Dual-drug codelivery nanosystems: An emerging approach for overcoming cancer multidrug resistance DOI Open Access
Jianing Gong,

Taoran Shi,

Jinfeng Liu

et al.

Biomedicine & Pharmacotherapy, Journal Year: 2023, Volume and Issue: 161, P. 114505 - 114505

Published: March 13, 2023

Multidrug resistance (MDR) promotes tumor recurrence and metastasis heavily reduces anticancer efficiency, which has become a primary reason for the failure of clinical chemotherapy. The mechanisms MDR are so complex that conventional chemotherapy usually fails to achieve an ideal therapeutic effect even accelerates occurrence MDR. In contrast, combination with dual-drug significant advantages in therapy. A novel codelivery nanosystem, combines administration nanotechnology, can overcome application limitation free drugs. Both characteristics nanoparticles synergistic dual drugs contribute circumventing various drug-resistant cells. Therefore, developing nanosystems different multidrug-resistant important reference value reversing enhancing antitumor effect. this review, advantages, principles, common nanocarriers systems summarized. molecular designed based on mainly introduced. Meanwhile, development prospects challenges also discussed, provide guidelines exploit optimized combined strategies future.

Language: Английский

Doxorubicin—An Agent with Multiple Mechanisms of Anticancer Activity DOI Creative Commons
Mateusz Kciuk, Adrianna Gielecińska, Somdutt Mujwar

et al.

Cells, Journal Year: 2023, Volume and Issue: 12(4), P. 659 - 659

Published: Feb. 19, 2023

Doxorubicin (DOX) constitutes the major constituent of anti-cancer treatment regimens currently in clinical use. However, precise mechanisms DOX’s action are not fully understood. Emerging evidence points to pleiotropic anticancer activity DOX, including its contribution DNA damage, reactive oxygen species (ROS) production, apoptosis, senescence, autophagy, ferroptosis, and pyroptosis induction, as well immunomodulatory role. This review aims collect information on DOX influence anti-tumor immune response, providing a rationale behind importance modern cancer therapy.

Language: Английский

Citations

319

Chemotherapy Side-Effects: Not All DNA Damage Is Equal DOI Open Access
Winnie M. C. van den Boogaard, Daphne S. J. Komninos, Wilbert P. Vermeij

et al.

Cancers, Journal Year: 2022, Volume and Issue: 14(3), P. 627 - 627

Published: Jan. 26, 2022

Recent advances have increased survival rates of children and adults suffering from cancer thanks to effective anti-cancer therapy, such as chemotherapy. However, during treatment later in life they are frequently confronted with the severe negative side-effects their life-saving treatment. The occurrence numerous features accelerated aging, seriously affecting quality life, has now become one most pressing problems associated (pediatric) Chemotherapies target damage DNA, causing mutations or genome instability, a major hallmark both aging. there types chemotherapeutic drugs that genotoxic interfere DNA metabolism different ways, each own biodistribution, kinetics, biological fate. Depending on type lesion produced (e.g., interference replication RNA transcription), organ cell inflicted cycle differentiation status, metabolic state, activity clearance detoxification mechanisms, cellular condition micro-environment), degree exposure, outcomes can largely differ. These considerations provide conceptual framework which classes chemotherapeutics contribute development toxicities aging systems. Here, we summarize observed ex-cancer patients discuss might be responsible.

Language: Английский

Citations

265

The dynamic broad epigenetic (H3K4me3, H3K27ac) domain as a mark of essential genes DOI Creative Commons
Tasnim H. Beacon,

Geneviève P. Delcuve,

Camila López

et al.

Clinical Epigenetics, Journal Year: 2021, Volume and Issue: 13(1)

Published: July 8, 2021

Abstract Transcriptionally active chromatin is marked by tri-methylation of histone H3 at lysine 4 (H3K4me3) located after first exons and around transcription start sites. This epigenetic mark typically restricted to narrow regions the 5`end gene body, though a small subset genes have broad H3K4me3 domain which extensively covers coding region. Although most studies focus on mark, associated with plethora modifications (e.g., acetylated K27) therein termed domain. Genes are involved in cell identity essential functions clinical potential as biomarkers for patient stratification. Reducing expression may increase metastatic cancer cells. Enhancers super-enhancers interact forming hub interactions involving nucleosome-depleted regions. Together, regulatory elements coalesce factors, modifying/remodeling enzymes, coactivators, Mediator and/or Integrator complex into factory be analogous liquid–liquid phase-separated condensate. The has dynamic structure supports frequent bursts. In this review, we present current knowledge domains.

Language: Английский

Citations

162

Advances in understanding the role of P-gp in doxorubicin resistance: Molecular pathways, therapeutic strategies, and prospects DOI Creative Commons
Sepideh Mirzaei, Mohammad Gholami,

Farid Hashemi

et al.

Drug Discovery Today, Journal Year: 2021, Volume and Issue: 27(2), P. 436 - 455

Published: Oct. 7, 2021

P-glycoprotein (P-gp) is a drug efflux transporter that triggers doxorubicin (DOX) resistance. In this review, we highlight the molecular avenues regulating P-gp, such as Nrf2, HIF-1α, miRNAs, and long noncoding (lnc)RNAs, to reveal their participation in DOX These antitumor compounds genetic tools synergistically reduce P-gp expression. Furthermore, ATP depletion impairs activity enhance of DOX. Nanoarchitectures, including liposomes, micelles, polymeric nanoparticles (NPs), solid lipid nanocarriers, have been developed for co-delivery with anticancer genes enhancing cytotoxicity. Surface modification instance hyaluronic acid (HA), can promote selectivity toward cancer cells. We discuss these aspects focus on expression activity.

Language: Английский

Citations

138

Doxorubicin and other anthracyclines in cancers: Activity, chemoresistance and its overcoming DOI Creative Commons
Roberto Mattioli, Andrea Ilari,

Beatrice Colotti

et al.

Molecular Aspects of Medicine, Journal Year: 2023, Volume and Issue: 93, P. 101205 - 101205

Published: July 27, 2023

Anthracyclines have been important and effective treatments against a number of cancers since their discovery. However, use in therapy has complicated by severe side effects toxicity that occur during or after treatment, including cardiotoxicity. The mode action anthracyclines is complex, with several mechanisms proposed. It possible high due to the large set processes involved anthracycline action. development resistance major barrier successful treatment when using anthracyclines. This based on series studied addressed recent years. work provides an overview used cancer therapy. discusses activity, toxicity, chemoresistance, as well approaches improve decrease overcome resistance.

Language: Английский

Citations

128

Cytotoxic mechanisms of doxorubicin at clinically relevant concentrations in breast cancer cells DOI
Rachel E. Nicoletto, Clyde M. Ofner

Cancer Chemotherapy and Pharmacology, Journal Year: 2022, Volume and Issue: 89(3), P. 285 - 311

Published: Feb. 12, 2022

Language: Английский

Citations

114

Role of NRF2 in Ovarian Cancer DOI Creative Commons
Giovanni Tossetta, Sonia Fantone, Eva Montanari

et al.

Antioxidants, Journal Year: 2022, Volume and Issue: 11(4), P. 663 - 663

Published: March 30, 2022

Among gynaecologic malignancies, ovarian cancer is one of the most dangerous, with a high fatality rate and relapse due to occurrence chemoresistance. Many researchers demonstrated that oxidative stress involved in tumour occurrence, growth development. Nuclear factor erythroid 2-related 2 (NRF2) an important transcription factor, playing role protecting against damage. Increased levels Reactive Oxygen Species (ROS) activate NRF2 signalling, inducing expression antioxidant enzymes, such as haem oxygenase (HO-1), catalase (CAT), glutathione peroxidase (GPx) superoxide dismutase (SOD), protect cells stress. However, activation responsible for development chemoresistance, inactivating drug-mediated normally leads cells’ death. In this review, we report evidence from literature describing effect on cancer, focus its function drug resistance, natural synthetic modulators protective normal preservation.

Language: Английский

Citations

89

The Role of Flavonoids as a Cardioprotective Strategy against Doxorubicin-Induced Cardiotoxicity: A Review DOI Creative Commons
Rony Abdi Syahputra, Urip Harahap, Aminah Dalimunthe

et al.

Molecules, Journal Year: 2022, Volume and Issue: 27(4), P. 1320 - 1320

Published: Feb. 15, 2022

Doxorubicin is a widely used and promising anticancer drug; however, severe dose-dependent cardiotoxicity hampers its therapeutic value. may cause acute chronic issues, depending on the duration of toxicity. In clinical practice, accumulative toxic dose up to 400 mg/m2 increasing will increase probability cardiac Several molecular mechanisms underlying pathogenesis doxorubicin have been proposed, including oxidative stress, topoisomerase beta II inhibition, mitochondrial dysfunction, Ca2+ homeostasis dysregulation, intracellular iron accumulation, ensuing cell death (apoptosis necrosis), autophagy, myofibrillar disarray loss. Natural products flavonoids studied both in cell, animal, human models which proves that alleviate toxicity caused by doxorubicin. This review comprehensively summarizes cardioprotective activity quercetin, luteolin, rutin, apigenin, naringenin, hesperidin against doxorubicin, vitro vivo models.

Language: Английский

Citations

87

Doxorubicin-Based Hybrid Compounds as Potential Anticancer Agents: A Review DOI Creative Commons
Sijongesonke Peter, Sibusiso Alven,

Rejoice B. Maseko

et al.

Molecules, Journal Year: 2022, Volume and Issue: 27(14), P. 4478 - 4478

Published: July 13, 2022

The scarcity of novel and effective therapeutics for the treatment cancer is a pressing alarming issue that needs to be prioritized. number cases deaths are increasing at rapid rate worldwide. Doxorubicin, an anticancer agent, currently used treat several types cancer. It disrupts myriad processes such as histone eviction, ceramide overproduction, DNA-adduct formation, reactive oxygen species generation, Ca2+, iron hemostasis regulation. However, its use limited by factors drug resistance, toxicity, congestive heart failure reported in some patients. combination doxorubicin with other chemotherapeutic agents has been option few side effects. Thus, hybridization drugs regarded promising approach can lead agents. This review gives update on hybrid compounds containing scaffolds derivatives potent

Language: Английский

Citations

83

Natural and synthetic compounds in Ovarian Cancer: A focus on NRF2/KEAP1 pathway DOI
Giovanni Tossetta, Daniela Marzioni

Pharmacological Research, Journal Year: 2022, Volume and Issue: 183, P. 106365 - 106365

Published: July 25, 2022

Language: Английский

Citations

80