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Puerarin: an Anticancer and Anti-Inflammatory Agent 葛根素:一种抗癌和消炎剂
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-11 DOI: 10.2174/1574892818666230111152024
P. Kriplani, Harinder Singh, Sweta Kamboj, Kumar Guarve
Puerarin is a well-known anti-inflammatory agent which has demonstrated its potential to cure numerous ailments. Though many plants are reported in the literature, still their mechanisms are unversed. In this review, numerous mechanisms of puerarin to cure cancer and other inflammatory disorders, pharmacokinetics and adverse events, and boulevards of further research are discussed.Organized research was done using ScienceDirect, PubMed, ResearchGate, Google Scholar, Google Patents and ScienceDirect Medline to quest all the available data to date on puerarin. Different keywords used were “puerarin”, “Pueraria tuberosa”, “cancer”, “anti-inflammatory”, “cardiovascular”, “IBD”, “pharmacokinetics” etc.One hundred thirty-six articles and thirteen patents were studied. Puerarin is reported to treat chronic problems like inflammation, sexual dysfunction, cardiovascular diseases and menaces such as colon, stomach, lung and breast cancer by numerous mechanisms, as these ailments do not progress via a single independent pathway.Conclusion: This article will definitely help budding researchers scrutinize the wealth of information on the therapeutic chattels of puerarin and identify the gaps that have forbidden its application as a potential molecule to cure various ailments.
葛根素是一种众所周知的抗炎剂,它已经证明了它治疗许多疾病的潜力。虽然文献中报道了许多植物,但其作用机制尚不清楚。本文综述了葛根素治疗癌症和其他炎症性疾病的多种机制、药代动力学和不良反应,以及进一步研究的方向。通过ScienceDirect、PubMed、ResearchGate、b谷歌Scholar、谷歌Patents和ScienceDirect Medline进行了有组织的研究,以查询迄今为止有关葛根素的所有可用数据。使用的关键词有“葛根素”、“葛根”、“癌症”、“抗炎”、“心血管”、“IBD”、“药代动力学”等。共研究了136篇论文和13项专利。据报道,葛根素可以通过多种机制治疗慢性疾病,如炎症、性功能障碍、心血管疾病和结肠癌、胃癌、肺癌和乳腺癌等威胁,因为这些疾病不是通过单一的独立途径发展的。结论:这篇文章肯定会帮助崭露头角的研究人员仔细研究葛根素治疗价值的丰富信息,并找出阻碍其作为潜在分子治疗各种疾病的差距。
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引用次数: 0
Advances in the Treatment of Chronic Myeloid Leukemia 慢性髓系白血病的治疗进展
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-11 DOI: 10.2174/1574892818666230111115040
R. Mihăilă
The treatment of chronic myeloid leukemia has progressed in recent decades, becoming a model for a disease whose pathogenesis is primarily based on a genetic mutation and has led to survivals comparable to those of the general population.This review aims to present recent therapeutic advances in this area.A mini-review was achieved using the articles published in Web of Science and PubMed between January 2021 - May 2022, and new patents were made in this field.Results: The three generations of tyrosine kinase inhibitors have transformed chronic myeloid leukemia into a manageable disorder and greatly improved the treatment results of the chronic phase, the prognosis, survival, and quality of life of patients. The therapeutic goals today include achieving a deep and lasting molecular response as soon as possible, successful treatment-free remission, and discovering and applying new therapeutic strategies to act on impaired immune modulation and dormant leukemic stem cells. The allosteric inhibitor asciminib targets the ABL myristoyl pocket, reduces Abl kinase activity, and is effective against most cells that have mutations in the ABL1 kinase domain. Progress and recommendations for achieving long-term treatment-free remission are set out. Nearly 50% of the patients who received first-line tyrosine kinase inhibitors required a change of treatment by 10 years due to intolerance or resistance to treatment. Their main side effects are presented.Obtaining a deep and persistent molecular response contributes to achieving long-term treatment-free remission.
近几十年来,慢性粒细胞白血病的治疗取得了进展,成为一种主要基于基因突变的疾病的模型,其存活率与普通人群相当。这篇综述旨在介绍该领域的最新治疗进展。使用2021年1月至2022年5月期间发表在Web of Science和PubMed上的文章进行了一次小型综述,并在该领域获得了新专利。结果:三代酪氨酸激酶抑制剂已将慢性粒细胞白血病转变为可控制的疾病,并大大改善了慢性期的治疗效果、患者的预后、生存率和生活质量。今天的治疗目标包括尽快实现深度和持久的分子反应,成功的无治疗缓解,以及发现和应用新的治疗策略来治疗受损的免疫调节和休眠的白血病干细胞。变构抑制剂ascimib靶向ABL肉豆蔻醇口袋,降低ABL激酶活性,对大多数ABL1激酶结构域发生突变的细胞有效。阐述了实现长期无治疗缓解的进展和建议。在接受一线酪氨酸激酶抑制剂治疗的患者中,近50%的患者由于对治疗的不耐受或耐药性,需要在10年内改变治疗。介绍了它们的主要副作用。获得深度和持久的分子反应有助于实现长期无治疗的缓解。
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引用次数: 0
LncRNA TCTN2 Promotes the Malignant Development of Hepatocellular Carcinoma via Regulating mIR-1285-3p/ARF6 Axis. LncRNA TCTN2通过调控mIR-1285-3p/ARF6轴促进肝细胞癌恶性发展
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1574892818666221019163656
Qian Liu, Chunfu Zhu, Yanfen Dong

Background: Hepatocellular carcinoma (HCC) is one of the most life-threatening malignant diseases. TCTN2 protein participates in tumorigenesis and development. However, whether lncRNA TCTN2 is associated with HCC pathogenesis remains unclear.

Methods: The expression of lncRNA, TCTN2, miR-1285-3p, and ARF6 in HCC tissues and cells was detected by a quantitative Real-Time PCR (qRT-PCR) assay. lncRNA TCTN2-specific shRNA was transfected into HCC cells, and a functional investigation was performed. The direct interactions between lncRNA TCTN2 and miR-1285-3p and ARF6 were verified by dualluciferase reporter gene assay. A rescue experiment was performed to confirm the role of miR- 1285-3p/ARF6 in association with lncRNA TCTN2.

Results: LncRNA TCTN2 exhibited a high expression in HCC tumor tissues and cell lines. Knockdown of lncRNA TCTN2 suppressed cell proliferation and induced cell cycle arrest and apoptosis through regulating Cyclin D1/p21 and Bax/Bcl-2 signals. Meanwhile, the knockdown of lncRNA TCTN2 inhibited HCC cell migration and invasion through upregulating MMP2/MMP9. Mechanistic investigation revealed that lncRNA TCTN2 upregulated the expression of ARF6 via sponging miR-1285-3p. Rescue experiments indicated that miR-1285-3p inhibitor reversed the antitumor effects of lncRNA TCTN2 and ARF6 knockdown inhibited the progression of HCC.

Conclusion: Our results suggested that the knockdown of lncRNA TCTN2 inhibited HCC development by regulating the miR-1285-3p/ARF6 axis, implying that the lncRNA TCTN2 is upregulated in HCC and may serve as a diagnostic biomarker in HCC. Furthermore, it may demonstrate an important value for the clinical treatment of patients with HCC.

背景:肝细胞癌(HCC)是最危及生命的恶性疾病之一。TCTN2蛋白参与肿瘤的发生和发展。然而,lncRNA TCTN2是否与HCC发病机制相关尚不清楚。方法:采用实时荧光定量PCR (qRT-PCR)检测肝癌组织和细胞中lncRNA、TCTN2、miR-1285-3p、ARF6的表达。将lncRNA - tctn2特异性shRNA转染到HCC细胞中,并进行功能研究。通过双荧光素酶报告基因实验验证lncRNA TCTN2与miR-1285-3p和ARF6之间的直接相互作用。我们进行了一项救援实验来证实miR- 1285-3p/ARF6与lncRNA TCTN2相关的作用。结果:LncRNA TCTN2在HCC肿瘤组织和细胞系中高表达。lncRNA TCTN2的敲低通过调控Cyclin D1/p21和Bax/Bcl-2信号抑制细胞增殖,诱导细胞周期阻滞和凋亡。同时,lncRNA TCTN2的下调通过上调MMP2/MMP9抑制HCC细胞的迁移和侵袭。机制研究表明,lncRNA TCTN2通过海绵作用miR-1285-3p上调ARF6的表达。抢救实验表明,miR-1285-3p抑制剂逆转了lncRNA TCTN2的抗肿瘤作用,敲低ARF6抑制了HCC的进展。结论:我们的研究结果表明,lncRNA TCTN2的下调通过调节miR-1285-3p/ARF6轴抑制HCC的发展,这意味着lncRNA TCTN2在HCC中上调,可能作为HCC的诊断生物标志物。此外,它可能对HCC患者的临床治疗具有重要价值。
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引用次数: 0
Recent Patents of Pharmaceutical Co-Crystals: Product Development on Anti-Cancer Drugs and Beyond. 药物共晶的最新专利:抗癌药物及其他领域的产品开发。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1574892817666220913151252
A Mohamed Sheik Tharik, S N Meyyanathan

Background: Scientists, academicians, and researchers from academics and the pharmaceutical industries have all expressed interest in the design and production of pharmaceutical cocrystals in recent years. The development of novel drug products with enhanced physicochemical and pharmacological characteristics is aided by the cocrystallization of drug substances.

Objective: The major problem with drug candidates is their solubility and bioavailability, which may be solved with the appropriate molecular modifications. The failure of most drug candidates in earlier clinical trials is also reawakening interest. In that connection, pharmaceutical cocrystals are vital in the development of dosage forms in the field of pharmaceutical technology. The goal of this manuscript is to provide a comprehensive overview of cocrystal synthesis methods and characterization techniques.

Conclusion: In this review, it is evident that the solvent-free technique has several benefits over solvent-based approaches in the design and production of pharmaceutical cocrystals, and that these methodologies can also open opportunities for further advancement in the field of cocrystal synthesis. This manuscript provides a brief overview of each technique for manufacturing pharmaceutical cocrystals and an analysis of cocrystals. This manuscript has highlighted points on whether cocrystals comply with the requirements for intellectual property rights and how they will impact the current pharmaceutical industry. The impact of recent patents on pharmaceutical cocrystals is examined in depth with relevant examples.

背景:近年来,来自学术界和制药行业的科学家、院士和研究人员都对药物共晶的设计和生产表示了兴趣。原料药的共结晶有助于开发具有增强物理化学和药理学特性的新型药物。目的:候选药物的主要问题是其溶解度和生物利用度,这可以通过适当的分子修饰来解决。大多数候选药物在早期临床试验中的失败也重新唤起了人们的兴趣。在这方面,药物共晶在制药技术领域剂型的发展中是至关重要的。这份手稿的目的是提供一个全面的概述共晶合成方法和表征技术。结论:在本综述中,无溶剂技术在设计和生产药物共晶方面明显优于基于溶剂的方法,并且这些方法也为共晶合成领域的进一步发展提供了机会。这份手稿提供了制造药物共晶和共晶分析的每个技术的简要概述。这份手稿强调了共晶是否符合知识产权的要求,以及它们将如何影响当前的制药行业。最近的专利对药物共晶的影响通过相关的例子进行了深入的研究。
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引用次数: 3
ZFP36L1 Promotes Gastric Cancer Progression via Regulating JNK and p38 MAPK Signaling Pathways. ZFP36L1通过调控JNK和p38 MAPK信号通路促进胃癌进展。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1574892817666220524102403
Kang Ding, Fengping Zhang, Gaoxiu Qi, Meng Lin Lin, Min Chen, Yanchun Chen, Jie Zheng, Fenghua Zhou

Background: The RNA-binding protein Zinc Finger Protein 36 like 1(ZFP36L1) plays an important role in regulating the AU-rich elements (AREs) in the 3' untranslated region (3' UTR) of mRNAs, indicating a potential link between its expression and cancers. However, the role and mechanism of ZFP36L1 in gastric cancer (GC) are unclear.

Objectives: This study aimed to explore the role and mechanism of ZFP36L1 in gastric cancer.

Materials and methods: GC tissue samples and matched normal gastric tissues were collected, and the ZFP36L1 expression in these samples was evaluated by immunohistochemistry analysis. GC cells with different differentiation were selected for in vitro experiments. The ZFP36L1 expression in GC cells was examined by quantitative real-time polymerase chain reaction (qRTPCR) and Western blot analysis. The viability and invasiveness of GC cells were assayed by 5- Ethynyl-2-deoxyuridine (EdU) and Transwell assays, respectively. Western blot assay was used to detect the expression of epithelial-to-mesenchymal transition (EMT) related proteins and proteins of the c-Jun N-terminal kinase (JNK) and p38 Mitogen-Activated Protein Kinase (MAPK) signaling pathways.

Results: ZFP36L1 is overexpressed in GC tissues. Patients with high ZFP36L1 expression have a poor prognosis. Moreover, ZFP36L1 is overexpressed in the cell lines with a high degree of malignancy. ZFP36L1 increases cell proliferation, invasion, and migration in vitro. Furthermore, ZFP36L1 induces EMT. The JNK inhibitor and p38 inhibitor alone or in combination affect the biological function of GC cells. Furthermore, ZFP36L1 promotes GC progression by inhibiting JNK and p38 MAPK signaling pathways.

Conclusion: RNA-binding protein ZFP36L1 exerts a role in the occurrence of gastric cancer by the regulation of the JNK and p38 MAPK signaling pathways. The combination of inhibitors of the JNK and p38 MAPK signaling pathways could be a novel treatment strategy for gastric cancer.

背景:rna结合蛋白锌指蛋白36样1(ZFP36L1)在调控mrna 3'非翻译区(3' UTR)的富au元件(AREs)中发挥重要作用,提示其表达与癌症之间存在潜在联系。然而,ZFP36L1在胃癌(GC)中的作用和机制尚不清楚。目的:探讨ZFP36L1在胃癌中的作用及机制。材料和方法:收集GC组织样本和匹配的正常胃组织,通过免疫组织化学分析评估ZFP36L1在这些样本中的表达。选择不同分化的GC细胞进行体外实验。采用定量实时聚合酶链反应(qRTPCR)和Western blot检测GC细胞中ZFP36L1的表达。采用5-乙基-2-脱氧尿苷(EdU)法和Transwell法测定GC细胞的活力和侵袭性。Western blot检测上皮-间质转化(EMT)相关蛋白、c-Jun n-末端激酶(JNK)和p38丝裂原活化蛋白激酶(MAPK)信号通路蛋白的表达。结果:ZFP36L1在GC组织中过表达。ZFP36L1高表达的患者预后较差。此外,ZFP36L1在恶性程度高的细胞系中过表达。ZFP36L1增加体外细胞增殖、侵袭和迁移。此外,ZFP36L1诱导EMT。JNK抑制剂和p38抑制剂单独或联合作用影响GC细胞的生物学功能。此外,ZFP36L1通过抑制JNK和p38 MAPK信号通路促进GC进展。结论:rna结合蛋白ZFP36L1通过调控JNK和p38 MAPK信号通路参与胃癌的发生。联合抑制JNK和p38 MAPK信号通路可能是一种新的胃癌治疗策略。
{"title":"ZFP36L1 Promotes Gastric Cancer Progression <i>via</i> Regulating JNK and p38 MAPK Signaling Pathways.","authors":"Kang Ding,&nbsp;Fengping Zhang,&nbsp;Gaoxiu Qi,&nbsp;Meng Lin Lin,&nbsp;Min Chen,&nbsp;Yanchun Chen,&nbsp;Jie Zheng,&nbsp;Fenghua Zhou","doi":"10.2174/1574892817666220524102403","DOIUrl":"https://doi.org/10.2174/1574892817666220524102403","url":null,"abstract":"<p><strong>Background: </strong>The RNA-binding protein Zinc Finger Protein 36 like 1(ZFP36L1) plays an important role in regulating the AU-rich elements (AREs) in the 3' untranslated region (3' UTR) of mRNAs, indicating a potential link between its expression and cancers. However, the role and mechanism of ZFP36L1 in gastric cancer (GC) are unclear.</p><p><strong>Objectives: </strong>This study aimed to explore the role and mechanism of ZFP36L1 in gastric cancer.</p><p><strong>Materials and methods: </strong>GC tissue samples and matched normal gastric tissues were collected, and the ZFP36L1 expression in these samples was evaluated by immunohistochemistry analysis. GC cells with different differentiation were selected for in vitro experiments. The ZFP36L1 expression in GC cells was examined by quantitative real-time polymerase chain reaction (qRTPCR) and Western blot analysis. The viability and invasiveness of GC cells were assayed by 5- Ethynyl-2-deoxyuridine (EdU) and Transwell assays, respectively. Western blot assay was used to detect the expression of epithelial-to-mesenchymal transition (EMT) related proteins and proteins of the c-Jun N-terminal kinase (JNK) and p38 Mitogen-Activated Protein Kinase (MAPK) signaling pathways.</p><p><strong>Results: </strong>ZFP36L1 is overexpressed in GC tissues. Patients with high ZFP36L1 expression have a poor prognosis. Moreover, ZFP36L1 is overexpressed in the cell lines with a high degree of malignancy. ZFP36L1 increases cell proliferation, invasion, and migration in vitro. Furthermore, ZFP36L1 induces EMT. The JNK inhibitor and p38 inhibitor alone or in combination affect the biological function of GC cells. Furthermore, ZFP36L1 promotes GC progression by inhibiting JNK and p38 MAPK signaling pathways.</p><p><strong>Conclusion: </strong>RNA-binding protein ZFP36L1 exerts a role in the occurrence of gastric cancer by the regulation of the JNK and p38 MAPK signaling pathways. The combination of inhibitors of the JNK and p38 MAPK signaling pathways could be a novel treatment strategy for gastric cancer.</p>","PeriodicalId":20774,"journal":{"name":"Recent patents on anti-cancer drug discovery","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10339355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Nano-Based Drug Delivery of Anticancer Chemotherapeutic Drugs Targeting Breast Cancer. 靶向乳腺癌的抗癌化疗药物的纳米药物递送。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/157489281703220610170559
Akanksha Behl, Anil K Chhillar

Background: Chemotherapeutic drugs are principally intended to treat breast cancer. However, sooner or later, tumor drug resistance developed. These chemo drugs are effective but with numerous side effects. Breast cancer care may be extremely difficult since recurring cancer is frequently pre-treated with powerful agents. Cancer cells acquire high resistance to earlier therapies, necessitating alternative and more powerful drugs. Nanoparticles (NPs) as a medication delivery technology can overcome medication resistance in breast cancer and significantly reduce the effective dose. The off-targeted nature of chemo drugs can be resolved by encapsulating or attaching chemo drugs in nanocarriers, specifically targeting breast cancer cells.

Objectives: This review highlights various chemo drugs for breast cancer and their encapsulation or bioconjugation with nanoparticles for its targeted delivery.

Conclusion: Nanoparticles may subsist valuable abet in breast cancer management in this regard. Given that traditional chemotherapy approaches have been demonstrated to have several side effects and defects during treatment, the NPs-mediated drug delivery mechanism is a possible contender for replacement as a new technique.

背景:化疗药物主要用于治疗乳腺癌。然而,肿瘤耐药性迟早会出现。这些化疗药物很有效,但也有很多副作用。乳腺癌的护理可能非常困难,因为复发的癌症经常要用强效药物进行预处理。癌细胞对早期的治疗产生了很高的耐药性,这就需要替代和更强效的药物。纳米颗粒(NPs)作为一种给药技术,可以克服乳腺癌的耐药性,显著降低有效剂量。化疗药物的非靶向性可以通过在纳米载体中包裹或附着化疗药物来解决,特别是针对乳腺癌细胞。目的:本文综述了用于乳腺癌的各种化疗药物及其与纳米颗粒的包封或生物偶联以实现其靶向递送。结论:纳米颗粒可能在乳腺癌治疗中发挥重要作用。鉴于传统的化疗方法已被证明在治疗过程中存在一些副作用和缺陷,nps介导的药物传递机制可能作为一种新技术被取代。
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引用次数: 4
Multifunctional Patented Nanotherapeutics for Cancer Intervention: 2010- Onwards. 用于癌症干预的多功能专利纳米疗法:2010年起。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1574892817666220322085942
Parijat Pandey, Hitesh Chopra, Deepak Kaushik, Ravinder Verma, Deepika Purohit, Jatin Parashar, Vineet Mittal, Habibur Rahman, Saurabh Bhatia, Pradeep Kumar, Tanima Bhattacharya, Priti Tagde, Ahmed Al-Harrasi

Even today, cancer is one of the prominent leading causes of death worldwide. However, there are a couple of treatment options available for management, but the adverse effects are more prominent as compared to therapeutic effects. Therefore, there is a need to design some midway that may help to bypass the negative effects or lower their severity. Nanotechnology has addressed many issues, still many miles are needed to cover before reaching the center stage. The developed nanoformulations can target distant organs owing to their multifunctionality and targeting potential. Stimuli-responsive nanomedicine is one of the most exploited formulations. They can encapsulate and release the drugs for a higher period. However, they release a burst mechanism. The other nanoformulations contain dendrimers, micelles, and lipid-based nano-formulations that have been developed and evaluated for their efficacy in cancer treatment. This review paper highlights some significant patents granted/applied in various patent offices around the globe to treat cancer using the nanotechnology. The Google Patent, United States Patent and Trademark Office (USPTO), Escapenet, and many others were used as the search engine for patent search, and data were collected and analyzed. They used these patented technologies for diagnostic and treatment options, enhancing the absorption, distribution, metabolism, and excretion (ADME) profile of therapeutic molecules.

即使在今天,癌症仍然是全世界最主要的死亡原因之一。然而,有一些治疗方案可供选择,但与治疗效果相比,不良反应更为突出。因此,有必要设计一些中间路线,以帮助绕过负面影响或降低其严重程度。纳米技术已经解决了许多问题,但在达到中心阶段之前还有很长的路要走。由于其多功能性和靶向潜力,所开发的纳米制剂可以靶向远端器官。刺激反应型纳米药物是目前开发最多的药物之一。它们可以将药物包封并释放更长时间。然而,它们释放出一种爆发机制。其他的纳米制剂包含树突大分子、胶束和基于脂质的纳米制剂,这些纳米制剂已被开发出来并被评估用于癌症治疗的有效性。本文重点介绍了全球各专利局在利用纳米技术治疗癌症方面授予/申请的一些重要专利。利用谷歌专利、美国专利商标局(USPTO)、Escapenet等多个网站作为专利检索的搜索引擎,收集并分析数据。他们将这些专利技术用于诊断和治疗选择,增强治疗分子的吸收、分布、代谢和排泄(ADME)谱。
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引用次数: 3
Venetoclax in Acute Myeloid Leukemia. Venetoclax在急性髓系白血病中的作用。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1574892817666220429105338
Romeo G Mihăilă

Background: Substantial progress in the therapeutic arsenal used to treat acute myeloid leukemia became possible in the last decade, as a result of advances in gene editing and descriptive and functional genomics.

Objective: The aim of this study is to analyze the efficacy and safety of venetoclax in the treatment of acute myeloid leukemia.

Methods: A mini-review was achieved using the articles published in PubMed and Web of Science in the last year, prior to 05.05.2021, which were searched using the terms "acute myeloid leukemia" and "venetoclax" and the new patents published in this field.

Results: BCL-2 inhibitors administered in monotherapy are active against acute myeloid leukemia cells, but their efficacy is partially limited because they do not target other antiapoptotic proteins and venetoclax induced overexpression of the other antiapoptotic molecules. Venetoclax-based combinations (including those with hypomethylating agents) were able to improve outcomes for older patients with acute myeloid leukemia, including both remission rates and overall survival. Other drugs used in combination with venetoclax include: FLT3 inhibitors, IDH2 inhibitors, chidamide, ibrutinib, lapatinib, mivebresib, triptolide, metabolic inhibitors, nucleoside analogs, and classical chemotherapeutics. Both the mechanisms of venetoclax resistance and the ways to overcome it, as well as the adverse effects of venetoclax are analyzed.

Conclusion: The management of unfit and older patients with acute myeloid leukemia should be personalized and be the result of evaluating patient- and disease-specific factors that are essential to their care. Combinations that include venetoclax are an increasingly well-documented option for many of them.

背景:在过去十年中,由于基因编辑和描述性和功能基因组学的进步,用于治疗急性髓性白血病的治疗武器库取得了实质性进展。目的:分析维妥乐治疗急性髓系白血病的疗效和安全性。方法:使用检索词“acute myeloid leukemia”和“venetoclax”以及该领域发表的新专利,检索2021年5月5日前在PubMed和Web of Science上发表的文章,进行小型综述。结果:BCL-2抑制剂在单药治疗中对急性髓系白血病细胞有活性,但其疗效部分受到限制,因为它们不靶向其他抗凋亡蛋白和venetoclax诱导其他抗凋亡分子的过表达。以venetoclax为基础的联合治疗(包括与低甲基化药物联合治疗)能够改善老年急性髓性白血病患者的预后,包括缓解率和总生存率。与venetoclax联合使用的其他药物包括:FLT3抑制剂、IDH2抑制剂、奇达胺、依鲁替尼、拉帕替尼、米韦布雷布、雷公藤甲素、代谢抑制剂、核苷类似物和经典化疗药物。分析了维托霉霉耐药的机理、克服途径以及维托霉霉的不良反应。结论:不适应和老年急性髓性白血病患者的管理应个性化,并应评估患者和疾病特异性因素,这些因素对他们的护理至关重要。对他们中的许多人来说,包括venetoclax的组合是一个越来越好的选择。
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引用次数: 0
Meet the Associate Editorial Board Member 会见副编辑委员会成员
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/157489281804230217100937
A. Sapino
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引用次数: 0
The Efficacy and Safety of Anlotinib Alone and in Combination with Other Drugs in Previously Treated Advanced Thymic Epithelia Tumors: A Retrospective Analysis. Anlotinib单用和联合其他药物治疗晚期胸腺上皮肿瘤的疗效和安全性:回顾性分析。
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.2174/1574892818666221122114753
Shuo Li, Haiyan Zhou, Xiqin Zhang, Bing Bu, Rongjie Tao, Hui Zhang, Jinming Yu

Background: Thymic epithelial tumors (TETs) are rare thoracic malignancies with no standard second-line treatment. Tumor angiogenesis is closely associated with the pathogenesis and invasiveness of TETs. Anlotinib is a small-molecule multitarget tyrosine kinase inhibitor (TKI) which inhibits tumor angiogenesis and tumor cell proliferation. Published studies have demonstrated the promising clinical effect of multitarget TKIs sunitinib and lenvatinib in previously treated TETs. However, TKIs have a high incidence of adverse events (AEs).

Objective: In this study, we investigated the clinical efficacy and safety of anlotinib in previously treated TET patients.

Methods: We collected clinical data of 22 patients from Shandong Cancer Hospital and Institute between October 2018 and March 2022. These patients were diagnosed with advanced TETs and received at least the first-line (1st-line) treatment. We analyzed the clinical effects between anlotinib monotherapy and anlotinib combination therapy in the second-line (2nd-line) or anlotinib treatment in different lines.

Results: These 22 patients included 18 cases of thymic carcinoma (TC) and 4 cases of thymoma (T). 68.2% of patients were males, and the median age was 53 years. Fourteen patients (63.6%) received anlotinib monotherapy and 8 patients (36.4%) received anlotinib combination therapy. The objective response rate (ORR) was 9.1% in the overall patients. The median progression-free survival (PFS) in the overall population was 12 months (14 months for T and 9 months for TC), and the median overall survival (OS) was 24 months (survival was not reached for T and was 24 months for TC). The incidence of AEs was 50%, most of them were grades I and II, and the incidence of grades III and IV AEs was 9%.

Conclusion: This is the first study reporting the clinical effect of anlotinib in previously treated TETs patients. The survival data indicate that the efficacy of anlotinib is superior to sunitinib and lenvatinib. Our results suggest that anlotinib is a promising treatment option for previously treated TET patients and its toxicity is tolerable. More research and patents are needed in the future to explore better options for the diagnosis and treatment of TETs.

背景:胸腺上皮肿瘤是一种罕见的胸部恶性肿瘤,没有标准的二线治疗方法。肿瘤血管生成与TETs的发病机制和侵袭性密切相关。Anlotinib是一种小分子多靶点酪氨酸激酶抑制剂(TKI),具有抑制肿瘤血管生成和肿瘤细胞增殖的作用。已发表的研究表明,多靶点TKIs舒尼替尼和lenvatinib在先前治疗的TETs中具有良好的临床效果。然而,tki有很高的不良事件发生率(ae)。目的:本研究探讨安洛替尼治疗TET患者的临床疗效和安全性。方法:收集2018年10月至2022年3月山东省肿瘤医院肿瘤研究所22例患者的临床资料。这些患者被诊断为晚期TETs,并至少接受了一线治疗。我们分析了安洛替尼单药和安洛替尼联合治疗二线(二线)或不同线安洛替尼治疗的临床效果。结果:22例患者中胸腺癌(TC) 18例,胸腺瘤(T) 4例,男性占68.2%,中位年龄53岁。安洛替尼单药治疗14例(63.6%),安洛替尼联合治疗8例(36.4%)。总体患者的客观缓解率(ORR)为9.1%。总体人群的中位无进展生存期(PFS)为12个月(T为14个月,TC为9个月),中位总生存期(OS)为24个月(T未达到生存期,TC为24个月)。ae发生率为50%,以I级和II级为主,III级和IV级发生率为9%。结论:这是首个报道anlotinib在先前治疗过的TETs患者中的临床效果的研究。生存数据表明,anlotinib的疗效优于舒尼替尼和lenvatinib。我们的研究结果表明,对于先前治疗过的TET患者,anlotinib是一个很有希望的治疗选择,其毒性是可以忍受的。未来需要更多的研究和专利来探索诊断和治疗tet的更好选择。
{"title":"The Efficacy and Safety of Anlotinib Alone and in Combination with Other Drugs in Previously Treated Advanced Thymic Epithelia Tumors: A Retrospective Analysis.","authors":"Shuo Li,&nbsp;Haiyan Zhou,&nbsp;Xiqin Zhang,&nbsp;Bing Bu,&nbsp;Rongjie Tao,&nbsp;Hui Zhang,&nbsp;Jinming Yu","doi":"10.2174/1574892818666221122114753","DOIUrl":"https://doi.org/10.2174/1574892818666221122114753","url":null,"abstract":"<p><strong>Background: </strong>Thymic epithelial tumors (TETs) are rare thoracic malignancies with no standard second-line treatment. Tumor angiogenesis is closely associated with the pathogenesis and invasiveness of TETs. Anlotinib is a small-molecule multitarget tyrosine kinase inhibitor (TKI) which inhibits tumor angiogenesis and tumor cell proliferation. Published studies have demonstrated the promising clinical effect of multitarget TKIs sunitinib and lenvatinib in previously treated TETs. However, TKIs have a high incidence of adverse events (AEs).</p><p><strong>Objective: </strong>In this study, we investigated the clinical efficacy and safety of anlotinib in previously treated TET patients.</p><p><strong>Methods: </strong>We collected clinical data of 22 patients from Shandong Cancer Hospital and Institute between October 2018 and March 2022. These patients were diagnosed with advanced TETs and received at least the first-line (1st-line) treatment. We analyzed the clinical effects between anlotinib monotherapy and anlotinib combination therapy in the second-line (2nd-line) or anlotinib treatment in different lines.</p><p><strong>Results: </strong>These 22 patients included 18 cases of thymic carcinoma (TC) and 4 cases of thymoma (T). 68.2% of patients were males, and the median age was 53 years. Fourteen patients (63.6%) received anlotinib monotherapy and 8 patients (36.4%) received anlotinib combination therapy. The objective response rate (ORR) was 9.1% in the overall patients. The median progression-free survival (PFS) in the overall population was 12 months (14 months for T and 9 months for TC), and the median overall survival (OS) was 24 months (survival was not reached for T and was 24 months for TC). The incidence of AEs was 50%, most of them were grades I and II, and the incidence of grades III and IV AEs was 9%.</p><p><strong>Conclusion: </strong>This is the first study reporting the clinical effect of anlotinib in previously treated TETs patients. The survival data indicate that the efficacy of anlotinib is superior to sunitinib and lenvatinib. Our results suggest that anlotinib is a promising treatment option for previously treated TET patients and its toxicity is tolerable. More research and patents are needed in the future to explore better options for the diagnosis and treatment of TETs.</p>","PeriodicalId":20774,"journal":{"name":"Recent patents on anti-cancer drug discovery","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/a0/PRA-18-528.PMC10230606.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9611003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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Recent patents on anti-cancer drug discovery
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