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      Emerging nanobiotechnology for precise theranostics of hepatocellular carcinoma

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          Abstract

          Primary liver cancer has become the second most fatal cancer in the world, and its five-year survival rate is only 10%. Most patients are in the middle and advanced stages at the time of diagnosis, losing the opportunity for radical treatment. Liver cancer is not sensitive to chemotherapy or radiotherapy. At present, conventional molecularly targeted drugs for liver cancer show some problems, such as short residence time, poor drug enrichment, and drug resistance. Therefore, developing new diagnosis and treatment methods to effectively improve the diagnosis, treatment, and long-term prognosis of liver cancer is urgent. As an emerging discipline, nanobiotechnology, based on safe, stable, and efficient nanomaterials, constructs highly targeted nanocarriers according to the unique characteristics of tumors and further derives a variety of efficient diagnosis and treatment methods based on this transport system, providing a new method for the accurate diagnosis and treatment of liver cancer. This paper aims to summarize the latest progress in this field according to existing research and the latest clinical diagnosis and treatment guidelines in hepatocellular carcinoma (HCC), as well as clarify the role, application limitations, and prospects of research on nanomaterials and the development and application of nanotechnology in the diagnosis and treatment of HCC.

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          Most cited references185

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          Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries

          This article provides an update on the global cancer burden using the GLOBOCAN 2020 estimates of cancer incidence and mortality produced by the International Agency for Research on Cancer. Worldwide, an estimated 19.3 million new cancer cases (18.1 million excluding nonmelanoma skin cancer) and almost 10.0 million cancer deaths (9.9 million excluding nonmelanoma skin cancer) occurred in 2020. Female breast cancer has surpassed lung cancer as the most commonly diagnosed cancer, with an estimated 2.3 million new cases (11.7%), followed by lung (11.4%), colorectal (10.0 %), prostate (7.3%), and stomach (5.6%) cancers. Lung cancer remained the leading cause of cancer death, with an estimated 1.8 million deaths (18%), followed by colorectal (9.4%), liver (8.3%), stomach (7.7%), and female breast (6.9%) cancers. Overall incidence was from 2-fold to 3-fold higher in transitioned versus transitioning countries for both sexes, whereas mortality varied <2-fold for men and little for women. Death rates for female breast and cervical cancers, however, were considerably higher in transitioning versus transitioned countries (15.0 vs 12.8 per 100,000 and 12.4 vs 5.2 per 100,000, respectively). The global cancer burden is expected to be 28.4 million cases in 2040, a 47% rise from 2020, with a larger increase in transitioning (64% to 95%) versus transitioned (32% to 56%) countries due to demographic changes, although this may be further exacerbated by increasing risk factors associated with globalization and a growing economy. Efforts to build a sustainable infrastructure for the dissemination of cancer prevention measures and provision of cancer care in transitioning countries is critical for global cancer control.
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            Hepatocellular Carcinoma

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              Origins and Mechanisms of miRNAs and siRNAs.

              Over the last decade, approximately 20-30 nucleotide RNA molecules have emerged as critical regulators in the expression and function of eukaryotic genomes. Two primary categories of these small RNAs--short interfering RNAs (siRNAs) and microRNAs (miRNAs)--act in both somatic and germline lineages in a broad range of eukaryotic species to regulate endogenous genes and to defend the genome from invasive nucleic acids. Recent advances have revealed unexpected diversity in their biogenesis pathways and the regulatory mechanisms that they access. Our understanding of siRNA- and miRNA-based regulation has direct implications for fundamental biology as well as disease etiology and treatment.
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                Author and article information

                Contributors
                yiwei1215@163.com
                xieyao00120184@sina.com
                wuhm2000@sina.com
                Journal
                J Nanobiotechnology
                J Nanobiotechnology
                Journal of Nanobiotechnology
                BioMed Central (London )
                1477-3155
                29 September 2022
                29 September 2022
                2022
                : 20
                : 427
                Affiliations
                [1 ]GRID grid.24696.3f, ISNI 0000 0004 0369 153X, Department of Hepatology Division 2, , Beijing Ditan Hospital, Capital Medical University, ; 8 Jingshun East Street, Chaoyang District, Beijing, 100015 China
                [2 ]GRID grid.11135.37, ISNI 0000 0001 2256 9319, Department of Hepatology Division 2, , Peking University Ditan Teaching Hospital, ; 8 Jingshun East Street, Chaoyang District, Beijing, 100015 China
                [3 ]GRID grid.24696.3f, ISNI 0000 0004 0369 153X, Department of Gynecology and Obstetrics, , Beijing Ditan Hospital, Capital Medical University, ; 8 Jingshun East Street, Chaoyang District, Beijing, 100015 China
                Author information
                https://orcid.org/0000-0003-4241-8205
                https://orcid.org/0000-0003-4108-7037
                https://orcid.org/0000-0003-3233-5473
                Article
                1615
                10.1186/s12951-022-01615-2
                9524074
                36175957
                a4d57b54-9ce9-4c40-900b-dbca1eeb3de1
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 12 June 2022
                : 31 August 2022
                Funding
                Funded by: Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support
                Award ID: No. XMLX 202127
                Funded by: Special Public Health Project for Health Development in Capital
                Award ID: 2022-1-2172
                Funded by: The Digestive Medical Coordinated Development Center of Beijing Hospitals Authority
                Award ID: No. XXZ0302 and XXT28
                Funded by: National Science and Technology Major Project of China
                Award ID: No. 2017ZX10201201-001-006, 2017ZX10201201-002-006, and 2018ZX10715-005-003-005
                Categories
                Review
                Custom metadata
                © The Author(s) 2022

                Biotechnology
                hepatocellular carcinoma,tumor microenvironment,nanobiomedical technology,clinical theranostics

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