiaoli Lv, Fei Wang, Xiaomei Liu, Ting Xu, Xiaofeng Zhou","doi":"10.1016/j.slast.2025.100333","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>the precise management of tumor-related pain is a critical challenge in improving the quality of life (QoL) of cancer patients. This study aimed to develop a magnetic nanoparticle-based transdermal drug delivery system (MNPs-TDDS) using green nanotechnology, incorporating folic acid targeting and magnetic-controlled release mechanisms, to achieve efficient and low-toxicity pain intervention.</p><p><strong>Methods: </strong>folic acid-modified magnetic nanocomplexes (catHEC·FA@SPIO) were synthesized via a water-phase co-precipitation method. The structural and morphological characteristics were verified using Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), and transmission electron microscopy (TEM). A total of 70 nasopharyngeal carcinoma (NPC) patients were enrolled and randomly divided into the experimental group (EG, MNPs-TDDS) and the control group (CG, conventional analgesia). Pain scores (NRS), psychological status (SAS/SDS), activities of daily living (Barthel index), and cancer cell apoptosis rates were assessed.</p><p><strong>Results: </strong>the particle size of catHEC·FA@SPIO was 150±20 nm, exhibiting pH-responsive release properties (82.4% cumulative release over 72 hours at pH 5.5). The NRS scores (2.35±0.47 vs. 4.47±0.87), SAS (41.46±1.13 vs. 55.32±1.24), and SDS (40.06±0.75 vs. 54.11±1.52) in the EG were significantly lower than those in the CG (P<0.05), with cytotoxicity to normal cells being under 10%. The nursing satisfaction rate in the EG was 94.29%, significantly higher than the 68.57% in the CG (P<0.001).</p><p><strong>Conclusion: </strong>this study is the first to combine a green synthesis strategy with multidimensional clinical evaluation, demonstrating the comprehensive advantages of MNPs-TDDS in pain relief, improving psychological state, and enhancing activities of daily living. This approach provides an innovative solution for the precise management of tumor-related pain. Future research should further validate its long-term safety and applicability across various cancer types.</p>","PeriodicalId":54248,"journal":{"name":"SLAS Technology","volume":" ","pages":"100333"},"PeriodicalIF":2.5000,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"SLAS Technology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.slast.2025.100333","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"BIOCHEMICAL RESEARCH METHODS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: the precise management of tumor-related pain is a critical challenge in improving the quality of life (QoL) of cancer patients. This study aimed to develop a magnetic nanoparticle-based transdermal drug delivery system (MNPs-TDDS) using green nanotechnology, incorporating folic acid targeting and magnetic-controlled release mechanisms, to achieve efficient and low-toxicity pain intervention.
Methods: folic acid-modified magnetic nanocomplexes (catHEC·FA@SPIO) were synthesized via a water-phase co-precipitation method. The structural and morphological characteristics were verified using Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), and transmission electron microscopy (TEM). A total of 70 nasopharyngeal carcinoma (NPC) patients were enrolled and randomly divided into the experimental group (EG, MNPs-TDDS) and the control group (CG, conventional analgesia). Pain scores (NRS), psychological status (SAS/SDS), activities of daily living (Barthel index), and cancer cell apoptosis rates were assessed.
Results: the particle size of catHEC·FA@SPIO was 150±20 nm, exhibiting pH-responsive release properties (82.4% cumulative release over 72 hours at pH 5.5). The NRS scores (2.35±0.47 vs. 4.47±0.87), SAS (41.46±1.13 vs. 55.32±1.24), and SDS (40.06±0.75 vs. 54.11±1.52) in the EG were significantly lower than those in the CG (P<0.05), with cytotoxicity to normal cells being under 10%. The nursing satisfaction rate in the EG was 94.29%, significantly higher than the 68.57% in the CG (P<0.001).
Conclusion: this study is the first to combine a green synthesis strategy with multidimensional clinical evaluation, demonstrating the comprehensive advantages of MNPs-TDDS in pain relief, improving psychological state, and enhancing activities of daily living. This approach provides an innovative solution for the precise management of tumor-related pain. Future research should further validate its long-term safety and applicability across various cancer types.
期刊介绍:
SLAS Technology emphasizes scientific and technical advances that enable and improve life sciences research and development; drug-delivery; diagnostics; biomedical and molecular imaging; and personalized and precision medicine. This includes high-throughput and other laboratory automation technologies; micro/nanotechnologies; analytical, separation and quantitative techniques; synthetic chemistry and biology; informatics (data analysis, statistics, bio, genomic and chemoinformatics); and more.