已发表论文

用于难治性实体瘤硼中子俘获治疗的靶向纳米硼递送平台

 

Authors Ma Z, Ma Z, Wang X, Li Y, Li L, Li L, Ji P , Yan Q

Received 14 November 2025

Accepted for publication 29 January 2026

Published 6 February 2026 Volume 2026:21 581215

DOI https://doi.org/10.2147/IJN.S581215

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Dong Wang

Zhenchao Ma,1,2,* Ziyan Ma,3,* Xinlin Wang,3 Yaru Li,3 Lian Li,3 Luzixuan Li,3 Peng Ji,3 Qiang Yan1 

1Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, Zhejiang Province, 313000, People’s Republic of China; 2Boron Neutron Capture Cancer Treatment Technology, Zhejiang Engineering Research Center, Huzhou, Zhejiang Province, 313000, People’s Republic of China; 3School of Pharmacy, Taizhou University, Taizhou, Jiangsu Province, 225300, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Peng Ji, School of Pharmacy, Taizhou University, No. 93, Jichuan East Road, Taizhou, Jiangsu Province, 225300, People’s Republic of China, Email jipeng0213@163.com Qiang Yan, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, No. 1558 North Sanhuan Road, Huzhou, Zhejiang Province, 313000, People’s Republic of China, Email yianq@hzhospital.com

Abstract: Boron neutron capture therapy (BNCT) represents a promising binary radiotherapy for refractory solid tumors. However, its clinical translation has been historically constrained by the suboptimal pharmacokinetics of conventional boron agents (eg, BPA and BSH), characterized by low tumor selectivity and rapid clearance. This review provides a comprehensive analysis of how nanoengineered delivery platforms—including lipid-based, polymeric, inorganic, and biomimetic nanocarriers—are revolutionizing BNCT. We focus on their advanced targeting mechanisms (passive EPR effect, active ligand/receptor engagement, and nuclear localization), which collectively enable significantly enhanced tumor boron accumulation (T/N ratios of 6– 17) and prolonged intratumoral retention. Furthermore, we critically examine the integration of multimodal imaging techniques (PET, MRI) for real-time dosimetry and treatment planning, which is essential for precision-guided BNCT. Despite remarkable preclinical progress, key translational challenges persist, including the standardization of neutron sources, long-term biocompatibility of nanocarriers, and scalable GMP-compliant manufacturing. In conclusion, the convergence of targeted nanomedicine, precision imaging, and immunomodulation is forging a robust platform. This positions BNCT as an emerging, clinically viable modality within the precision oncology arsenal for refractory malignancies.

Keywords: nanodelivery system, boron neutron capture therapy, targeted controlled release, refractory tumors, boron carrier