Multifunctional theranostic nanoparticles for biomedical cancer treatments - A comprehensive review

Mater Sci Eng C Mater Biol Appl. 2021 Aug:127:112199. doi: 10.1016/j.msec.2021.112199. Epub 2021 May 24.

Abstract

Modern-day search for the novel agents (their preparation and consequent implementation) to effectively treat the cancer is mainly fuelled by the historical failure of the conventional treatment modalities. Apart from that, the complexities such as higher rate of cell mutations, variable tumor microenvironment, patient-specific disparities, and the evolving nature of cancers have made this search much stronger in the latest times. As a result of this, in about two decades, the theranostic nanoparticles (TNPs) - i.e., nanoparticles that integrate therapeutic and diagnostic characteristics - have been developed. The examples for TNPs include mesoporous silica nanoparticles, luminescence nanoparticles, carbon-based nanomaterials, metal nanoparticles, and magnetic nanoparticles. These TNPs have emerged as single and powerful cancer-treating multifunctional nanoplatforms, as they widely provide the necessary functionalities to overcome the previous/conventional limitations including lack of the site-specific delivery of anti-cancer drugs, and real-time continuous monitoring of the target cancer sites while performing therapeutic actions. This has been mainly possible due to the association of the as-developed TNPs with the already-available unique diagnostic (e.g., luminescence, photoacoustic, and magnetic resonance imaging) and therapeutic (e.g., photothermal, photodynamic, hyperthermia therapy) modalities in the biomedical field. In this review, we have discussed in detail about the recent developments on the aforementioned important TNPs without/with targeting ability (i.e., attaching them with ligands or tumor-specific antibodies) and also the strategies that are implemented to increase their tumor accumulation and to enhance their theranostic efficacies for effective biomedical cancer treatments.

Keywords: Cancer treatment; Hyperthermia; Metal and magnetic nanoparticles; Near-infrared imaging; Photothermal therapy; Theranostic nanoparticles.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / therapeutic use
  • Humans
  • Hyperthermia, Induced*
  • Metal Nanoparticles*
  • Nanoparticles*
  • Neoplasms* / diagnosis
  • Neoplasms* / drug therapy
  • Phototherapy
  • Precision Medicine
  • Theranostic Nanomedicine
  • Tumor Microenvironment

Substances

  • Antineoplastic Agents