Recent Developments in Tyrosine Kinase Inhibitor-based Nanotherapeutics for EGFR-resistant Non-small Cell Lung Cancer.

Eknath Kole, Krishna Jadhav, Raghuraj Singh, Shilpa Mandpe, Ashwin Abhang, Rahul K Verma, Jitendra Naik
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Abstract

The advent of drug resistance in response to epidermal growth factor receptor (EGFR)- tyrosine kinase inhibitor (TKI) targeted therapy represents a serious challenge in the management of non-small cell lung cancer (NSCLC). These acquired resistance mutations, attributed to several advanced EGFR mutations and, necessitated the development of new-generation TKIs. Nanomedicine approaches provide a plausible way to address these problems by providing targeted delivery and sustained release, which have demonstrated success in preclinical trials. This review article provides a summary of nano-formulations designed for EGFR-TKI-resistant NSCLC, highlighting their efficacy in both in vitro and in vivo models. These findings reveal insights into the design of nanoparticles and multifunctional nanosystems, offering a potential avenue for efficacious treatment of EGFR-TKIresistant NSCLC.

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基于酪氨酸激酶抑制剂的纳米疗法治疗表皮生长因子受体耐药的非小细胞肺癌的最新进展。
表皮生长因子受体(EGFR)-酪氨酸激酶抑制剂(TKI)靶向治疗出现的耐药性是非小细胞肺癌(NSCLC)治疗面临的严峻挑战。这些获得性耐药突变归因于几种晚期表皮生长因子受体突变,因此有必要开发新一代 TKIs。纳米医学方法通过提供靶向给药和持续释放为解决这些问题提供了一种可行的途径,这些方法已在临床前试验中取得了成功。这篇综述文章总结了为表皮生长因子受体-TKI耐药NSCLC设计的纳米制剂,强调了它们在体外和体内模型中的疗效。这些发现揭示了纳米颗粒和多功能纳米系统的设计思路,为有效治疗耐 EGFR-TKI NSCLC 提供了潜在的途径。
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