Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer

Abstract Colorectal cancer is considered one of the major malignancies that threaten the lives and health of people around the world. Patients with CRC are prone to post-operative local recurrence or metastasis, and some patients are advanced at the time of diagnosis and have no chance for complete...

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Main Authors: Yu Guo, Min Wang, Yongbo Zou, Longhai Jin, Zeyun Zhao, Qi Liu, Shuang Wang, Jiannan Li
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Journal of Nanobiotechnology
Subjects:
Online Access:https://doi.org/10.1186/s12951-022-01586-4
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author Yu Guo
Min Wang
Yongbo Zou
Longhai Jin
Zeyun Zhao
Qi Liu
Shuang Wang
Jiannan Li
author_facet Yu Guo
Min Wang
Yongbo Zou
Longhai Jin
Zeyun Zhao
Qi Liu
Shuang Wang
Jiannan Li
author_sort Yu Guo
collection DOAJ
description Abstract Colorectal cancer is considered one of the major malignancies that threaten the lives and health of people around the world. Patients with CRC are prone to post-operative local recurrence or metastasis, and some patients are advanced at the time of diagnosis and have no chance for complete surgical resection. These factors make chemotherapy an indispensable and important tool in treating CRC. However, the complex composition of the tumor microenvironment and the interaction of cellular and interstitial components constitute a tumor tissue with high cell density, dense extracellular matrix, and high osmotic pressure, inevitably preventing chemotherapeutic drugs from entering and acting on tumor cells. As a result, a novel drug carrier system with targeted nanoparticles has been applied to tumor therapy. It can change the physicochemical properties of drugs, facilitate the crossing of drug molecules through physiological and pathological tissue barriers, and increase the local concentration of nanomedicines at lesion sites. In addition to improving drug efficacy, targeted nanoparticles also reduce side effects, enabling safer and more effective disease diagnosis and treatment and improving bioavailability. In this review, we discuss the mechanisms by which infiltrating cells and other stromal components of the tumor microenvironment comprise barriers to chemotherapy in colorectal cancer. The research and application of targeted nanoparticles in CRC treatment are also classified.
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spelling doaj.art-8badd32aaa4545549862e7b1c198c2742022-12-22T04:02:00ZengBMCJournal of Nanobiotechnology1477-31552022-08-0120112410.1186/s12951-022-01586-4Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancerYu Guo0Min Wang1Yongbo Zou2Longhai Jin3Zeyun Zhao4Qi Liu5Shuang Wang6Jiannan Li7Department of the General Surgery, Jilin University Second HospitalDepartment of the General Surgery, Jilin University Second HospitalDepartment of the General Surgery, Jilin University Second HospitalDepartment of Radiology, Jilin University Second HospitalDepartment of the General Surgery, Jilin University Second HospitalDepartment of the General Surgery, Jilin University Second HospitalDepartment of the Dermatology, Jilin University Second HospitalDepartment of the General Surgery, Jilin University Second HospitalAbstract Colorectal cancer is considered one of the major malignancies that threaten the lives and health of people around the world. Patients with CRC are prone to post-operative local recurrence or metastasis, and some patients are advanced at the time of diagnosis and have no chance for complete surgical resection. These factors make chemotherapy an indispensable and important tool in treating CRC. However, the complex composition of the tumor microenvironment and the interaction of cellular and interstitial components constitute a tumor tissue with high cell density, dense extracellular matrix, and high osmotic pressure, inevitably preventing chemotherapeutic drugs from entering and acting on tumor cells. As a result, a novel drug carrier system with targeted nanoparticles has been applied to tumor therapy. It can change the physicochemical properties of drugs, facilitate the crossing of drug molecules through physiological and pathological tissue barriers, and increase the local concentration of nanomedicines at lesion sites. In addition to improving drug efficacy, targeted nanoparticles also reduce side effects, enabling safer and more effective disease diagnosis and treatment and improving bioavailability. In this review, we discuss the mechanisms by which infiltrating cells and other stromal components of the tumor microenvironment comprise barriers to chemotherapy in colorectal cancer. The research and application of targeted nanoparticles in CRC treatment are also classified.https://doi.org/10.1186/s12951-022-01586-4Colorectal cancerTargeted nanoparticlesChemotherapeutic resistance
spellingShingle Yu Guo
Min Wang
Yongbo Zou
Longhai Jin
Zeyun Zhao
Qi Liu
Shuang Wang
Jiannan Li
Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer
Journal of Nanobiotechnology
Colorectal cancer
Targeted nanoparticles
Chemotherapeutic resistance
title Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer
title_full Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer
title_fullStr Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer
title_full_unstemmed Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer
title_short Mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer
title_sort mechanisms of chemotherapeutic resistance and the application of targeted nanoparticles for enhanced chemotherapy in colorectal cancer
topic Colorectal cancer
Targeted nanoparticles
Chemotherapeutic resistance
url https://doi.org/10.1186/s12951-022-01586-4
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