PMID- 33463213 OWN - NLM STAT- MEDLINE DCOM- 20210428 LR - 20210428 IS - 2373-9878 (Electronic) IS - 2373-9878 (Linking) VI - 6 IP - 1 DP - 2020 Jan 13 TI - Chemically Modified Natural Polymer-Based Theranostic Nanomedicines: Are They the Golden Gate toward a de Novo Clinical Approach against Cancer? PG - 134-166 LID - 10.1021/acsbiomaterials.9b00802 [doi] AB - It is an unquestionable fact that cancer, also called malignancy, has or will soon become the major global health care problem with an increasing incidence worldwide. Conventional treatment approaches (e.g., radiation or chemotherapy) treat both cancerous and surrounding normal tissues simultaneously, which leads to a poor therapeutic effect on tumors and severe toxic side effects on healthy tissues. Considering these thematic issues, the design and development of more efficient treatment approaches is one of the most important demands of health care in the near future. In this context, the emergence of nanotechnology opens new opportunities for addressing the issues of conventional drug delivery systems (DDSs) for cancer therapy. Theranostic nanomedicines are indebted to the advent of nanotechnology and were introduced by Funkhouser in 2002. These nanomedicines are the newest DDSs that combine diagnostic and therapeutic properties into a single platform. Theranostic nanomedicines are generally composed of targeting agents, diagnostic tracers, effective drug(s), and biomaterial(s) as the matrix to the formulation. Among these, biomaterials have a pivotal role in theranostic nanomedicines due to their direct influence on the system effectiveness. In this context, natural polymers can be considered as potential candidates, mainly due to their inherent physicochemical as well as biological advantages. However, natural polymers have some drawbacks, which can be addressed through the chemical modification approach. In this review, we will highlight the recent progress in the development of theranostic nanomedicines based on chemically modified natural polymers as well as research prospects for the future. FAU - Jaymand, Mehdi AU - Jaymand M AUID- ORCID: 0000-0003-1416-4543 AD - Nano Drug Delivery Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah 6715847141, Iran. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20191211 PL - United States TA - ACS Biomater Sci Eng JT - ACS biomaterials science & engineering JID - 101654670 RN - 0 (Polymers) SB - IM MH - *Drug Delivery Systems MH - Humans MH - Nanomedicine MH - *Neoplasms/drug therapy MH - Polymers MH - *Theranostic Nanomedicine OTO - NOTNLM OT - cancer therapy OT - chemical modification OT - natural polymers OT - theranostic nanomedicines EDAT- 2021/01/20 06:00 MHDA- 2021/04/29 06:00 CRDT- 2021/01/19 08:39 PHST- 2021/01/19 08:39 [entrez] PHST- 2021/01/20 06:00 [pubmed] PHST- 2021/04/29 06:00 [medline] AID - 10.1021/acsbiomaterials.9b00802 [doi] PST - ppublish SO - ACS Biomater Sci Eng. 2020 Jan 13;6(1):134-166. doi: 10.1021/acsbiomaterials.9b00802. Epub 2019 Dec 11.