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      Nanomedicine in Non-Small Cell Lung Cancer: From Conventional Treatments to Immunotherapy

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          Abstract

          Non-small cell lung cancer (NSCLC) remains the most common cause of cancer-related mortality. The heterogeneous nature of this disease hinders its diagnosis and treatment, requiring continuous advances in research aiming to understand its intricate nature. Consequently, the retrospective analysis of conventional therapies has allowed the introduction of novel tools provided by nanotechnology, leading to considerable improvements in clinical outcomes. Furthermore, the development of novel immunotherapies based on the recently understood interaction of the immune system with the tumor highlights the real possibility of definitively treating NSCLC from its early stages. Novel engineering approaches in nanomedicine will enable to overcome the intrinsic limits of conventional and emerging therapies regarding off-site cytotoxicity, specificity, resistance mechanisms, and administration issues. The convergence point of these therapies with nanotechnology lays the foundation for achieving currently unmet needs.

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          Analysis of nanoparticle delivery to tumours

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            CTLA-4 and PD-1 Pathways

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              Pulmonary pathology of early phase 2019 novel coronavirus (COVID-19) pneumonia in two patients with lung cancer

              There is currently a lack of pathologic data on the novel coronavirus (SARS-CoV-2) pneumonia, or COVID-19, from autopsy or biopsy. Two patients who recently underwent lung lobectomies for adenocarcinoma were retrospectively found to have had COVID-19 at the time of surgery. These two cases thus provide important first opportunities to study the pathology of COVID-19. Pathologic examinations revealed that, apart from the tumors, the lungs of both patients exhibited edema, proteinaceous exudate, focal reactive hyperplasia of pneumocytes with patchy inflammatory cellular infiltration, and multinucleated giant cells. Hyaline membranes were not prominent. Since both patients did not exhibit symptoms of pneumonia at the time of surgery, these changes likely represent an early phase of the lung pathology of COVID-19 pneumonia.

                Author and article information

                Journal
                Cancers (Basel)
                Cancers (Basel)
                cancers
                Cancers
                MDPI
                2072-6694
                18 June 2020
                June 2020
                : 12
                : 6
                : 1609
                Affiliations
                Grup d’Enginyeria de Materials (GEMAT), Institut Químic de Sarrià (IQS), Universitat Ramon Llull (URL), 08022 Barcelona, Spain; coralgarciaf@ 123456iqs.url.edu (C.G.-F.); salvador.borros@ 123456iqs.url.edu (S.B.)
                Author notes
                [* ]Correspondence: cristina.fornaguera@ 123456iqs.url.edu ; Tel.: +34-932672000
                Author information
                https://orcid.org/0000-0001-5788-2727
                https://orcid.org/0000-0002-7014-3213
                https://orcid.org/0000-0002-4003-0381
                Article
                cancers-12-01609
                10.3390/cancers12061609
                7352459
                32570729
                e431bb89-211a-4010-9362-a7907f0ee537
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 26 May 2020
                : 15 June 2020
                Categories
                Review

                non-small cell lung cancer,immunotherapies,nanomedicine,cancer vaccine,chemotherapy

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