Abstract

Recently, the incidence of hematological malignancy, such as various leukemias, multiple myeloma and lymphoma, has revealed an increasing tendency, exhibiting a major impact on human health. Most of the available anti-cancer drugs, however, possess high non-targeted accumulation, dosage-associated toxicity, fast elimination, and lack specificity towards tumors, which restrict their utilization in clinical therapy. This extends also to cancer diagnosis where there is a lack of predictive biomarkers. Noble metal nanomaterials (NM NMs) have the potential to overcome these shortcomings due to several characteristics including ease of synthesis, ultra-small size, easy surface modification and specific physicochemical properties. At present, gold-, silver- and platinum-based nanomaterials have been employed in the tracing and treatment of hematopoietic tumors through direct individual endocytosis or in innovative drug delivery systems (DDS) by conjugation with other targeting biomolecules. In this mini review, we focus on the use of localized surface plasmon resonance (LSPR)-/surface-enhanced Raman scattering (SERS)- and fluorescence-based diagnosis of NM NMs in the hematological malignancies. Furthermore, the treatment of hematological malignancies utilized the NM NMs or NM NMs-based therapy technology in the chemotherapy, targeted therapy, and photothermal therapy are depicted in depth. The construction of effective and promising NM NMs or NM NMs- dependent theranostic methodology has the potential to provide interdisciplinary knowledge in the development of clinical tracing, diagnosis and treatment of refractory hematological diseases.

Highlights

  • Cancer as the one of three challenges of modern medicine is reported to be the leading cause of human mortality and the main hindrance to prolonging life expectancy worldwide in the 21st century [1]

  • A localized surface plasmon resonance (LSPR) optofluidic platform device has been integrated with a polydimethylsiloxane (PDMS) supporting layer, a microfluidic layer which traps and incubates cells, and an LSPR sensing layer consisting of Au NPs connected with tumor necrosis factor (TNF)-α for cytokine detection [73]

  • Dou’s group studied the influence of antiABCG2 monoclonal antibody (McAb) conjugated with Ag NPs and vincristine (VCR) on myeloma Cancer stem cells (CSCs) [113]. They found that CD44+CD24- cells separated from the murine myeloma cell line SP2/0 had the characteristics of myeloma CSCs and McAb-Ag NPs-VCR showed close to 100% cell apoptosis, displaying an effective method to eradicate seeds of hematologic malignancies through targeted therapy

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Summary

Introduction

Cancer as the one of three challenges of modern medicine is reported to be the leading cause of human mortality and the main hindrance to prolonging life expectancy worldwide in the 21st century [1]. A representative monoclonal antibody is rituximab which has been shown to improve the clinical outcome and efficiently decrease the mortality for the patients with B-cell malignancies [28]. Integration of targeted drugs into conventional chemotherapy, radiotherapy and SCT, has become an innovative breakthrough in the traditional treatment of patients with various refractory tumor [35,36]. These drugs have a targeted effect on the site of the neoplasm and impede the biological transduction pathways and/or certain oncoproteins to induce the death of carcinoma cells by immune system stimulation or apoptotic effects. The challenges of NM-based theranostic strategy for hematological diseases in future are discussed with a view to providing some new methods and guideline for the hematologist

The diagnosis of hematological malignancies
LSPR- or SERS-based diagnosis
Fluorescence-based diagnosis
The treatment of hematological malignancies
Chemotherapy
Targeted therapy
Photothermal therapy
Findings
Conclusion and perspective
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