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REVIEW

Nanoplatform-Mediated Autophagy Regulation and Combined Anti-Tumor Therapy for Resistant Tumors

, , & ORCID Icon
Pages 917-944 | Received 22 Oct 2023, Accepted 04 Jan 2024, Published online: 26 Jan 2024
 

Abstract

The overall cancer incidence and death toll have been increasing worldwide. However, the conventional therapies have some obvious limitations, such as non-specific targeting, systemic toxic effects, especially the multidrug resistance (MDR) of tumors, in which, autophagy plays a vital role. Therefore, there is an urgent need for new treatments to reduce adverse reactions, improve the treatment efficacy and expand their therapeutic indications more effectively and accurately. Combination therapy based on autophagy regulators is a very feasible and important method to overcome tumor resistance and sensitize anti-tumor drugs. However, the less improved efficacy, more systemic toxicity and other problems limit its clinical application. Nanotechnology provides a good way to overcome this limitation. Co-delivery of autophagy regulators combined with anti-tumor drugs through nanoplatforms provides a good therapeutic strategy for the treatment of tumors, especially drug-resistant tumors. Notably, the nanomaterials with autophagy regulatory properties have broad therapeutic prospects as carrier platforms, especially in adjuvant therapy. However, further research is still necessary to overcome the difficulties such as the safety, biocompatibility, and side effects of nanomedicine. In addition, clinical research is also indispensable to confirm its application in tumor treatment.

Acknowledgments

We would like to express our gratitude to Biorender for its images used in our figures.

Disclosure

The authors report no conflicts of interest in this work.

Additional information

Funding

We gratefully acknowledge the financial support by the Key Research and Development Program of Zhejiang Province (No. 2021C03121), National Natural Science Foundation of China (No. 82072650, 82001673, and 82272860), Zhejiang University Basic Research Fund (No. 226-2022-00037), Fundamental Research Funds for the Central Universities (No. 226-2023-00038), Chen Xiao-Ping Foundation for the Development of Science and Technology of Hubei Province (No. CXPJJH12000009-07), Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province (No. 2020E10004), Postdoctoral Research Funding Project of Zhejiang Province (No. ZJ2022077).