International Journal of Nanomedicine,
Journal Year:
2024,
Volume and Issue:
Volume 19, P. 945 - 964
Published: Jan. 1, 2024
Abstract:
The
active
metabolite
of
irinotecan
(CPT-11),
7-ethyl-10-hydroxycamptothecin
(SN38),
is
100–
1000
times
more
than
CPT-11
and
has
shown
inhibitory
effects
on
a
range
cancer
cells,
including
those
from
the
rectal,
small
cell
lung,
breast,
esophageal,
uterine,
ovarian
malignancies.
Despite
SN38's
potent
anticancer
properties,
its
hydrophobicity
pH
instability
have
caused
substantial
side
activity
loss,
which
make
it
difficult
to
use
in
clinical
settings.
To
solve
above
problems,
construction
SN38-based
drug
delivery
systems
one
most
feasible
methods
improve
solubility,
enhance
stability,
increase
targeting
ability,
bioavailability,
therapeutic
efficacy
reduce
adverse
reactions.
Therefore,
based
mechanism
systems,
this
paper
reviews
SN38
polymeric
micelles,
liposomal
nanoparticles,
protein
conjugated
targeted
by
aptamers
ligands,
antibody-drug
couplings,
magnetic
targeting,
photosensitive
redox-sensitive
multi-stimulus-responsive
co-loaded
systems.
focus
review
nanocarrier-based
We
hope
provide
reference
for
translation
application
novel
medications.
Keywords:
SN38,
system,
iScience,
Journal Year:
2024,
Volume and Issue:
27(6), P. 109979 - 109979
Published: May 15, 2024
This
review
explores
the
hallmarks
of
cancer
resistance,
including
drug
efflux
mediated
by
ATP-binding
cassette
(ABC)
transporters,
metabolic
reprogramming
characterized
Warburg
effect,
and
dynamic
interplay
between
cells
mitochondria.
The
role
stem
(CSCs)
in
treatment
resistance
regulatory
influence
non-coding
RNAs,
such
as
long
RNAs
(lncRNAs),
microRNAs
(miRNAs),
circular
(circRNAs),
are
studied.
chapter
emphasizes
future
directions,
encompassing
advancements
immunotherapy,
strategies
to
counter
adaptive
integration
artificial
intelligence
for
predictive
modeling,
identification
biomarkers
personalized
treatment.
comprehensive
exploration
these
provides
a
foundation
innovative
therapeutic
approaches,
aiming
navigate
complex
landscape
enhance
patient
outcomes.
Cancers,
Journal Year:
2024,
Volume and Issue:
16(4), P. 680 - 680
Published: Feb. 6, 2024
In
recent
years,
the
emergence
of
cancer
drug
resistance
has
been
one
crucial
tumor
hallmarks
that
are
supported
by
level
genetic
heterogeneity
and
complexities
at
cellular
levels.
Oxidative
stress,
immune
evasion,
metabolic
reprogramming,
overexpression
ABC
transporters,
stemness
among
several
key
contributing
molecular
response
mechanisms.
Topo-active
drugs,
e.g.,
doxorubicin
topotecan,
clinically
active
utilized
extensively
against
a
wide
variety
human
tumors
often
result
in
development
failure
to
therapy.
Thus,
there
is
an
urgent
need
for
incremental
comprehensive
understanding
mechanisms
specifically
context
topo-active
drugs.
This
review
delves
into
intricate
mechanistic
aspects
these
intracellular
extracellular
explores
use
potential
combinatorial
approaches
utilizing
various
drugs
inhibitors
pathways
involved
resistance.
We
believe
this
will
help
guide
basic
scientists,
pre-clinicians,
clinicians,
policymakers
toward
holistic
interdisciplinary
strategies
transcend
resistance,
renewing
optimism
ongoing
battle
cancer.
Abstract
Background
Drug
resistance
in
metastatic
lung
cancer
significantly
contributes
to
patient
mortality.
This
study
explores
the
role
of
circulating
tumor
cells
(CTCs),
precursors
metastasis,
driving
this
resistance.
We
aim
delineate
unique
biological
traits
CTC
clusters
and
elucidate
mechanisms
underlying
their
chemotherapy.
Methods
used
an
ultralow
adsorption
plate
establish
a
suspension
culture
system.
Comparisons
between
adherent
cultures
CTC-TJH-01
were
made
via
Cell
Counting
Kit-8
(CCK-8),
western
blot,
immunofluorescence,
flow
cytometry
assays
evaluate
cell
proliferation,
drug
resistance,
stemness.
The
tumorigenicity,
growth
rate,
assessed
nude
mice.
Transcriptomic
proteomic
analyses
subsequently
conducted
identify
differentially
expressed
genes
proteins
cultured
under
conditions.
CDH17
gene
knockdown
was
achieved
through
RNA
interference,
hematoxylin
eosin
(HE)
staining,
immunohistochemistry,
immunofluorescence
examine
pathological
status
these
cells.
Results
formed
exhibited
decreased
growth,
but
increased
stemness
protein
expression
upregulated
clusters,
activating
YAP/TAZ
pathway.
Knocking
down
not
only
inactivated
pathway
also
proliferation
activity
cisplatin
sensitivity
clusters.
Additionally,
rate
correlated
with
sensitivity.
notably
promoted
xenografts
enhanced
cisplatin,
although
no
significant
difference
observed
compared
those
control
group.
Conclusions
results
indicate
that
stem
cell-like
properties
exhibit
chemoresistance,
which
is
linked
activated
CDH17-YAP
effectiveness
primarily
tumors
relatively
high
rates,
highlighting
connection
Graphical
abstract
Frontiers in Oncology,
Journal Year:
2021,
Volume and Issue:
11
Published: June 1, 2021
Currently,
radiation
therapy
is
one
of
the
standard
therapies
for
cancer
treatment.
Since
first
applications,
field
radiotherapy
has
constantly
improved,
both
in
imaging
technologies
and
from
a
dose-painting
point
view.
Despite
this,
mechanisms
resistance
are
still
great
problem
to
overcome.
Therefore,
more
detailed
understanding
these
molecular
will
allow
researchers
develop
new
therapeutic
strategies
eradicate
effectively.
This
review
focuses
on
different
transcription
factors
activated
response
and,
unfortunately,
involved
cells’
survival.
In
particular,
ionizing
radiations
trigger
activation
immune
modulators
STAT3
NF-κB,
which
contribute
development
through
up-regulation
anti-apoptotic
genes,
promotion
proliferation,
alteration
cell
cycle,
induction
genes
responsible
Epithelial
Mesenchymal
Transition
(EMT).
Moreover,
ROS-dependent
damaging
effects
hampered
by
antioxidant
enzymes
NRF2,
HIF-1.
protective
process
results
reduced
effectiveness
treatment,
whose
mechanism
action
relies
mainly
generation
free
oxygen
radicals.
Furthermore,
previously
mentioned
also
maintenance
stemness
Cancer
Stem
Cells
(CSCs),
subset
tumor
cells
that
intrinsically
resistant
anti-cancer
therapies.
combining
treatments
with
targeted
against
may
be
promising
opportunity
avoid
thus
relapse.
Antioxidants,
Journal Year:
2021,
Volume and Issue:
10(4), P. 510 - 510
Published: March 25, 2021
Chemoresistance
represents
the
main
obstacle
to
cancer
treatment
with
both
conventional
and
targeted
therapy.
Beyond
specific
molecular
alterations,
which
can
lead
therapy,
metabolic
remodeling,
including
control
of
redox
status,
plays
an
important
role
in
cell
survival
following
Although
cells
generally
have
a
high
basal
reactive
oxygen
species
(ROS)
level,
makes
them
more
susceptible
than
normal
further
increase
ROS,
chemoresistant
become
highly
adapted
intrinsic
or
drug-induced
oxidative
stress
by
upregulating
their
antioxidant
systems.
The
response
is
principally
mediated
transcription
factor
Nrf2,
has
been
considered
master
regulator
cytoprotective
genes.
Nrf2
expression
often
increased
several
types
cells,
its
diverse
mechanisms.
In
addition
other
factors
transcriptional
coactivators
participate
maintain
levels
chemo
radio-resistant
cells.
function
these
molecules
recently
deepened
identify
could
be
used
as
new
therapeutic
target
tumors
resistant
this
review,
we
report
recent
advances
study
regulation
cancers
played
responses
International Journal of Molecular Sciences,
Journal Year:
2022,
Volume and Issue:
23(7), P. 3432 - 3432
Published: March 22, 2022
Tumor
cells
evolve
in
a
complex
and
heterogeneous
environment
composed
of
different
cell
types
an
extracellular
matrix.
Current
2D
culture
methods
are
very
limited
their
ability
to
mimic
the
cancer
environment.
In
recent
years,
various
3D
models
have
been
developed,
notably
form
spheroids/organoids,
using
scaffold
or
cancer-on-chip
devices.
However,
these
disadvantage
not
being
able
precisely
control
organization
multiple
architecture
sometimes
reproducible
production,
this
is
especially
true
for
spheroids.
Three-dimensional
bioprinting
can
produce
complex,
multi-cellular,
constructs
which
matrix
composition
rigidity
be
adapted
locally
globally
tumor
model
studied.
For
reasons,
seems
technique
choice
microenvironment
vivo
as
closely
possible.
review,
we
discuss
3D-bioprinting
technologies,
including
bioinks
crosslinkers
that
used
vitro
techniques
study
grown
hydrogels;
finally,
provide
some
applications
bioprinted
models.
Bioscience Reports,
Journal Year:
2022,
Volume and Issue:
42(4)
Published: April 1, 2022
Innate
and
acquired
resistance
towards
the
conventional
therapeutic
regimen
imposes
a
significant
challenge
for
successful
management
of
cancer
decades.
In
patients
with
advanced
carcinomas,
acquisition
drug
often
leads
to
tumor
recurrence
poor
prognosis
after
first
cycle.
this
context,
stem
cells
(CSCs)
are
considered
as
prime
drivers
therapy
in
due
their
'non-targetable'
nature.
Drug
is
immensely
influenced
by
different
properties
CSCs
such
epithelial-to-mesenchymal
transition
(EMT),
profound
expression
efflux
pump
genes,
detoxification
quiescence,
evasion
apoptosis,
has
been
highlighted
review
article.
The
crucial
epigenetic
alterations
that
intricately
associated
regulating
mechanisms
resistance,
have
discussed
thoroughly.
Additionally,
special
attention
drawn
behind
interaction
between
microenvironment
which
assists
progression
resistance.
Finally,
we
provided
cumulative
overview
alternative
treatment
strategies
epigenome-modifying
therapies
show
potential
sensitizing
resistant
strategies.
Thus,
summarizes
molecular
background
hindrance
present
day
anti-cancer
therapies,
provides
an
account
novel
complementary
epi-drug-based
combat