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Streptomyces Paradigm in Anticancer Therapy: A State-of-the Art Review 链霉菌在抗癌治疗中的研究进展
Q4 ONCOLOGY Pub Date : 2023-10-10 DOI: 10.2174/0115733947254550230920170230
Yashendra Sethi, Vidhi Vora, Onyekachi Emmanuel Anyagwa, Nafisa Turabi, Maya Abdelwahab, Oroshay Kaiwan, Hitesh Chopra, Mohamed S. Attia, Galal Yahya, Talha Bin Emran, Inderbir Padda
Abstract: Cancer is one of the biggest threats to human health with a global incidence of 23.6 million, mortality of 10 million, and an estimated 250 million lost in disability-adjusted life years (DALYs) each year. Moreover, the incidence, mortality, and DALYs have increased over the past decade by 26.3%, 20.9%, and 16.0%, respectively. Despite significant evolutions in medical therapy and advances in the DNA microarray, proteomics technology, and targeted therapies, anticancer drug resistance continues to be a growing concern and invites regular discovery of potent agents. One such agent is the microbe-producing bioactive compounds like Streptomyces, which are proving increasingly resourceful in anticancer therapy of the future. Streptomyces, especially the species living in extreme conditions, produce bioactive compounds with cytolytic and anti-oxidative activity which can be utilized for producing anticancer and chemo-preventive agents. The efficacy of the derived compounds has been proven on cell lines and some of these have already established clinical results. These compounds can potentially be utilized in the treatment of a variety of cancers including but not limited to colon, lung, breast, GI tract, cervix, and skin cancer. The Streptomyces, thus possess the armory to fuel the anticancer agents of the future and help address the problem of rising resistance to currently available anti-cancer drugs. We conducted a state-of-art review using electronic databases of PubMed, Scopus, and Google scholar with an objective to appraise the currently available literature on Streptomyces as a source of anti-cancer agents and to compile the clinically significant literature to update the clinicians.
摘要:癌症是人类健康的最大威胁之一,全球发病率为2360万,死亡率为1000万,估计每年损失2.5亿残疾调整生命年(DALYs)。此外,在过去十年中,发病率、死亡率和DALYs分别增加了26.3%、20.9%和16.0%。尽管在医学治疗方面取得了重大进展,在DNA微阵列、蛋白质组学技术和靶向治疗方面取得了进展,但抗癌药物耐药性仍然是一个日益受到关注的问题,并要求定期发现有效的药物。其中一种药物是产生微生物的生物活性化合物,如链霉菌,它在未来的抗癌治疗中被证明是越来越多的资源。链霉菌,特别是生活在极端条件下的链霉菌产生具有细胞溶解和抗氧化活性的生物活性化合物,可用于生产抗癌和化学预防剂。衍生化合物的功效已经在细胞系上得到证实,其中一些已经有了临床结果。这些化合物可以潜在地用于治疗各种癌症,包括但不限于结肠癌、肺癌、乳腺癌、胃肠道、宫颈癌和皮肤癌。链霉菌,因此拥有的军械库,燃料的抗癌药物的未来,并有助于解决日益增长的抗药性的问题,目前可用的抗癌药物。我们使用PubMed、Scopus和谷歌scholar的电子数据库进行了一项最新的综述,目的是评估目前关于链霉菌作为抗癌药物来源的文献,并汇编具有临床意义的文献以更新临床医生。
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引用次数: 0
The Therapeutic Effects of Bromelain against Colorectal Cancer: A Systematic Review 菠萝蛋白酶对结直肠癌的治疗作用:系统综述
Q4 ONCOLOGY Pub Date : 2023-10-10 DOI: 10.2174/0115733947253563230922092456
Mojgan Forootan, Mehdi Mohammadian Amiri, Mohammad Darvishi, Catherine MT Sherwin, Koruosh Ghanadi
Background: Colorectal cancer (CRC) is one of the most prevalent cancers worldwide. Objective: Considering the side effects of chemotherapy treatments, we reviewed the anti-cancer effects and mechanisms of bromelain on colon cancer cells in this study. Methods: The PRISMA guidelines were followed in the design of this systematic review. Various databases, including PubMed, Web of Science, Cochrane Library, and Scopus, were thoroughly searched. Finally, 14 articles were retrieved after considering the study's inclusion and exclusion criteria. The desired data were extracted, entered into an Excel file, and the study results were reviewed. Results: According to the included studies, bromelain can significantly reduce the survival and death of cloned cancer cells through different mechanisms. These mechanisms include impeding tumor growth and metastasis by reducing mucins production/secretion and increasing/reducing reactive oxygen species (ROS) production. Moreover, bromelain induces apoptosis via reduced expression of Bcl-2, extracellular signal-related kinase (ERK), Akt, activation caspase system (caspase-3, 7, 8, and 9), and extranuclear p53. Ferroptosis was another mechanism of causing cell death. In addition, bromelain activates the autophagy pathway, lysosome formation, and deregulation of other autophagyrelated proteins. Conclusion: Bromelain effectively inhibits colon cancer cells' growth, proliferation, and metastasis and reduces their survival by different mechanisms. Therefore, after examining clinical studies, it can be used as an effective drug for treating CRC.
背景:结直肠癌(CRC)是世界范围内最常见的癌症之一。目的:结合化疗的副作用,综述菠萝蛋白酶对结肠癌细胞的抗癌作用及其机制。方法:本系统评价的设计遵循PRISMA指南。各种数据库,包括PubMed, Web of Science, Cochrane Library和Scopus,都进行了彻底的搜索。在考虑纳入和排除标准后,最终检索到14篇文章。提取所需数据,输入Excel文件,并对研究结果进行审查。结果:纳入的研究表明,菠萝蛋白酶可通过不同机制显著降低克隆癌细胞的存活和死亡。这些机制包括通过减少粘蛋白的产生/分泌和增加/减少活性氧(ROS)的产生来阻碍肿瘤的生长和转移。此外,菠萝蛋白酶通过降低Bcl-2、细胞外信号相关激酶(ERK)、Akt、激活caspase系统(caspase-3、7、8和9)以及核外p53的表达诱导细胞凋亡。铁下垂是引起细胞死亡的另一机制。此外,菠萝蛋白酶激活自噬途径,溶酶体的形成,并解除其他自噬相关蛋白的调控。结论:菠萝蛋白酶通过不同机制有效抑制结肠癌细胞的生长、增殖和转移,降低结肠癌细胞的存活。因此,经过临床研究,它可以作为治疗结直肠癌的有效药物。
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引用次数: 0
Identification of Potential Lead Compounds against BCL-2 through in-silico Screening of Phytochemicals of Nigella sativa and Cuscuta reflexa for Oral Squamous Cell Carcinoma Management 通过黑草和菟丝子植物化学物质的计算机筛选鉴定抗BCL-2的潜在先导化合物用于口腔鳞状细胞癌的治疗
Q4 ONCOLOGY Pub Date : 2023-10-10 DOI: 10.2174/0115733947249560231003111214
N. Fazulu Nisa Begum, Pratibha Ramani, Mukesh Doble, Abilasha Ramasubramanian
Significance of the study: The present study has attempted to assess Bcl2 the efficacy of combination of the Nigella sativa and Cuscuta reflexa to target BCL-2 for anticancer treatment through computer aided drug designing approach.Insilico analysis is frequently used in physicochemical characterisation, the discovery and improvement of novel compounds with affinity to a target, and the elucidation of absorption, distribution, metabolism, excretion, and toxicity features. Aim: The aim of this study is to assess the efficacy of Nigella sativa and Cuscuta reflexa in targeting Bcl2-antiapoptotic protein in Oral Squamous Cell Carcinoma through Insilico analysis. Materials and Methods: The present study was designed to formulate a drug against Oral Squamous cell carcinoma against the target protein Bcl-2. Protein Database (PDB) was used to select and analyse the protein. Based on the literature search, the original molecules selected were thymoquinone, tannin pyrogallol, Cuscutin, kaempferol, nigellicine and the ligand structures were obtained ZINC15 database. Target protein structure was recognised through Protein sequence from PB (Protein Data Bank). Swiss ADME was used for assessing the properties of the molecules. Twenty new molecules were identified from zinc pharmer and docking was done for all the 20 using Swiss dock. Binding energy was assessed and compared with the original molecules.ZINC73690300 and ZINC73690304 had better binding energy than that of original molecules. Both molecules can be potential candidates for Bcl2 inhibition to prevent OSCC. Results: ZINC73690300 and ZINC73690304 had better binding energy than that of the original molecules. Both molecules can be potential candidates for Bcl-2 inhibition to prevent OSCC. Conclusion: The present study evaluated the binding energy and bioavailability of the combined extract, thus attempting to predict the target ligand binding between the compounds in OSCC before attempting in vitro studies.-
研究意义:本研究试图通过计算机辅助药物设计的方法,评估黑皮草与菟丝子联合靶向BCL-2抗癌治疗的效果。硅分析经常用于物理化学表征,发现和改进与靶标有亲和力的新化合物,以及阐明吸收,分布,代谢,排泄和毒性特征。目的:通过Insilico分析,探讨黑草和菟丝子对口腔鳞状细胞癌bcl2抗凋亡蛋白的靶向作用。材料与方法:本研究旨在制备一种靶向Bcl-2的口腔鳞癌药物。利用蛋白质数据库(Protein Database, PDB)对蛋白质进行筛选和分析。通过文献检索,筛选出的原始分子为百里醌、单宁、邻苯三酚、山核桃素、山奈酚、奈格利啶,并获得配体结构的ZINC15数据库。通过PB (protein Data Bank)的蛋白序列识别靶蛋白结构。瑞士ADME用于评估分子的性质。从锌农中鉴定出20个新分子,并利用瑞士对接对其进行对接。评估结合能,并与原始分子进行比较。ZINC73690300和ZINC73690304具有较好的结合能。这两种分子都可能是抑制Bcl2以预防OSCC的潜在候选分子。结果:ZINC73690300和ZINC73690304具有较好的结合能。这两种分子都可能是抑制Bcl-2以预防OSCC的潜在候选分子。结论:本研究评估了联合提取物的结合能和生物利用度,从而尝试在体外研究之前预测化合物在OSCC中的靶配体结合
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引用次数: 0
Narrative Testimony and Characteristics of Rottlerin for the Treatment of Various Kinds of Cancer 罗特勒林治疗各类肿瘤的叙事证据及特点
Q4 ONCOLOGY Pub Date : 2023-10-08 DOI: 10.2174/0115733947244863230928095352
Lopamudra Mishra, Lakshmi Kumari, Preeti Patel, Amrita Singh, Balak Das Kurmi
From ancient times until now, scientists have focused on herbal medicaments for treating various diseases. Rottlerin, a potent PKCδ inhibitor, is one of the greatest herbal medications. Over the years, it was identified that rottlerin has several cellular and molecular targets that could be involved in the fight against cancer. The past and present research has clearly shown that rottlerin inhibits the transcription factors, enzymes, and signaling molecules that regulate the death and life of cancer cells. Although the anticancer property of rottlerin has primarily been attributed to the induction of autophagy and apoptosis, current research has revealed the existence of different damage pathways. The major part described in this mini-review is the antitumor/anticancer effects of rottlerin in various organs of the human body affected by breast cancer, pancreatic cell cancer, bladder cancer, NSCLC, prostate cancer, ovarian cancer, nasopharyngeal cancer, etc.
从古至今,科学家们一直致力于用草药来治疗各种疾病。Rottlerin是一种有效的PKCδ抑制剂,是最好的草药之一。多年来,人们已经确定,rotlerin有几个细胞和分子靶标,可以参与对抗癌症。过去和现在的研究都清楚地表明,rotlerin能够抑制调控癌细胞生死的转录因子、酶和信号分子。虽然rotlerin的抗癌特性主要归因于诱导自噬和凋亡,但目前的研究表明存在不同的损伤途径。在这篇综述中主要描述的是rotlerin在乳腺癌、胰腺癌、膀胱癌、非小细胞肺癌、前列腺癌、卵巢癌、鼻咽癌等影响人体各器官的抗肿瘤/抗癌作用。
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引用次数: 0
A Systemic Review on Photodynamic Therapy: Emerging Technology with Healing Process 光动力疗法:与愈合过程相关的新兴技术综述
Q4 ONCOLOGY Pub Date : 2023-10-05 DOI: 10.2174/0115733947263042230920040145
Prachi varshney, Yogesh Kumar, Devdhar Yadav, Amit Singh, Naga Rani Kagithala, Pramod Kumar Sharma, Omji Porwal, Neeraj Kumar Fuloria, Pradeep Kumar Sharma, Ashok Kumar Gupta, GSN Koteswara Rao
Abstract: Photodynamic therapy (PDT) is a non-invasive treatment of cancer patients who take a photosensitizer and expose their tumours to light after administering it topically or intravenously. Understanding apoptosis under oxidative conditions makes PDT a more effective treatment. Tissue oxygen, tumour-selective photosensitizer dyes, and customised lighting are needed to create fatal reactive oxygen species (ROS) in cancer. PDT has decreased morbidity and improved survival and status of life when used in combination with other treatments, especially in early-stage malignant tumours. Using interstitial light delivery, PDT can cure large, hidden tumours that would otherwise necessitate extensive surgery. This overview describes the foundational historical work that has shaped the technique since the early 1900s. PDT's efficacy is also increased by innovative photosensitizers and tweaks that increase tumour selectivity. Adverse effects and treatment during therapy, as well as innovative PDT-based applications, are explored in this review. Finally, PDT research gaps and clinical trials have been identified as potential issues.
摘要:光动力疗法(PDT)是一种非侵入性治疗癌症患者服用光敏剂并在局部或静脉注射后将肿瘤暴露在光线下的治疗方法。了解氧化条件下的细胞凋亡使PDT成为一种更有效的治疗方法。组织氧、肿瘤选择性光敏剂染料和定制照明需要在癌症中产生致命的活性氧(ROS)。PDT在与其他治疗联合使用时,特别是在早期恶性肿瘤中,降低了发病率,改善了生存率和生活状态。利用间质性光传输,PDT可以治愈大的、隐藏的肿瘤,否则就需要进行广泛的手术。本文概述了自20世纪初以来形成该技术的基础历史工作。创新的光敏剂和微调提高了肿瘤的选择性,也提高了PDT的疗效。本文综述了治疗过程中的不良反应和治疗,以及基于pdp的创新应用。最后,PDT研究差距和临床试验已被确定为潜在问题。
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引用次数: 0
Targeted Treatment of Lung Cancer using Nanomaterials: Prospective and Advances 纳米材料靶向治疗肺癌:前景与进展
Q4 ONCOLOGY Pub Date : 2023-10-04 DOI: 10.2174/0115733947250534230922051549
Gupta Swati Sanjay kumar
Background: Lung cancer is the second most lethal type of cancer, with a poor survival rate of 5 years. It is one of those malignant tumors that has grown most rapidly in the context of mortality and morbidity. Aim: This review article aims to provide insight into current nanotechnological approaches taken into consideration that provide advantages over conventional chemotherapy. Result and Discussion: After comparing conventional chemotherapy and nanotechnology-based therapies for lung cancer, the results showed that recent advances in nanomaterials proved to be more effective in lung cancer diagnosis, mitigation and treatment. Here, Surface-engineered smart nanocarrier-based inhalations, Bio-nanocarriers for lung cancer, gas plasma nanoparticles, and magnetic nanoparticles are discussed. Conclusion: After summarizing these nanomaterials, investigators concluded that the in-vivo and invitro effectiveness of recently developed nanoparticles was found to be better than that of conventional nanoparticles.
背景:肺癌是第二大致死性癌症,5年生存率较低。它是在死亡率和发病率方面增长最快的恶性肿瘤之一。目的:这篇综述文章旨在提供当前纳米技术方法的见解,考虑到它比传统化疗更有优势。结果和讨论:在比较了传统化疗和基于纳米技术的肺癌治疗方法之后,结果表明纳米材料的最新进展被证明在肺癌的诊断、缓解和治疗方面更有效。本文讨论了基于表面工程的智能纳米载体吸入、肺癌生物纳米载体、气体等离子体纳米粒子和磁性纳米粒子。结论:在总结了这些纳米材料后,研究人员得出结论,发现最近开发的纳米颗粒的体内和体外有效性优于常规纳米颗粒。
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引用次数: 0
Circulating MiR-1185¸ MiR-3183, and MiR-584 Levels in Plasma as Diagnostic Non-invasive Biomarkers for Early Detection of Breast Cancer 血浆中循环MiR-1185、MiR-3183和MiR-584水平作为乳腺癌早期诊断的非侵入性生物标志物
Q4 ONCOLOGY Pub Date : 2023-09-15 DOI: 10.2174/1573394719666230915103139
Abolfazl Khalafi-Nezhad, Ahmad Abdollahi, Mahdi Barazesh, Marzieh Amani, Setare Motazedi, Vahid Ebrahimi, Ali Zarei
Introduction: MicroRNAs (miRNAs) are non-coding RNA molecules with short sequences that function as main post-transcriptional gene regulators of different biological pathways via negative regulation of gene expression, thereby leading to either mRNA degradation or translational blockade. Dysregulated expression of these miRNAs has been related etiologically to many human diseases, including breast cancer. Various cellular processes of breast cancer progression, including cell proliferation, apoptosis, metastasis, recurrence and chemodrug resistance, are modulated by oncogenic miRNA (oncomiR). Objective: The objective of this investigation was to study the expression level and potential diagnostic/prognostic roles of circulating microRNAs (miR-3183, miR-1185, and miR-584) as novel breast cancer biomarkers. Method: The current study was conducted on 99 breast cancer (BC) female patients, aged between 20-63 years old, as the case group and 50 age-matched healthy females as control (HC). After microRNA extraction from the serum samples, real-time PCR was carried out for relative expression quantification of miR-1185, miR-3183a, and miR-584. The ROC curve analysis was performed to investigate the diagnostic value of miRNAs. Result: It was demonstrated that miRNA-1185, miRNA-584, and miRNA-3183 were significantly up-regulated (p-values <0.0001) in female BC cases compared to the control group. Besides, based on the ROC analysis for BC versus HC, it was revealed that the AUC for miRNA-584 was 0.844 (95% confidence interval (CI) and could be proposed as a diagnostic biomarker for breast cancer screening and follow-up. Conclusion: MiRNAs expression profiling using blood-based samples demonstrated their upregulation in the serum and plasma and revealed the concept that circulating miRNAs have high potential as novel noninvasive biomarkers for cancer diagnosis and screening.
简介:MicroRNAs (miRNAs)是一种短序列的非编码RNA分子,通过负调控基因表达,在不同的生物学通路中发挥主要的转录后基因调控作用,从而导致mRNA降解或翻译阻断。这些mirna的表达失调与包括乳腺癌在内的许多人类疾病的病因学相关。乳腺癌进展的各种细胞过程,包括细胞增殖、凋亡、转移、复发和化疗耐药,都是由致癌miRNA (oncomiR)调节的。目的:本研究的目的是研究循环microrna (miR-3183, miR-1185和miR-584)作为新型乳腺癌生物标志物的表达水平和潜在的诊断/预后作用。方法:本研究以99例20 ~ 63岁女性乳腺癌患者为病例组,50例年龄匹配的健康女性为对照组。从血清样品中提取microRNA后,采用real-time PCR对miR-1185、miR-3183a和miR-584进行相对表达定量。采用ROC曲线分析探讨mirna的诊断价值。结果:与对照组相比,女性BC病例中miRNA-1185、miRNA-584和miRNA-3183显著上调(p值<0.0001)。此外,通过对BC和HC的ROC分析,发现miRNA-584的AUC为0.844(95%置信区间(CI)),可作为乳腺癌筛查和随访的诊断性生物标志物。结论:基于血液样本的MiRNAs表达谱显示其在血清和血浆中的上调,并揭示了循环MiRNAs作为癌症诊断和筛查的新型无创生物标志物的巨大潜力。
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引用次数: 0
Current perspectives of matrix metalloproteinase 11 (MMP11) as a diagnostic and therapeutic target for cancer 基质金属蛋白酶11 (MMP11)作为癌症诊断和治疗靶点的研究进展
Q4 ONCOLOGY Pub Date : 2023-09-14 DOI: 10.2174/1573394719666230914103330
Asokan Shobana, Remella Venkata Deeksha, Syed Ali Abdul Rahman, Tiviya Thangaswamy, Revathi Paramasivam Oviya, Gopisetty Gopal
Abstract: Matrix metalloproteinase 11 (MMP11), also known as stromelysin-3, is a member of the matrix metalloproteinases family of proteins that are involved in physiological and pathological extracellular matrix remodelling. MMP11 does not hydrolyse classical MMP substrates, such as laminin and fibronectin, and many of its substrates remain unknown, piquing the interest of researchers. Several studies have reported the role of MMP11 in inducing tumour growth by inhibiting apoptosis and promoting cancer cell migration and invasion. Various reports have shown its potential as a diagnostic and prognostic marker in a majority of cancers. MMP11 also induces an immune response as a tumour-associated antigen, and recent evidence shows the involvement of many microRNAs in targeting MMP11 in cancer, with prospective future applications in cancer immunotherapy and gene silencing. Owing to the importance of MMP11 in both cancer diagnosis and therapy, there is a need for deeper understanding of its mechanism and role in tumour progression. The current review focuses on the role of MMP11 in cell signalling pathways, its expression status in various cancers, and its potential in cancer treatment.
摘要:基质金属蛋白酶11 (Matrix metalloproteinase 11, MMP11)又称基质溶素-3,是基质金属蛋白酶家族的一员,参与生理和病理细胞外基质重塑。MMP11不能水解经典的MMP底物,如层粘连蛋白和纤维连接蛋白,而且它的许多底物仍然未知,这引起了研究人员的兴趣。一些研究报道了MMP11通过抑制细胞凋亡和促进癌细胞迁移和侵袭来诱导肿瘤生长的作用。各种报告表明它有潜力作为大多数癌症的诊断和预后标记物。MMP11还作为肿瘤相关抗原诱导免疫反应,最近的证据表明,许多microrna参与靶向MMP11在癌症中的作用,在癌症免疫治疗和基因沉默方面有前景的未来应用。由于MMP11在癌症诊断和治疗中的重要性,需要更深入地了解其在肿瘤进展中的机制和作用。目前的综述主要集中在MMP11在细胞信号通路中的作用,它在各种癌症中的表达状态,以及它在癌症治疗中的潜力。
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引用次数: 0
Aptamer-guided Selective Delivery of Therapeutics to Breast Cancer Cells Expressing Specific Biomarkers 适配体引导的选择性递送治疗表达特定生物标志物的乳腺癌细胞
Q4 ONCOLOGY Pub Date : 2023-09-11 DOI: 10.2174/1573394719666230911113126
Swaroop Kumar Pandey, Mradula Parul, Manikandan Santhanam
Abstract: Cancer biomarkers or tumor-associated antigens (TAA) are the focus area of current research in cancer biology for diagnosis, prognosis, screening, and targeted treatments. Breast cancer is the second most common type of cancer, affecting women more than men. Conventional methods and antibody-targeted therapies are less effective and suffer systemic cytotoxicity, poor tissue sensitivity, low penetration capacity, and reduced accumulation of the drug in tumor cells that limit its application and sometimes result in treatment failure. Opting for aptamer-mediated targeted delivery of various anti-cancer agents (drugs, siRNA, miRNA, shRNA and peptides) could possibly overcome these limitations by utilizing aptamer as a targeting ligand. The purpose of this article is to review the novel indicative biomarkers of breast cancer and also describe current applications of aptamer-guided active targeting systems in breast cancer therapy in vivo and in vitro.
摘要:肿瘤生物标志物或肿瘤相关抗原(TAA)是当前癌症生物学诊断、预后、筛查和靶向治疗的研究热点。乳腺癌是第二常见的癌症类型,对女性的影响大于男性。常规方法和抗体靶向治疗效果较差,存在全身细胞毒性、组织敏感性差、渗透能力低、药物在肿瘤细胞中的积累减少等问题,限制了药物的应用,有时导致治疗失败。选择适体介导的靶向递送各种抗癌药物(药物,siRNA, miRNA, shRNA和肽)可能会克服这些局限性,利用适体作为靶向配体。本文的目的是回顾新的乳腺癌指示性生物标志物,并描述了目前适体引导的活性靶向系统在体内和体外乳腺癌治疗中的应用。
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引用次数: 0
Pancreatic cancer: A review on pathophysiology, naturopathy, clinical treatment and outcomes 胰腺癌:病理生理学、自然疗法、临床治疗和预后的综述
Q4 ONCOLOGY Pub Date : 2023-08-30 DOI: 10.2174/1573394719666230830125213
Rituraj Chakraborty, Anupam Dutta, Bhargab Jyoti Baruah, Rajni Kumari, Priyanku Sarma, Ankita Sharma, Krishangi Goswami, Haritha Myakala, Akalesh Kumar Verma
Purpose: The study aimed to comprehend the molecular mechanisms and pathophysiology of pancreatic cancer with an emphasis on the advances in treatment options and the use of natural products as anticancer agents. Methods: The study involved a literature survey using PubMed, Web of Science and Google scholar database. The literature search was done using keywords “Pancreatic cancer”, “Chemotherapy”, “Mutations”, and “Natural compounds”. 266 articles were studied of which 201 were taken into consideration based on relevance to the topic. Results: Pancreatic cancer is associated with mutations of CDKN2A (encoding p16), KRAS, TP53 and SMAD4. MAPK, PI3K-AKT, and TGF- β pathway dysfunction also led to pancreatic cancer. Current clinical trial activities in pancreatic cancer target angiogenesis, surface receptors, cell cycle, DNA damage response, etc. Studies have shown that combining surgical resection with adjuvant chemotherapy increases survival rates in patients. New treatment options are on the rise for this cancer type, which is perioperative or neo-adjuvant therapy. Gemcitabine as a single treatment agent in pancreatic cancer has shown promising response with chemotherapy regimens using two combinations- Folfirinox and Gemcitabine/Nab-Paclitaxel giving a better response rate. Numerous natural substances, including curcumin, aloe vera, and taxol, which suppress oxidative stress, angiogenesis, JAK2 STAT3 pathways, and enhanced natural killer cell activity, have been explored as potential treatments for pancreatic cancer. Conclusions: With pancreatic cancer having a poor prognosis, investigations to comprehend its molecular underpinnings and research on natural chemicals could lead to the development of safer treatment alternatives with enhanced survival rates for pancreatic cancer patients.
目的:本研究旨在了解胰腺癌的分子机制和病理生理,重点介绍治疗方案的进展和天然产物作为抗癌药物的使用。方法:采用PubMed、Web of Science和Google scholar数据库进行文献调查。使用关键词“胰腺癌”、“化疗”、“突变”和“天然化合物”进行文献检索。研究了266篇文章,其中201篇根据与主题的相关性予以考虑。结果:胰腺癌与CDKN2A(编码p16)、KRAS、TP53和SMAD4基因突变有关。MAPK、PI3K-AKT和TGF- β通路功能障碍也可导致胰腺癌。目前胰腺癌的临床试验活动针对血管生成、表面受体、细胞周期、DNA损伤反应等。研究表明,手术切除联合辅助化疗可提高患者的生存率。这种癌症的新治疗选择正在增加,即围手术期或新辅助治疗。吉西他滨作为胰腺癌的单一治疗药物,在使用两种联合化疗方案(Folfirinox和吉西他滨/ nab -紫杉醇)时显示出有希望的反应,反应率更高。许多天然物质,包括姜黄素、芦荟和紫杉醇,可以抑制氧化应激、血管生成、JAK2 STAT3通路和增强自然杀伤细胞活性,已被探索作为胰腺癌的潜在治疗方法。结论:胰腺癌预后不良,对其分子基础的研究和对天然化学物质的研究可能会导致胰腺癌患者开发更安全的治疗方案,提高生存率。
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引用次数: 0
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