Theranostics Nanomedicine Applications for Colorectal Cancer and Metastasis: Recent Advances

Int J Mol Sci. 2023 Apr 27;24(9):7922. doi: 10.3390/ijms24097922.

Abstract

Colorectal cancer (CRC) is the third most common cancer worldwide, and metastatic CRC is a fatal disease. The CRC-affected tissues show several molecular markers that could be used as a fresh strategy to create newer methods of treating the condition. The liver and the peritoneum are where metastasis occurs most frequently. Once the tumor has metastasized to the liver, peritoneal carcinomatosis is frequently regarded as the disease's final stage. However, nearly 50% of CRC patients with peritoneal carcinomatosis do not have liver metastases. New diagnostic and therapeutic approaches must be developed due to the disease's poor response to present treatment choices in advanced stages and the necessity of an accurate diagnosis in the early stages. Many unique and amazing nanomaterials with promise for both diagnosis and treatment may be found in nanotechnology. Numerous nanomaterials and nanoformulations, including carbon nanotubes, dendrimers, liposomes, silica nanoparticles, gold nanoparticles, metal-organic frameworks, core-shell polymeric nano-formulations, and nano-emulsion systems, among others, can be used for targeted anticancer drug delivery and diagnostic purposes in CRC. Theranostic approaches combined with nanomedicine have been proposed as a revolutionary approach to improve CRC detection and treatment. This review highlights recent studies, potential, and challenges for the development of nanoplatforms for the detection and treatment of CRC.

Keywords: cancer therapy; clinical status; colorectal cancer; nanomedicine; theranostics.

Publication types

  • Review

MeSH terms

  • Colorectal Neoplasms* / diagnosis
  • Colorectal Neoplasms* / drug therapy
  • Drug Delivery Systems / methods
  • Gold
  • Humans
  • Metal Nanoparticles*
  • Nanomedicine / methods
  • Nanoparticles* / therapeutic use
  • Nanotubes, Carbon*
  • Peritoneal Neoplasms*
  • Precision Medicine
  • Theranostic Nanomedicine

Substances

  • Nanotubes, Carbon
  • Gold

Grants and funding

This research has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement N◦856620, grants from the Ministry of Health of the Czech Republic AZV NU21–03-00506, and AZV NU21-03-00145, Cooperation Program, research area SURG, and by the project National Institute for Cancer Research—NICR (Programme EXCELES, ID Project No. LX22NPO5102), funded by the European Union—Next Generation EU.