Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Jan. 2, 2024
Abstract
Chemotherapy
is
a
powerful
means
of
cancer
treatment
but
its
efficacy
compromised
by
the
emergence
multidrug
resistance
(MDR),
mainly
linked
to
efflux
transporter
ABCB1/P-glycoprotein
(P-gp).
Based
on
chemical
structure
betulin,
identified
in
our
previous
work
as
an
effective
modulator
P-gp
function,
series
analogs
were
designed,
synthesized
and
evaluated
source
novel
inhibitors.
Compounds
6g
6i
inhibited
rhodamine
123
overexpressed
leukemia
cells,
K562/Dox,
at
concentrations
0.19
µM
0.39
µM,
respectively,
increased
intracellular
accumulation
doxorubicin
submicromolar
concentration
0.098
µM.
able
restore
sensitivity
K562/Dox
Dox
0.024
respectively.
Structure–activity
relationship
analysis
molecular
modeling
revealed
important
information
about
structural
features
conferring
activity.
All
active
compounds
fitted
specific
region
involving
transmembrane
helices
(TMH)
4–6
from
one
homologous
half
TMH
7
12
other,
also
showing
close
contacts
with
6
12.
that
bound
preferentially
another
inactive,
regardless
their
free
energy
binding.
It
should
be
noted
devoid
toxic
effects
against
peripheral
blood
mononuclear
normal
cells
erythrocytes.
The
data
obtained
indicates
both
might
proposed
scaffolds
for
obtaining
promising
inhibitors
overcoming
MDR.
MedComm,
Journal Year:
2023,
Volume and Issue:
4(3)
Published: May 22, 2023
Resistance
to
cancer
therapies
has
been
a
commonly
observed
phenomenon
in
clinical
practice,
which
is
one
of
the
major
causes
treatment
failure
and
poor
patient
survival.
The
reduced
responsiveness
cells
multifaceted
that
can
arise
from
genetic,
epigenetic,
microenvironmental
factors.
Various
mechanisms
have
discovered
extensively
studied,
including
drug
inactivation,
intracellular
accumulation
by
uptake
or
increased
efflux,
target
alteration,
activation
compensatory
pathways
for
cell
survival,
regulation
DNA
repair
death,
tumor
plasticity,
microenvironments
(TMEs).
To
overcome
resistance,
variety
strategies
proposed,
are
designed
enhance
effectiveness
reduce
resistance.
These
include
identifying
biomarkers
predict
response
new
targets,
developing
targeted
drugs,
combination
targeting
multiple
signaling
pathways,
modulating
TME.
present
article
focuses
on
different
resistance
corresponding
tackling
approaches
with
recent
updates.
Perspectives
polytherapy
mechanisms,
novel
nanoparticle
delivery
systems,
advanced
design
tools
overcoming
also
reviewed.
Life,
Journal Year:
2023,
Volume and Issue:
13(2), P. 466 - 466
Published: Feb. 7, 2023
Cancer
is
a
fatal
disease
with
complex
pathophysiology.
Lack
of
specificity
and
cytotoxicity,
as
well
the
multidrug
resistance
traditional
cancer
chemotherapy,
are
most
common
limitations
that
often
cause
treatment
failure.
Thus,
in
recent
years,
significant
efforts
have
concentrated
on
development
modernistic
field
called
nano-oncology,
which
provides
possibility
using
nanoparticles
(NPs)
aim
to
detect,
target,
treat
diseases.
In
comparison
conventional
anticancer
strategies,
NPs
provide
targeted
approach,
preventing
undesirable
side
effects.
What
more,
nanoparticle-based
drug
delivery
systems
shown
good
pharmacokinetics
precise
targeting,
reduced
resistance.
It
has
been
documented
that,
cells,
promote
reactive
oxygen
species
(ROS)
production,
induce
cell
cycle
arrest
apoptosis,
activate
ER
(endoplasmic
reticulum)
stress,
modulate
various
signaling
pathways,
etc.
Furthermore,
their
ability
inhibit
tumor
growth
vivo
also
documented.
this
paper,
we
reviewed
role
silver
(AgNPs)
nanomedicine,
discussing
numerous
mechanisms
by
they
render
properties
under
both
vitro
conditions,
potential
diagnosis
cancer.
Bioengineering,
Journal Year:
2023,
Volume and Issue:
10(7), P. 760 - 760
Published: June 25, 2023
Nano-oncology
is
a
branch
of
biomedical
research
and
engineering
that
focuses
on
using
nanotechnology
in
cancer
diagnosis
treatment.
Nanomaterials
are
extensively
employed
the
field
oncology
because
their
minute
size
ultra-specificity.
A
wide
range
nanocarriers,
such
as
dendrimers,
micelles,
PEGylated
liposomes,
polymeric
nanoparticles
used
to
facilitate
efficient
transport
anti-cancer
drugs
at
target
tumor
site.
Real-time
labeling
monitoring
cells
quantum
dots
essential
for
determining
level
therapy
needed
The
drug
targeted
site
either
by
passive
or
active
means.
Passive
targeting
makes
use
microenvironment
enhanced
permeability
retention
effect,
while
involves
ligand-coated
nanoparticles.
Nanotechnology
being
diagnose
early
stage
detecting
cancer-specific
biomarkers
imaging.
implication
employs
photoinduced
nanosensitizers,
reverse
multidrug
resistance,
enabling
delivery
CRISPR/Cas9
RNA
molecules
therapeutic
applications.
However,
despite
recent
advancements
nano-oncology,
there
need
delve
deeper
into
domain
designing
applying
improved
diagnostics.
Molecular Cancer,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: Jan. 22, 2024
Abstract
The
incidence
of
nasopharyngeal
carcinoma
(NPC)
exhibits
significant
variations
across
different
ethnic
groups
and
geographical
regions,
with
Southeast
Asia
North
Africa
being
endemic
areas.
Of
note,
Epstein-Barr
virus
(EBV)
infection
is
closely
associated
almost
all
the
undifferentiated
NPC
cases.
Over
past
three
decades,
radiation
therapy
chemotherapy
have
formed
cornerstone
treatment.
However,
recent
advancements
in
immunotherapy
introduced
a
range
promising
approaches
for
managing
NPC.
In
light
these
developments,
it
has
become
evident
that
deeper
understanding
tumor
microenvironment
(TME)
crucial.
TME
serves
dual
function,
acting
as
promoter
tumorigenesis
while
also
orchestrating
immunosuppression,
thereby
facilitating
cancer
progression
enabling
immune
evasion.
Consequently,
comprehensive
comprehension
its
intricate
involvement
initiation,
progression,
metastasis
imperative
development
effective
anticancer
drugs.
Moreover,
given
complexity
inter-patient
heterogeneity,
personalized
treatment
should
be
designed
to
maximize
therapeutic
efficacy
circumvent
drug
resistance.
This
review
aims
provide
an
in-depth
exploration
within
context
EBV-induced
NPC,
particular
emphasis
on
pivotal
role
regulating
intercellular
communication
shaping
responses.
Additionally,
offers
concise
summary
resistance
mechanisms
potential
strategies
their
reversal,
specifically
relation
chemoradiation
therapy,
targeted
immunotherapy.
Furthermore,
advances
clinical
trials
pertaining
are
discussed.
Phytotherapy Research,
Journal Year:
2024,
Volume and Issue:
38(5), P. 2406 - 2447
Published: March 3, 2024
The
epidermal
growth
factor
receptor
(EGFR)
is
a
transmembrane
tyrosine
kinase
(RTK)
that
maintains
normal
tissues
and
cell
signaling
pathways.
EGFR
overactivated
overexpressed
in
many
malignancies,
including
breast,
lung,
pancreatic,
kidney.
Further,
the
gene
mutations
protein
overexpression
activate
downstream
pathways
cancerous
cells,
stimulating
growth,
survival,
resistance
to
apoptosis,
progression
of
tumors.
Anti-EGFR
therapy
potential
approach
for
treating
malignancies
has
demonstrated
clinical
success
specific
cancers.
recent
report
suggests
most
clinically
used
inhibitors
developed
cancer
cells.
This
perspective
provides
brief
overview
its
implications
cancer.
We
have
summarized
natural
products-derived
anticancer
compounds
with
mechanistic
basis
tumor
inhibition
via
pathway.
propose
developing
lead
molecules
into
new
agents
bright
future
after
investigation.
Pharmaceuticals,
Journal Year:
2024,
Volume and Issue:
17(5), P. 636 - 636
Published: May 15, 2024
Astragalus
polysaccharide
(APS)
derived
from
A.
membranaceus
plays
a
crucial
role
in
traditional
Chinese
medicine.
These
polysaccharides
have
shown
antitumor
effects
and
are
considered
safe.
Thus,
they
become
increasingly
important
cancer
immunotherapy.
APS
can
limit
the
spread
of
by
influencing
immune
cells,
promoting
cell
death,
triggering
autophagy,
impacting
tumor
microenvironment.
When
used
combination
with
other
therapies,
enhance
treatment
outcomes
reduce
toxicity
side
effects.
combined
checkpoint
inhibitors,
relay
cellular
immunotherapy,
vaccines
broadened
application
immunotherapy
enhanced
effectiveness.
By
summarizing
research
on
over
past
two
decades,
this
review
elaborates
anticancer
mechanism
its
use
clinical
trials.
Considering
multiple
roles
APS,
emphasizes
importance
using
as
an
adjunct
to
compares
APS.
This
discussion
provides
insights
into
specific
action
reveals
molecular
targets
for
developing
effective
strategies,
highlights
wide
therapy
future.