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Next-generation drug conjugates for breast cancer: Clinical prospects and mechanism-based strategies to overcome resistance 用于乳腺癌的下一代药物偶联物:临床前景和克服耐药性的基于机制的策略。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-08 DOI: 10.1016/j.drudis.2026.104599
Monong Zhao , Wenjing Liu , Wenjia Lu , Zhiyu Li , Hongxi Wu
Antibody–drug conjugates (ADCs) have revolutionized breast cancer (BC) therapy, yet their efficacy is limited by resistance. With advances in ADC technology, broader paradigms of next-generation drug conjugates have emerged. For BC treatment, emerging drug conjugates under current clinical trials include degrader–antibody conjugates, antibody–oligonucleotide conjugates, immune-stimulating antibody conjugates, small molecule–drug conjugates, and peptide–drug conjugates. These agents exhibit significant potential in the treatment of BC and in bypassing ADC common resistance pathways through novel molecular mechanisms or delivery pathways. In this review, we elucidate the structures and mechanisms of these emerging drug conjugates, summarize their latest research progress, and analyze their potential to overcome ADC resistance, aiming to contribute to the development of drug conjugates in the future.
抗体-药物偶联物(adc)已经彻底改变了乳腺癌(BC)的治疗,但其疗效受到耐药性的限制。随着ADC技术的进步,下一代药物偶联物的更广泛的范例已经出现。对于BC治疗,目前临床试验中的新兴药物偶联物包括降解抗体偶联物、抗体寡核苷酸偶联物、免疫刺激抗体偶联物、小分子药物偶联物和肽药物偶联物。这些药物在治疗BC和通过新的分子机制或递送途径绕过ADC常见耐药途径方面显示出巨大的潜力。本文综述了这些新兴药物偶联物的结构和作用机制,总结了它们的最新研究进展,并分析了它们克服ADC耐药的潜力,旨在为未来药物偶联物的发展做出贡献。
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引用次数: 0
Insights into the cell type-specific susceptibility of kidney cells to ferroptosis 肾细胞对铁下垂细胞类型特异性敏感性的研究。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-06 DOI: 10.1016/j.drudis.2026.104598
Xinlan Hu , Yan Wu , Qingsong Chen , Zhuo Chen , Qianbin Li
Ferroptosis is a regulated form of cell death driven by iron-dependent lipid peroxidation. Emerging evidence implicates ferroptosis in the pathogenesis of various kidney diseases by inducing death in renal tubular epithelial cells (RTECs), podocytes, mesangial cells (MCs), and endothelial cells (ECs), which exhibit distinct structural and functional traits that might determine their differential susceptibility to ferroptosis. Despite its importance, the precise mechanism of ferroptosis in kidney pathology remains unclear, limiting its therapeutic potential and drug development. Understanding cell type-specific ferroptosis mechanisms and their spatial distribution in kidney diseases could provide novel insights for renal protection. In this review, we summarize current knowledge regarding ferroptosis susceptibility in different renal cell types to bridge cellular and organ-level perspectives for potential translational applications.
铁下垂是一种受铁依赖性脂质过氧化作用驱动的细胞死亡的调节形式。新出现的证据表明,通过诱导肾小管上皮细胞(RTECs)、足细胞、系膜细胞(MCs)和内皮细胞(ECs)死亡,铁下垂与各种肾脏疾病的发病机制有关,这些细胞表现出不同的结构和功能特征,这可能决定了它们对铁下垂的不同易感性。尽管其重要性,铁下垂在肾脏病理中的确切机制尚不清楚,限制了其治疗潜力和药物开发。了解细胞类型特异性铁下垂机制及其在肾脏疾病中的空间分布可以为肾脏保护提供新的见解。在这篇综述中,我们总结了目前关于不同肾细胞类型的铁下垂易感性的知识,以架起细胞和器官水平的桥梁,为潜在的翻译应用。
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引用次数: 0
Oncology pharmaceutical mergers and acquisitions activity in the precision medicine era 精准医疗时代的肿瘤制药并购活动。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2025.104578
Linjie Wang , Eric Parolin , Zoey Chopra , Garth W Strohbehn
Oncology is the biopharmaceutical industry’s most active area for mergers and acquisitions (M&A) activity, reflecting both the scientific innovation and economics of precision medicines in the modern context. This review characterizes trends in 151 publicly disclosed pharmaceutical oncology M&A transactions between 2000 and 2019, showing that oncology dealmaking is increasingly concentrated among a small group of acquirers, that the bulk of acquisitions are of assets that are early in their development, and that deal structures increasingly emphasize milestone-linked and deferred payments. Together, these trends reveal how regulatory incentives, macroeconomic conditions, and productivity challenges have reshaped the scale and structure of oncology M&A in the precision-medicine era.
肿瘤学是生物制药行业并购(M&A)活动最活跃的领域,反映了现代背景下精准医疗的科学创新和经济效益。本综述分析了2000年至2019年期间151笔公开披露的肿瘤药物并购交易的趋势,表明肿瘤交易越来越集中在一小部分收购者手中,大部分收购的资产处于开发初期,交易结构越来越强调里程碑式和延期付款。总之,这些趋势揭示了监管激励、宏观经济条件和生产力挑战如何重塑了精准医疗时代肿瘤并购的规模和结构。
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引用次数: 0
Gallium-based antimicrobials: mechanisms of action, resistance outlook, and translational potential for next-generation anti-infective therapies 镓基抗菌剂:作用机制,耐药前景和下一代抗感染治疗的转化潜力。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2025.104581
Hui Yan , Gao-Min Liu , Xiang Li , Meng-Shuang Zhao , Jia-Bin Li , Ya-Sheng Li
Bacterial resistance to antibiotics is increasing, seriously threatening human health; thus, the search for alternatives to antibiotics has become a significant research focus. Antimicrobial metals have long been used for their therapeutic properties, and different metals have specific antimicrobial mechanisms of action. Gallium shows broad antibacterial activity in vitro and in vivo, as well as synergistic antibacterial activity with other drugs, highlighting its potential clinical application for the treatment of infectious diseases. Here, we review research into the antimicrobial effects and mechanisms of action of gallium ions, as well as the clinical application of gallium ion-related drugs. Our review provides a theoretical reference for the application of the antimicrobial properties of gallium ions in clinical treatment.
细菌对抗生素的耐药性日益增强,严重威胁人类健康;因此,寻找抗生素的替代品已成为一个重要的研究重点。抗菌金属因其治疗特性而长期被使用,不同的金属具有特定的抗菌作用机制。镓在体外和体内均表现出广泛的抗菌活性,并与其他药物具有协同抗菌活性,在治疗感染性疾病方面具有潜在的临床应用前景。本文就镓离子的抗菌作用、作用机制以及镓离子相关药物的临床应用等方面的研究进展进行综述。为镓离子抗菌特性在临床治疗中的应用提供理论参考。
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引用次数: 0
Emerging cell surface glycoRNAs with potential regulatory roles 具有潜在调节作用的新兴细胞表面糖rna。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2025.104591
Guillermo Aquino-Jarquin
Glycosylated RNAs (glycoRNAs) have recently emerged as an unexpected class of RNA–glycan hybrids, expanding the chemical and functional landscape of the transcriptome. Their covalent glycan modifications confer molecular features typically reserved for glycoproteins and glycolipids. Notably, proximity ligation studies demonstrate that glycoRNAs reside on the cell surface, overturning the long-standing paradigm that RNAs function exclusively inside cells. This extracellular localization suggests that glycoRNAs engage membrane lectins, immune receptors, and signaling complexes with regulatory consequences distinct from canonical RNA biology. These discoveries position glycoRNAs as previously unrecognized mediators of intercellular communication, immune tuning, and tumor-associated signaling.
糖基化rna (glycoRNAs)最近作为一类意想不到的rna -聚糖杂交体出现,扩展了转录组的化学和功能景观。它们的共价聚糖修饰赋予了通常为糖蛋白和糖脂保留的分子特征。值得注意的是,近距离连接研究表明糖rna存在于细胞表面,推翻了长期以来rna只在细胞内起作用的范式。这种细胞外定位表明,糖RNA参与膜凝集素、免疫受体和信号复合物,具有不同于典型RNA生物学的调节作用。这些发现将糖rna定位为以前未被识别的细胞间通讯、免疫调节和肿瘤相关信号的介质。
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引用次数: 0
Exosomal heterogeneity and functional zonation in cancer drug resistance 肿瘤耐药的外泌体异质性和功能分区。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2025.104587
Shikshya Swarupa Panda, Rajeev Kumar Sahoo, Sambit Kumar Patra, Sachidananda Behera, Ashish Kumar Khamari, Bijesh Kumar Biswal
Exosomes are nanoscale extracellular vesicles that mediate critical intercellular communication within the tumor microenvironment (TME). Recent advancements reveal that exosome populations within tumors are not uniform but exhibit significant heterogeneity in their molecular cargo and functional output. This heterogeneity is particularly pronounced in spatially organized tumors, where distinct functional zones, driven by gradients in local stress, perfusion, and metabolic states, orchestrate the release of unique exosome subtypes. These functional zones include stromal, hypoxic, perivascular, quiescent, and immune-cold regions. The zone-specific exosomes deliver specialized molecular cargos, including nucleic acids, proteins, lipids, and metabolites, to recipient cells within the TME and at distant sites. This communication promotes tumor sustenance and contributes to drug resistance through diverse mechanisms, such as immune suppression, epithelial–mesenchymal transition (EMT), metabolic reprogramming, and the activation of prosurvival signaling pathways. Although bulk exosome analysis has enabled the development of biomarkers for personalized medicine, it often fails to capture these intricate, zone-specific influences. This review explores emerging techniques, including single-cell sequencing, microchip-based 3D tumor cultures, advanced spectroscopic methods, and spatial biology platforms, that are poised to elucidate the spatiotemporal communication networks mediated by zonal exosomes, thereby advancing the understanding of drug resistance mechanisms.
外泌体是纳米级细胞外囊泡,介导肿瘤微环境(TME)内关键的细胞间通讯。最近的进展表明,肿瘤内的外泌体种群并不均匀,但在其分子货物和功能输出方面表现出显著的异质性。这种异质性在空间组织的肿瘤中尤为明显,在局部应激、灌注和代谢状态的梯度驱动下,不同的功能区协调了独特的外泌体亚型的释放。这些功能区包括间质区、缺氧区、血管周围区、静止区和免疫冷区。区域特异性外泌体将特定的分子货物,包括核酸、蛋白质、脂质和代谢物,运送到TME内和远处的受体细胞。这种交流通过多种机制促进肿瘤维持并有助于耐药,如免疫抑制、上皮-间质转化(EMT)、代谢重编程和促生存信号通路的激活。尽管大量外泌体分析使个性化医疗的生物标志物的发展成为可能,但它往往无法捕捉到这些复杂的、区域特异性的影响。本综述探讨了新兴技术,包括单细胞测序、基于微芯片的三维肿瘤培养、先进的光谱方法和空间生物学平台,这些技术有望阐明由区域化外泌体介导的时空通信网络,从而促进对耐药机制的理解。
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引用次数: 0
Evaluating the potential of mRNA technology for cytokine production and delivery in antitumor therapy 评估mRNA技术在抗肿瘤治疗中细胞因子产生和传递的潜力。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2025.104590
Zi-Xian Liao , S.-Ja Tseng
Tumors evolve in tandem with their tumor microenvironment (TME), often creating an immunosuppressive state that hinders anticancer responses. Whereas antitumor immunostimulating cytokines can reverse this suppression and trigger effective immunity, their systemic administration causes severe toxicity, limiting their clinical use. mRNA technology, recognized as a medical breakthrough highlighted by COVID-19 vaccines, offers a promising approach. This review posits that local delivery of mRNA-encoded antitumor cytokines to the TME enables targeted, in situ production, maximizing antitumor effects while minimizing systemic toxicity.
肿瘤与其肿瘤微环境(TME)一起进化,通常会产生免疫抑制状态,阻碍抗癌反应。虽然抗肿瘤免疫刺激细胞因子可以逆转这种抑制并触发有效免疫,但它们的全身给药会导致严重的毒性,限制了它们的临床应用。mRNA技术被认为是新冠病毒疫苗突出的医学突破,提供了一种有希望的方法。这篇综述认为,将mrna编码的抗肿瘤细胞因子局部递送到TME,可以实现靶向的原位生产,最大限度地提高抗肿瘤效果,同时最小化全身毒性。
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引用次数: 0
Trait-based ViTAP assessment of pandemic potential for US avian influenza A (H5N1) clade 2.3.4.4b 基于特征的美国甲型H5N1进化枝2.3.4.4b禽流感大流行潜力的ViTAP评估
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2026.104596
Charles H. Jones , Marie Beitelshees
Highly pathogenic avian influenza A (H5N1) clade 2.3.4.4b is now widespread in US birds and has spilled over into mammals, raising concern about pandemic emergence. We applied the Viral Trait Assessment for Pandemics (ViTAP) model to score 11 intrinsic viral traits using a structured literature review, expert elicitation, and sensitivity analyses. The resulting composite score for contemporary US H5N1 was 3.28/5 (moderate–high risk); transmission-related traits contributed most to score uncertainty, while the absence of sustained human–human spread currently limits risk. Thus, ViTAP provides a transparent way to prioritize surveillance, countermeasure development, and preparedness as H5N1 continues to evolve.
高致病性禽流感A (H5N1)进化枝2.3.4.4b现在在美国鸟类中广泛传播,并已蔓延到哺乳动物中,引起了对大流行出现的担忧。我们利用结构化的文献综述、专家启发和敏感性分析,应用大流行病毒特征评估(ViTAP)模型对11个内在病毒特征进行评分。当代美国H5N1的综合评分为3.28/5(中高风险);与传播相关的特征对得分的不确定性贡献最大,而缺乏持续的人际传播目前限制了风险。因此,随着H5N1病毒的不断演变,ViTAP提供了一种透明的方式来确定监测、制定对策和防备的优先次序。
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引用次数: 0
Spatiotemporal control of prodrug activation through external stimuli for effective and safe on-site release in solid tumors: From current advances to future perspectives 通过外部刺激对实体肿瘤中有效和安全的现场释放的前体药物激活的时空控制:从目前的进展到未来的展望
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2025.104595
Gabriele La Monica , Alessia Bono , Federica Alamia , Antonino Lauria , Annamaria Martorana
Achieving precise control over anticancer drug activity remains a key challenge in prodrug design. Stimuli-responsive systems address this limitation by enabling selective drug release within the tumor microenvironment. Among them, externally activated prodrugs (triggered by light, ionizing radiation, or ultrasound) offer superior spatial and temporal precision, with minimal systemic toxicity. This review critically examines recent advances in design strategies, activation mechanisms, and the translational potential of these systems, including both organic photocages and emerging metal-based platforms [e.g. Pt(IV) and Ru(II) complexes]. Particular attention is given to their integration with next-generation therapeutic modalities such as proteolysis-targeting chimeras (PROTACs) and antibody–drug conjugates (ADCs). Externally triggered prodrug technologies are poised to redefine precision oncology by improving efficacy, safety, and on-demand activation from molecular design to preclinical validation.
实现对抗癌药物活性的精确控制仍然是前药设计的关键挑战。刺激反应系统通过在肿瘤微环境中选择性释放药物来解决这一限制。其中,外部激活的前药(由光、电离辐射或超声触发)具有优越的空间和时间精度,具有最小的全身毒性。本文综述了这些系统在设计策略、激活机制和转化潜力方面的最新进展,包括有机光笼和新兴的金属基平台[例如Pt(IV)和Ru(II)配合物]。特别关注的是它们与下一代治疗方式的整合,如蛋白水解靶向嵌合体(PROTACs)和抗体-药物偶联物(adc)。外部触发前药技术通过提高从分子设计到临床前验证的有效性、安全性和按需激活,准备重新定义精确肿瘤学。
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引用次数: 0
Transformers in drug discovery: fine-tuning ChemBERTa for high-accuracy prediction of solubility, toxicity and binding affinity 药物发现中的变压器:微调ChemBERTa用于高精度预测溶解度,毒性和结合亲和力。
IF 7.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-01 DOI: 10.1016/j.drudis.2026.104602
Sandhya Alagarsamy , Chin-Shiuh Shieh , Mong-Fong Horng , Subhashini Radhakrishnan , Sethuraman Radhakrishnan , Abdelwahab Omri
Drug discovery is still an expensive and time-consuming enterprise, a majority of clinical trial failures being traced to inaccurate predictions of molecular properties. To address this challenge, a new technique: fine-tuning transformer-based model ChemBERTa, is presented to achieve an accurate molecular property prediction. The hybrid architecture outperforms traditional networks, such as MolBERT, by combining ChemBERTa and graph neural networks. This superiority is supported by statistical tests, and the effectiveness of this model on systems of complex chemical structures is proved by the systematic error analysis. The technique proves effective on pharmaceutical and non-pharmaceutical compounds alike in the pesticide sector. This approach underlines the ability of AI to help and improve efficacy in drug discovery, lower the cost and improve clinical success rates.
药物发现仍然是一项昂贵而耗时的事业,大多数临床试验的失败可追溯到对分子特性的不准确预测。为了应对这一挑战,研究人员提出了一种新技术:基于变压器的微调模型ChemBERTa,以实现准确的分子性质预测。通过结合ChemBERTa和图神经网络,混合架构优于传统网络,如MolBERT。统计检验证明了该模型的优越性,系统误差分析也证明了该模型对复杂化学结构体系的有效性。该技术被证明对农药领域的药物和非药物化合物都有效。这种方法强调了人工智能在帮助和提高药物发现效率、降低成本和提高临床成功率方面的能力。
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引用次数: 0
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Drug Discovery Today
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