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Adjuvant Approach to Mitigate the Adverse Effects of Cancer Treatments using Homeopathic Medicines 辅助方法减轻使用顺势疗法药物治疗癌症的不良反应
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-05-12 DOI: 10.2174/1573394718666220512163517
Arun Kumar, Mahima Sharma, Suneel Prajapati, Pankaj Gupta
Worldwide, cancer patients are facing problem with life-and-death decision due to the associated severe adverse and sometimes fatal effects of existing conventional treatments. Due to the severe adverse effects of existing therapies, effective cures are progressively explored for anticancer treatment.Mostly the conventional therapies are based upon nonspecific cellular destruction properties; therefore, a treatment approach is desired to reduce the toxic burden upon normal tissues. Among all alternative medicine systems, homeopathy is one of the most popular treatment for cancer patients globally due to its minimal side effects.In this present review, we have attempted to comprehend the literature reports of homeopathic medicine in cancer treatment.Homeopathy has also proved their adjuvant approach to minimize the symptomatic consequences of cancer. However, the insufficiency of evidence and lack of recurrence of the trials cause difficulty to draw any conclusive evidence about homeopathy as an adjuvant therapy. Based upon the etiology, genoprotective potential of homeopathic drugs was reviewed and found inconsequential evaluation and scanty literature.Hence, the present review gives a comprehensive summary of retrospective studies and suggests an integration of rational drug selection, standard protocols, and quantitative analysis for revealing the differential role and plausible application of homeopathy in better cancer management.
在世界范围内,癌症患者正面临着生死攸关的问题,因为现有的常规治疗方法会产生严重的不良反应,有时甚至是致命的影响。由于现有治疗方法的严重不良反应,有效的治疗方法正在逐步探索抗癌治疗。大多数常规疗法是基于非特异性细胞破坏特性;因此,需要一种治疗方法来减少对正常组织的毒性负担。在所有替代医学系统中,顺势疗法因其副作用最小而成为全球最受癌症患者欢迎的治疗方法之一。在这篇综述中,我们试图理解顺势疗法药物在癌症治疗中的文献报道。顺势疗法也证明了它们的辅助方法可以减少癌症的症状后果。然而,证据不足和缺乏复发的试验导致很难得出顺势疗法作为辅助治疗的任何结论性证据。基于病因,顺势疗法药物的基因保护潜力进行了回顾,发现评价不合理且文献匮乏。因此,本综述对回顾性研究进行了全面总结,并建议将合理的药物选择、标准方案和定量分析结合起来,揭示顺势疗法在更好的癌症治疗中的不同作用和合理应用。
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引用次数: 1
Hospital incidence and medical costs of female breast cancer in Spain: a retrospective multicenter study 西班牙女性乳腺癌的住院发病率和医疗费用:一项回顾性多中心研究
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-05-11 DOI: 10.2174/1573394718666220511115125
J. Darbà, A. Marsà
Breast cancer is the most prevalent cancer type in women worldwide, causing the greatest number of cancer-related deaths. This study aimed to evaluate the use of healthcare resources associated with female breast cancer in Spain, to analyze trends in hospitalization and death rates, and the related direct medical costs.A retrospective multicenter study was designed analyzing records of hospital and ambulatory visits of women diagnosed with breast cancer in Spanish hospitals between 1 January 2005 and 31 December 2018.In total, 353,080 admission files were reviewed, mainly inpatient hospital admissions, corresponding to 299,585 individual patients. Median patient age was 59 years, 12.7% of admissions registered the presence of metastatic tumors and 15.7% registered unspecified secondary tumors. Mean in-hospital death rate was 3.0% for patients without a metastatic disease and 10.5% in patients with a metastatic disease, decreasing significantly over the study period. Total age-adjusted hospitalization rate increased between 2005 and 2011, and decreased after 2012. Mean direct medical cost was €3824 per outpatient visit, €3995 per hospital admission up to 3 days and €5001 per hospital admission over 3 days. Admission cost increased in patients with a metastatic disease and in those deceased during the hospitalization.This study supports previous findings regarding the relative increase in breast cancer incidence that could be attributed to the intensive screening, along with the reduction in the death rate. Mean direct medical cost in this study varied greatly with length of stay, presence of metastatic tumors and disease fatality.
癌症是全世界女性中最常见的癌症类型,导致癌症相关死亡人数最多。本研究旨在评估西班牙女性癌症相关医疗资源的使用情况,分析住院率和死亡率的趋势以及相关的直接医疗费用。设计了一项回顾性多中心研究,分析2005年1月1日至2018年12月31日期间西班牙医院诊断为癌症的女性的住院和门诊就诊记录。共审查了353080份入院文件,主要是住院患者,对应于299585名个体患者。中位患者年龄为59岁,12.7%的入院患者登记有转移性肿瘤,15.7%的患者登记有未指明的继发性肿瘤。无转移性疾病患者的平均住院死亡率为3.0%,有转移性疾病的患者为10.5%,在研究期间显著下降。2005年至2011年间,经年龄调整的总住院率有所上升,2012年后有所下降。平均直接医疗费用为每次门诊3824欧元,每次住院3天3995欧元,每次入院3天5001欧元。转移性疾病患者和住院期间死亡患者的住院费用增加。这项研究支持先前关于癌症发病率相对增加的研究结果,这可能归因于强化筛查以及死亡率的降低。在这项研究中,平均直接医疗费用随着住院时间、转移性肿瘤的存在和病死率的变化而变化很大。
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引用次数: 0
Theranostics and nanoparticular approaches for the treatment of oral squamous cell carcinoma 口腔鳞状细胞癌的治疗学和纳米粒子入路
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-05-11 DOI: 10.2174/1573394718666220511114831
Sankha Bhattacharya
Oral squamous cell carcinoma (OSCC), one of the most common types of oral cancer, is a significant cause of morbidity and mortality worldwide. OSCC is typically treated with a multidisciplinary approach that includes surgery, chemotherapy, and radiation after a definitive oral cancer diagnosis. Conventional chemotherapy drugs, on the other hand, maybe ineffective and have a variety of side effects. Many techniques for treating and diagnosing various types of oral cancer have been proven and approved, while others are currently being researched in clinical trials. This mini review aimed to explain the current preclinical status of nano-based techniques for diagnosing and treating OSCC successfully. This mini compilation also highlights new theranostics approaches for treating squamous cell carcinoma (OSCC). Cancer biomarker detection has also been improved thanks to nanotechnology, which has made it faster and more sensitive. Various nanoparticles have been used as innovation drivers to overcome these constraints and enhance in-situ drug delivery.
口腔鳞状细胞癌(OSCC)是癌症最常见的类型之一,是全球发病率和死亡率的重要原因。OSCC通常采用多学科方法进行治疗,包括在最终口腔癌症诊断后进行手术、化疗和放射治疗。另一方面,常规化疗药物可能无效,并有多种副作用。许多治疗和诊断各种类型口腔癌症的技术已经被证明和批准,而其他技术目前正在临床试验中进行研究。这篇小型综述旨在解释成功诊断和治疗OSCC的纳米技术的临床前现状。这个小汇编还强调了治疗鳞状细胞癌(OSCC)的新的治疗方法。由于纳米技术,癌症生物标志物检测也得到了改进,使其更快、更灵敏。各种纳米颗粒已被用作创新驱动因素,以克服这些限制并增强原位药物递送。
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引用次数: 0
Current views on oncolytic adenoviruses for cancer therapy 溶瘤腺病毒用于癌症治疗的最新观点
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-05-11 DOI: 10.2174/1573394718666220511115638
Sankha Bhattacharya
Oncolytic viruses replicate and spread in tumors at the same time, resulting in increased cytotoxicity and the reversal of tumor immune suppression. Among other viruses, recombinant adenoviruses that replicated in tumor cells were clinically tested via intratumoral or systemic administration. Although oncolytic virus replication kills tumor cells on its own, it may also activate the immune system, which can aid in tumor control. Viruses can be modified to improve their selectivity and effectiveness. Adenovirus genomes can be easily designed to incorporate various tumor-targeting pathways and therapeutic transgenes to improve antitumor properties. Poor tumor targeting, intratumoral expansion, and virocentric immune responses are all linked to low efficacy. As a result, more effective oncolytic adenoviruses that can be used alone or in combination with chemotherapy or immunotherapy are needed. Oncolytic Adenovirus (OAds) has long been considered a potential biotherapeutic agent against various cancers due to its ability to replicate cancer cells while remaining dormant in healthy cells selectively. Several preclinical studies using genetic engineering technology have increased antitumor OAds in various cancers in recent years. Systemic OAds administration is hampered by poor targeting tropism to healthy tissues, low-level ad receptors on tumor cells, and pre-existing neutralizing antibodies. Various discoveries have been made to overcome these barriers, including stem cells, nanoparticles, polymer shielding, extracellular vesicles, hydrogels, and microparticles (MPs). These carriers may improve Oncolytic viruses’ therapeutic efficacy by improving transfection, circulatory survival, cellular interactions, specific targeting, and immune response. The structure and biology of adenoviruses, the different types of OAds, and the efficacy of different carriers in the systemic administration of OAds were all examined in this review.
溶瘤病毒同时在肿瘤中复制和传播,导致细胞毒性增加和肿瘤免疫抑制的逆转。在其他病毒中,通过肿瘤内或全身给药对在肿瘤细胞中复制的重组腺病毒进行临床测试。尽管溶瘤病毒复制会自行杀死肿瘤细胞,但它也可能激活免疫系统,从而有助于控制肿瘤。可以对病毒进行修饰以提高其选择性和有效性。腺病毒基因组可以很容易地设计成结合各种肿瘤靶向途径和治疗性转基因,以提高抗肿瘤特性。肿瘤靶向性差、肿瘤内扩张和以病毒为中心的免疫反应都与低疗效有关。因此,需要更有效的溶瘤腺病毒,可以单独使用,也可以与化疗或免疫疗法联合使用。溶瘤腺病毒(OAds)长期以来一直被认为是一种潜在的抗各种癌症的生物治疗剂,因为它能够复制癌症细胞,同时选择性地在健康细胞中保持休眠状态。近年来,一些使用基因工程技术的临床前研究增加了各种癌症的抗肿瘤OAd。全身OAds给药受到健康组织靶向性差、肿瘤细胞上低水平ad受体和预先存在的中和抗体的阻碍。为了克服这些障碍,已经有了各种发现,包括干细胞、纳米颗粒、聚合物屏蔽、细胞外囊泡、水凝胶和微粒(MP)。这些载体可以通过改善转染、循环存活、细胞相互作用、特异性靶向和免疫反应来提高溶瘤病毒的治疗效果。本文对腺病毒的结构和生物学、不同类型的OAd以及不同载体在OAd系统给药中的疗效进行了综述。
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引用次数: 0
Recent Updates on Folate Targeted Drug Delivery Systems in Cancer: A Mini Review 癌症中叶酸靶向药物递送系统的最新进展:综述
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-05-08 DOI: 10.2174/1573394718666220508181053
Deepika Sharma, Manu Sharma, G. Bisht
Targeted drug delivery systems that selectively deliver anticancer drugs to tumour cells have always been a field of interest to reduce side effects associated with chemotherapy in cancer patients. Cancer cells require nutrients for their multiplication; folic acid is one such nutrient. Expression of folate receptors is negligible in normal cells, whereas they are overexpressed in a variety of cancer cells. A number of studies have shown that selective targeting of folate receptors in cancer is a beneficial approach, as folate targeted anticancer conjugates are selective towards cancer cells, thereby sparing non-cancerous cells. In this review, we have discussed folate receptor, folic acid as a cancer targeting moiety, different folate targeted anticancer drug conjugates, and different folate conjugated nanodelivery systems. This summarized information may turn out to be valuable for researchers to design novel folate targeted anticancer drug delivery systems having the potential to reduce the drawbacks associated with conventional cancer therapeutics.
选择性地向肿瘤细胞递送抗癌药物的靶向药物传递系统一直是减少癌症患者化疗相关副作用的研究领域。癌细胞的增殖需要营养;叶酸就是这样一种营养素。叶酸受体的表达在正常细胞中可以忽略不计,而在多种癌细胞中却过表达。许多研究表明,叶酸受体在癌症中的选择性靶向是一种有益的方法,因为叶酸靶向抗癌偶联物对癌细胞具有选择性,从而保护非癌细胞。本文综述了叶酸受体、叶酸作为抗癌靶向基团、不同的叶酸靶向抗癌药物缀合物以及不同的叶酸缀合纳米递送系统。这些总结的信息可能对研究人员设计新的叶酸靶向抗癌药物递送系统有价值,这些系统有可能减少传统癌症治疗相关的缺点。
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引用次数: 0
Meet The Editorial Board Member 见见编委会成员
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-05-01 DOI: 10.2174/157339471802220804153652
E. Bouffet
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引用次数: 0
Gastric Cancer: A review of risk factors and new insights into treatment 癌症:危险因素综述及治疗新见解
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-04-28 DOI: 10.2174/1573394718666220428105301
S. Azadbakht, P. Baharvand, M. Saki, Alireza Moayyedkazemi
Gastric cancer (GC) is one of the most frequent cancers in the world, whereas is ranked as the 4th most prevalent cancer and the second important reason of cancer death. Regrettably, GC is often diagnosed at a progressive phase; whereas the majority of patients are not having qualification for the remedial therapies in this stage. In addition, existing systemic chemotherapy exhibit the low efficiency and minimum survival profits. Now, GC therapy is multidisciplinary, and multiple option strategies are well-known; therefore, the present study reviewed the new insight into chemotherapy agents and various alternative and complementary strategies such as neoadjuvant &Adjuvant therapy, nanotherapy, natural medicines, etc. which are suggested for GC treatment. Moreover, we reviewed the current surgery techniques such as endoscopic resection, laparoscopic resection. We also summarized new insights into pathophysiology, epidemiology, risk factors, diagnosis, prevention and screening approaches in the GC.
癌症是世界上最常见的癌症之一,被列为癌症第四位和癌症死亡的第二重要原因。令人遗憾的是,GC的诊断往往处于进展阶段;而大多数患者在此阶段没有资格接受治疗。此外,现有的全身化疗效率低,生存率低。现在,GC治疗是多学科的,多种选择策略是众所周知的;因此,本研究综述了对化疗药物的新见解,以及对GC治疗提出的各种替代和补充策略,如新辅助和佐剂治疗、纳米治疗、天然药物等。此外,我们还回顾了目前的手术技术,如内窥镜切除术、腹腔镜切除术。我们还总结了GC的病理生理学、流行病学、危险因素、诊断、预防和筛查方法的新见解。
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引用次数: 0
Immunosuppressive function of intratumor red blood cells: An immunometabolic perspective 肿瘤内红细胞的免疫抑制功能:免疫代谢的观点
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-04-28 DOI: 10.2174/1573394718666220428120818
C. Papadopoulos
Erythrocyte could reach the tumor microenvironment after hemorrhage. Previous studies have proved that intratumor erythrocytes promote tumor cell proliferation and growth, while inducing an immunosuppressive state. In this viewpoint, i propose that a metabolite-induced immunosuppressive function of red blood cells could be triggered in the tumor microenvironment. Specifically, the presence of erythrocytes in a microenvironment with low glucose and glutamine, high cholesterol, lactate and lysophosphatidic acid, and inducers of erythrocyte death, could result in immunosuppression.
出血后红细胞可进入肿瘤微环境。先前的研究已经证明,肿瘤内红细胞促进肿瘤细胞的增殖和生长,同时诱导免疫抑制状态。从这个角度来看,我认为代谢产物诱导的红细胞免疫抑制功能可以在肿瘤微环境中触发。具体而言,红细胞存在于低葡萄糖和谷氨酰胺、高胆固醇、乳酸和溶血磷脂酸的微环境中,以及红细胞死亡的诱导剂,可能导致免疫抑制。
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引用次数: 3
In Silico Identification of Novel Quinoline-3-carboxamide Derivatives Targeting Platelet Derived Growth Factor Receptor 靶向血小板衍生生长因子受体的新型喹啉-3-甲酰胺衍生物的原位硅鉴定
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-04-21 DOI: 10.2174/1573394718666220421111546
Ganesh S. Mhaske, A. Sen, Ashish P. Shah, R. Khiste, Ajit V. Dale, D. Sen
Several computer-aided drug design (CADD)methods enable the design and development of novel chemical entities.Structure-based drug design (SBDD) and the knowledge of in silico methods enable the visualization of the binding process of ligands to targets and to predict the key binding pocket sites and affinity of ligands to their target macromolecules.The present study was carried out to identify novel N-2-amino-N-phenyl quinoline-3-carboxamide (AQCMs)derivatives targeting Platelet-derived growth factor receptor (PDGFR) to cure cancer using in silico approach.AQCMswere designed by using ChemAxon Marvin Sketch 5.11.5 software. SwissADME and admetSAR online webserver were used to predict physicochemical properties as well as the toxicity of compounds. Ligand-receptor interactions between quinoline-3-carboxamide derivatives with the target receptor (PDB:5GRN) were carried out using molecular docking technique by employing various softwares like AutoDock 1.1.2, MGL Tools 1.5.6, Discovery Studio Visualizer v20.1.0.19295, Procheck, ProtParam tool, and PyMOL.In silicoresults reveal that all designed compounds had acceptable pharmacokinetic properties, were found to be orally bioavailable, and less harmful. Molecules from 36 to 39 showed better docking scores as compared to standard drugs sunitinib and tasquinimod.Increase in binding energy and the number of H-bonds established by AQCMs with below 3.40 Å distance interactions allows a valuable starting point in order to optimize compounds for further investigation. Pharmacokinetics and toxicological profile build up the applicability of quinoline-3-carboxamide moiety as a potential new candidate for the cure of cancer that could help the medicinal chemists for additional extensive in vitro, in vivo chemical, and pharmacological investigations.
几种计算机辅助药物设计(CADD)方法使新型化学实体的设计和开发成为可能。基于结构的药物设计(SBDD)和计算机方法的知识使配体与靶标的结合过程可视化,并预测配体与靶标大分子的关键结合口袋位点和亲和力。本研究旨在利用计算机技术鉴定新的靶向血小板衍生生长因子受体(PDGFR)的N-2-氨基-N-苯基喹啉-3-甲酰胺(AQCMs)衍生物,以治疗癌症。AQCM采用ChemAxon Marvin Sketch 5.11.5软件进行设计。SwissADME和admetSAR在线网络服务器用于预测化合物的物理化学性质和毒性。喹啉-3-甲酰胺衍生物与靶受体(PDB:5GRN)之间的配体-受体相互作用使用分子对接技术进行,使用各种软件,如AutoDock 1.1.2、MGL Tools 1.5.6、Discovery Studio Visualizer v220.1.0.19295、Procheck、ProtParam tool,和PyMOL。计算机结果显示,所有设计的化合物都具有可接受的药代动力学特性,被发现具有口服生物可利用性,危害较小。与标准药物舒尼替尼和塔斯奎尼莫相比,36至39的分子显示出更好的对接得分。结合能的增加和距离低于3.40Å的AQCM建立的氢键数量的增加为优化化合物进行进一步研究提供了一个有价值的起点。药物动力学和毒理学概况建立了喹啉-3-甲酰胺部分作为治疗癌症的潜在新候选物的适用性,这可能有助于药物化学家进行进一步广泛的体外、体内化学和药理学研究。
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引用次数: 0
Anticancer Mechanism of D-limonene: An Updated Review and Therapeutic Possibilities d -柠檬烯的抗癌机制:最新综述和治疗可能性
IF 0.6 Q4 ONCOLOGY Pub Date : 2022-04-21 DOI: 10.2174/1573394718666220421112750
D. Mandal, T. Parija
Despite remarkable advancement in screening, diagnosis, and treatment modalities cancer remains the second leading cause of death globally. Chemoprevention is considered to be a potential strategy for dealing with cancer incidence and mortality. The present demand for a less toxic well-tolerated natural anticancer compound that can be used for chemoprevention has drawn the attention towards D-limonene, which is a monocyclic monoterpene found in citrus oil. In recent years several in vitro and in vivo studies have supported the anticancer potential of D-limonene in various cancers. Although these studies have highlighted its course of action through immune modulation, anti-oxidant activity, apoptosis, autophagy, etc. various scientific pieces of evidence support the fact that it targets multiple pathways to inhibit cancer.The current review focuses on the molecular mechanisms underlying the anticancer activity of D-limonene and discusses its potential to be used as a cost-effective chemopreventive and chemotherapeutic drug alone or in combination with other drugs.Scientific databases like Web of Science, Scopus, PubMed, Google Scholar, PubMed Central etc have been used to review new and recent insights into the anticancer mechanism of D-limonene.In this review, we discussed the overall, significance of the anticancer mechanisms of D-limonene which include modulation of apoptosis, promotion of autophagy and inhibition of angiogenesis and metastasis. It also inhibits oncogenic signaling molecules and related transcription factors. Additionally, it also acts in combination with other anticancer compounds to inhibit cancer.
尽管在筛查、诊断和治疗方式方面取得了显著进展,但癌症仍然是全球第二大死亡原因。化学预防被认为是应对癌症发病率和死亡率的一种潜在策略。目前对毒性较小、耐受性良好、可用于化学预防的天然抗癌化合物的需求引起了人们对D-柠檬烯的关注,D-柠檬烯是一种在柑橘油中发现的单环单萜。近年来,几项体外和体内研究支持了D-柠檬烯在各种癌症中的抗癌潜力。尽管这些研究强调了它通过免疫调节、抗氧化活性、细胞凋亡、自噬等作用的过程,但各种科学证据支持它靶向多种途径抑制癌症的事实。目前的综述集中在D-柠檬烯抗癌活性的分子机制上,并讨论了其作为一种具有成本效益的化学预防和化疗药物单独或与其他药物联合使用的潜力。科学数据库,如Web of Science、Scopus、PubMed、Google Scholar和PubMed Central等,已被用于综述对D-柠檬烯抗癌机制的最新见解。在这篇综述中,我们讨论了D-柠檬烯抗癌机制的总体意义,包括调节细胞凋亡、促进自噬以及抑制血管生成和转移。它还抑制致癌信号分子和相关转录因子。此外,它还与其他抗癌化合物联合作用以抑制癌症。
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引用次数: 1
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Current Cancer Therapy Reviews
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