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Published on: February 3, 2015
Newly Emerging Theranostic Agents for Simultaneous Cancertargeted Imaging and Therapy
Shenglin Luo, Xiaochao Yang, Chunmeng Shi1
1Institute of Combined Injury, State Key Laboratory of Trauma, Burns and Combined Injury, Chongqing Engineering Research Center for Nanomedicine, Department of Preventive Medicine, Third Military Medical University, Chongqing, 400038, China. shicm@sina.com.
Abstract:
The development of multifunctional theranostic agents has become an intriguing venture for personalized oncology, because they can integrate tumor diagnosis and therapy. One approach explored to obtain such multifunctional theranostic agents is through the chemical conjugation of anticancer drugs and contrast agents with various cancer-targeted ligands. The other approach is based on the nanoplatform, in which cancer-targeted nanostructures achieve simultaneous cancer specific detection and therapeutics either by EPR effect or by conjugation of target ligands. Interestingly, a newly emerging strategy from multifunctional small molecules to develop cancertargeted theranostic agents has been reported recently. In consideration of the urgent need and rapid development of theranostic agents in cancer therapy, herein we review the currently adopted and newly emerging approaches for their preparation, and highlight the promises and challenges in each approach, hoping to offer useful insights in developing more specific and efficient cancer theranostic agents suitable for clinical use.
Insights
Multifunctional theranostic agents integrate cancer diagnosis and therapy. This review covers current and emerging strategies for developing these agents, focusing on their preparation, promises, and challenges for clinical use.
Area of Science:
- Oncology
- Nanotechnology
- Drug Delivery
Background:
- Personalized oncology increasingly utilizes theranostic agents for integrated tumor diagnosis and therapy.
- Current strategies involve chemical conjugation or nanoplatforms for targeted cancer treatment and detection.
Purpose of the Study:
- To review existing and novel approaches for preparing multifunctional cancer theranostic agents.
- To highlight the potential benefits and limitations of each preparation strategy.
- To provide insights for developing clinically applicable cancer theranostic agents.
Main Methods:
- Review of chemical conjugation methods linking drugs, contrast agents, and targeting ligands.
- Analysis of nanoplatform-based strategies utilizing nanoparticles for targeted delivery and therapy.
- Exploration of emerging approaches using multifunctional small molecules.
Main Results:
- Chemical conjugation offers a direct route for combining therapeutic and diagnostic functionalities.
- Nanoplatforms leverage the enhanced permeability and retention (EPR) effect or ligand conjugation for targeted action.
- Multifunctional small molecules represent a novel and promising strategy for theranostic agent development.
Conclusions:
- Both conjugation and nanoplatform approaches have distinct advantages and challenges for clinical translation.
- Emerging strategies using small molecules show significant potential for creating efficient and specific cancer theranostic agents.
- Further research is needed to optimize these agents for widespread clinical adoption in cancer therapy.
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