Next-generation nanotheranostics targeting cancer stem cells

Nanomedicine (Lond). 2019 Sep;14(18):2487-2514. doi: 10.2217/nnm-2018-0443. Epub 2019 Sep 6.

Abstract

Cancer is depicted as the most aggressive malignancy and is one the major causes of death worldwide. It originates from immortal tumor-initiating cells called 'cancer stem cells' (CSCs). This devastating subpopulation exhibit potent self-renewal, proliferation and differentiation characteristics. Dynamic DNA repair mechanisms can sustain the immortality phenotype of cancer to evade all treatment strategies. To date, current conventional chemo- and radio-therapeutic strategies adopted against cancer fail in tackling CSCs. However, new advances in nanotechnology have paved the way for creating next-generation nanotheranostics as multifunctional smart 'all-in-one' nanoparticles. These particles integrate diagnostic, therapeutic and targeting agents into one single biocompatible and biodegradable carrier, opening up new avenues for breakthroughs in early detection, diagnosis and treatment of cancer through efficient targeting of CSCs.

Keywords: cancer; cancer stem cells; nanotheranostics; smart nanoparticles; sustained release; targeting.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / therapeutic use
  • Drug Carriers / chemistry
  • Drug Delivery Systems* / methods
  • Genetic Therapy / methods
  • Humans
  • Nanoparticles / chemistry*
  • Nanotechnology / methods
  • Neoplasms / diagnostic imaging*
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Neoplastic Stem Cells / drug effects
  • Neoplastic Stem Cells / pathology*
  • Theranostic Nanomedicine / methods*

Substances

  • Antineoplastic Agents
  • Drug Carriers