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Unraveling the Resistance: Challenges and Advances in PARP Inhibitor Therapy for BRCA1/2 Breast Cancer. 揭示耐药性:PARP抑制剂治疗BRCA1/2乳腺癌的挑战和进展。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206381898250428064533
Hongjun Tang, Jingsheng Chen, Kangwei Jiang, Jiangtao He, Fangming Tang, Dongbing Li, Yuye Wu

Breast cancer is the most prevalent malignant tumor among women globally, with breast cancer susceptibility genes (BRCA1 and BRCA2, BRCA1/2) mutations significantly increasing the risk of developing aggressive forms of the disease. Poly (ADP-ribose) polymerase (PARP) inhibitors (PARPi) have shown promise in treating BRCA1/2-mutated breast cancer by exploiting deficiencies in homologous recombination (HR) repair. However, the emergence of acquired resistance poses a significant challenge. Our study examines the mechanisms of PARPi resistance in BRCA1/2-mutated breast cancer, synthesizing recent clinical advancements and identifying key resistance pathways, including HR recovery, DNA replication fork stability, and epigenetic modifications. We also highlight potential strategies to overcome these challenges to PARPi resistance, such as combination therapies and novel targets. Our comprehensive analysis aims to inform future clinical practices and guide the development of more effective treatment strategies.

乳腺癌是全球女性中最常见的恶性肿瘤,乳腺癌易感基因(BRCA1、BRCA2、BRCA1/2)突变显著增加了发展为侵袭性乳腺癌的风险。聚(adp -核糖)聚合酶(PARP)抑制剂(PARPi)通过利用同源重组(HR)修复缺陷,在治疗brca1 /2突变乳腺癌方面显示出前景。然而,获得性耐药性的出现带来了重大挑战。我们的研究探讨了brca1 /2突变乳腺癌中PARPi耐药的机制,综合了最近的临床进展,并确定了关键的耐药途径,包括HR恢复、DNA复制叉稳定性和表观遗传修饰。我们还强调了克服PARPi耐药挑战的潜在策略,如联合治疗和新靶点。我们的综合分析旨在为未来的临床实践提供信息,并指导制定更有效的治疗策略。
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引用次数: 0
Novel Heterocyclic Compounds Exhibit Potent Antileukemic Activity through Selective Induction of Apoptosis and HDAC8 Interaction in AML Cells. 新型杂环化合物通过在AML细胞中选择性诱导凋亡和HDAC8相互作用显示出有效的抗白血病活性。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206370289250313062830
Tulio R Freitas, Fernanda de F S de Oliveira, Caique Lopes Duarte, Larissa R S P Baliza, Edward K S Goncalves, Silmara N de Andrade, Diego P Sangi, Fernando de P Varotti, Adriano de P Sabino

Introduction: Heterocyclic compounds serve as the structural framework for many commercially available drugs and are well known for their antitumor properties.

Aim: This study aimed to evaluate the cytotoxic effects, apoptosis induction, changes in cell cycle progression, and gene expression alterations of new heterocyclic compounds and their precursors against the acute monocytic leukemia cell line THP-1 through in vitro experimentation and computational approaches.

Methods: The study employed cytotoxicity assays, flow cytometry analyses, gene expression evaluations, oral bioavailability studies, and molecular modeling. Among the compounds tested, 6, 25, and 26 demonstrated the greatest potency and selectivity, exhibiting substantially increased cytotoxicity (1.18 μM < IC50 < 7.66 μM) against the THP-1 cell line. Investigations into apoptosis induction and cell cycle changes revealed that these compounds primarily caused an increase in the number of THP-1 cells undergoing apoptosis after 48 hours of treatment. Additionally, compounds 6 and 25 induced an accumulation of cells in the G0/G1 phase in the same cell line.

Results: Regarding gene expression, a shift in the expression profile of genes associated with apoptotic mechanisms was observed. Furthermore, in silico analysis revealed that these three active compounds potentially interact with histone deacetylase 8 (HDAC8), a protein known to be associated with cancer.

Conclusion: These findings underscore the potential of these compounds as candidates for the development of novel therapeutic approaches in oncology.

杂环化合物作为许多市售药物的结构框架,以其抗肿瘤特性而闻名。目的:通过体外实验和计算方法,探讨新型杂环化合物及其前体对急性单核细胞白血病细胞株THP-1的细胞毒作用、诱导凋亡、细胞周期进程的变化及基因表达的改变。方法:采用细胞毒性试验、流式细胞术分析、基因表达评估、口服生物利用度研究和分子模型。其中,化合物6、25和26对THP-1细胞株的细胞毒性(IC50 < 7.66 μM)显著提高(1.18 μM < IC50 < 7.66 μM)。对凋亡诱导和细胞周期变化的研究表明,这些化合物主要引起48小时后THP-1细胞凋亡数量的增加。此外,化合物6和25在同一细胞系中诱导细胞在G0/G1期积累。结果:在基因表达方面,观察到与凋亡机制相关的基因表达谱发生了变化。此外,计算机分析显示,这三种活性化合物可能与组蛋白去乙酰化酶8 (HDAC8)相互作用,这是一种已知与癌症相关的蛋白质。结论:这些发现强调了这些化合物作为开发肿瘤新治疗方法的候选物的潜力。
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引用次数: 0
Precision-engineered Carrageenan Gels: Boosting the Efficacy, Selectivity, and Release of Celecoxib for Lung Cancer Therapy. 精确工程卡拉胶凝胶:提高塞来昔布治疗肺癌的疗效、选择性和释放。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206376021250506104129
Akanksha Bhatt, Priyank Purohit, Magda H Abdellattif

Background: Lung cancer is one of the most widespread malignancies among all types of cancers. There is uncertainty in its treatment because of the selectivity. The investigation is aimed to enhance therapeutic efficacy through targeted improvements in drug selectivity and reduced toxicity by analyzing well-accepted cyclooxygenase (COX)-2, which is an enzyme target and a known therapeutic target for anti-inflammatory and antitumor agents.

Objective: The objective of the present research was to identify the most suitable counterpart for celecoxib, which would produce synergistic effects and improve the selectivity index, safety, and efficacy of targeting cancer cells.

Methods: The HOPE-62 cancer cell line and noncancerous LLC-MK2 cell line were used to analyze the activity of the prepared formulations. The effectiveness was compared by calculating the half-maximal inhibitory concentration (IC50) values of carrageenan, celecoxib, and celecoxib embedded with carrageenan. The release pattern of celecoxib from the carrageenan matrix was also determined by using a trans-diffusion cell; moreover, the binding sites of carrageenan and celecoxib were also evaluated through in silico molecular docking studies.

Results: Carrageenan showed promising anticancer activity, with an IC50 value of 17.3±2 μM against the HOPE- 62 cell line. When blended with celecoxib (15.6±2 μM), the combination achieved enhanced efficacy and improved selectivity over celecoxib alone (IC50 of 10.3±1.5 μM). In noncancerous LLC-MK2 cells, the IC50 values were observed to be significantly higher: 1484 ±6 μM in the combined formulation and with IC50 values of 559±3 μM and 878±4 μM, respectively, in celecoxib and carrageenan alone.

Conclusion: The carrageenan-embedded celecoxib exhibited a significant increase in the selectivity index from 32 to 144, which suggests enhanced anticancer activity with a favorable safety profile. Initially, sustained release of celecoxib from the blend was at a higher rate, but steadily maintained rates were. The In-silico docking studies also supported the synergistic activity of the combined form through separate interaction patterns without interfering with others. These findings underscore the therapeutic potential of excipient-drug blending strategies to achieve synergistic effects, excellent selectivity, and reduced toxicity in cancer treatments.

背景:肺癌是所有类型癌症中分布最广的恶性肿瘤之一。由于其选择性,其治疗存在不确定性。本研究旨在通过分析环氧化酶(COX)-2,通过有针对性地提高药物选择性和降低毒性来提高治疗效果,COX -2是一种酶靶点,也是抗炎和抗肿瘤药物的已知治疗靶点。目的:本研究旨在为塞来昔布寻找最合适的对应物,以产生协同效应,提高靶向癌细胞的选择性指数、安全性和有效性。方法:采用HOPE-62细胞株和lc - mk2细胞株对制剂进行活性分析。通过计算卡拉胶、塞来昔布和塞来昔布包埋卡拉胶的半最大抑制浓度(IC50)值来比较效果。采用反扩散池法测定了塞来昔布在卡拉胶基质中的释放规律;此外,还通过硅分子对接研究对卡拉胶和塞来昔布的结合位点进行了评价。结果:卡拉胶具有良好的抗肿瘤活性,对HOPE- 62细胞株的IC50值为17.3±2 μM。当与塞来昔布(15.6±2 μM)复配时,该组合比单独使用塞来昔布(10.3±1.5 μM)具有更高的疗效和选择性(IC50)。在非癌变的lc - mk2细胞中,观察到IC50值显着提高:联合制剂的IC50值为1484±6 μM,塞来昔布和卡拉胶单独的IC50值分别为559±3 μM和878±4 μM。结论:角叉菜胶包埋塞来昔布的选择性指数从32增加到144,表明其抗癌活性增强,且具有良好的安全性。最初,塞来昔布从混合物中以较高的速率持续释放,但稳定保持的速率为。硅对接研究也支持组合形式通过单独的相互作用模式而不干扰其他相互作用模式的协同活性。这些发现强调了赋形剂-药物混合策略在癌症治疗中实现协同效应、卓越的选择性和降低毒性方面的治疗潜力。
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引用次数: 0
Unveiling the Vital Role of ACTA2-AS1 in Human Cancers: Molecular Mechanisms and Clinical Applications. 揭示ACTA2-AS1在人类癌症中的重要作用:分子机制和临床应用。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206381499250607114710
Haodong He, Lumei Xiang, Baoqin Pi, Jingjie Yang, Wenjin Peng, Moyu Li, Haoran Liu, Xinyan Zheng, Haoyi Liu, Yuxiang Peng, Pengbo Zhang, Jiahe Zhang, Xin Chen, Yanlin Zhang, Meiyan Shuai, Feng Xu, Yan Cai, Chengfu Yuan

Background: The smooth muscle α‑actin 2‑antisense 1 (ACTA2-AS1), also known as ZXF1, is an emerging cancer-associated long non-coding RNA (lncRNA) that has garnered significant attention in recent years. ACTA2-AS1 is situated on human chromosome 10 at location 10q23.31, comprising five exons and a single transcript. The aberrant expression of ACTA2-AS1 has been noted in 10 malignant tumors, correlating significantly with unfavorable clinicopathological characteristics and poor patient prognosis.

Objective: This review encapsulates recent progress in ACTA2-AS1 research, examining its expression profile, biological functions, molecular mechanisms, and anticipated influence on cancer diagnosis, treatment, and prognosis, emphasizing its potential as a novel therapeutic target based on lncRNA and its prognostic utility as a biomarker.

Methods: Based on a comprehensive search of the PubMed database for the biological function of lncRNA ACTA2-AS1 in malignant tumors, the current research is systematically summarized and critically analyzed.

Results: ACTA2-AS1 plays a complex role in various biological processes in tumor cells, encompassing proliferation, apoptosis, and cell cycle arrest. It also contributes to migration, invasion, epithelial-mesenchymal transition (EMT), and drug resistance. Mechanistically, ACTA2-AS1 influences oncogenic or tumor-suppressive effects via a complex regulatory network. It can adsorb specific 5 miRNAs as competitive endogenous RNAs (ceRNAs), thereby mitigating the suppression of downstream mRNA targets implicated in tumorigenesis (e.g., SOX7, KLF9, CXCL2, BCL2L11, etc.) and modulating their downstream signaling pathways (e.g., Wnt5a/PKC, SMAD3, mTOR, etc.), demonstrating a broad spectrum of dual roles in carcinogenesis and tumor suppression.

Conclusion: ACTA2-AS1 is a promising biomarker and molecular target for the treatment of cancer.

背景:平滑肌α -肌动蛋白2-反义1 (ACTA2-AS1),也被称为ZXF1,是一种新兴的癌症相关长链非编码RNA (lncRNA),近年来引起了人们的极大关注。ACTA2-AS1位于人类10号染色体10q23.31位置,由5个外显子和1个转录本组成。ACTA2-AS1的异常表达已在10例恶性肿瘤中被发现,并与不良的临床病理特征和不良的患者预后显著相关。目的:本文综述了ACTA2-AS1的最新研究进展,探讨了其表达谱、生物学功能、分子机制及其对癌症诊断、治疗和预后的预期影响,强调了其作为基于lncRNA的新型治疗靶点的潜力及其作为生物标志物的预后价值。方法:在综合检索PubMed数据库中lncRNA ACTA2-AS1在恶性肿瘤中的生物学功能的基础上,对目前的研究进行系统总结和批判性分析。结果:ACTA2-AS1在肿瘤细胞的增殖、凋亡和细胞周期阻滞等多种生物学过程中发挥着复杂的作用。它还有助于迁移、侵袭、上皮-间质转化(EMT)和耐药性。在机制上,ACTA2-AS1通过一个复杂的调控网络影响致癌或肿瘤抑制作用。它可以吸附特定的5种mirna作为竞争性内源性rna (ceRNAs),从而减轻与肿瘤发生有关的下游mRNA靶点(如SOX7、KLF9、CXCL2、BCL2L11等)的抑制,并调节其下游信号通路(如Wnt5a/PKC、SMAD3、mTOR等),在致癌和肿瘤抑制中具有广泛的双重作用。结论:ACTA2-AS1是一种很有前景的肿瘤生物标志物和分子靶点。
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引用次数: 0
Targeting SHP2 Reverses BRAF Inhibitor Tolerance in Anaplastic Thyroid Carcinoma. 靶向 SHP2 可逆转无性甲状腺癌对 BRAF 抑制剂的耐受性。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/1871520623666230214093122
Tao Tang, Jie Zhou, Li-Xin Zhang, Gang Yang, Wei-Nan Li, Jian-Jiao Zhu, Yong-Fu Xiong, Jing-Dong Li

Background: To explore the possibility of a combination of dabrafenib and SHP2 inhibitor in the treatment of anaplastic thyroid carcinoma and to provide a new therapeutic strategy for the treatment of anaplastic thyroid cancer.

Methods: Firstly, a drug resistance model was established, and the expression levels of related RTK were detected by qPCR. Western blot was used to detect the protein expression levels of Akt and MAPK signaling pathways in the control group, single-drug group and two-drug combination group. The gene silencing of SHP2 was achieved by transfection of siRNA and verified by Western blot. CCK8 kit and clone formation assay were used to detect cell proliferation activity. In vivo model of mutant thyroid cancer cells was established by subcutaneous injection of mice and then divided into four groups. Tumor diameter was measured every two days. Immunohistochemistry was used to evaluate the expression of p-ERK, p-AKT and Ki67 in mouse tumors.

Results: In this study, dabrafenib-resistant ATC cells were first constructed, and the response of RTKs in drugresistant cells was upregulated to activate Akt and MER/ERK pathways. The activation of Akt and MEK/ERK pathways in the combination group was significantly inhibited, and the proliferation ability of tumor cells was significantly reduced compared with Dabrafenib, SHP099 group and DMSO group. To verify that SHP099 was not off-target, we also silenced SHP2 expression by transfection with siRNA and obtained the same results. Finally, by building a mouse drug resistance model, we confirmed that dabrafenib and SHP099 can also play a powerful anti-cancer effect in vivo.

Conclusion: The SHP2 inhibitor SHP099 can effectively reverse the drug resistance of dabrafenib through inhibiting the reactivated RAS signaling pathway in anaplastic thyroid cancer.The combination of dabrafenib with SHP2 inhibitor has shown significant tumor suppressive effects for dabrafenib-resistant cells and it may be a new therapeutic strategy with longer lasting therapeutic benefits.

目的:探讨达拉非尼与SHP2抑制剂联合治疗无性甲状腺癌的可能性,为无性甲状腺癌的治疗提供新的治疗策略:首先建立耐药模型,通过qPCR检测相关RTK的表达水平。采用 Western blot 检测对照组、单药组和两药联合组中 Akt 和 MAPK 信号通路的蛋白表达水平。通过转染 siRNA 实现 SHP2 基因沉默,并通过 Western 印迹进行验证。CCK8试剂盒和克隆形成试验用于检测细胞增殖活性。小鼠皮下注射突变型甲状腺癌细胞建立体内模型,然后分为四组。每两天测量一次肿瘤直径。免疫组化法评估小鼠肿瘤中p-ERK、p-AKT和Ki67的表达:本研究首先构建了达拉菲尼耐药的ATC细胞,耐药细胞中RTKs的反应上调,激活了Akt和MER/ERK通路。与Dabrafenib组、SHP099组和DMSO组相比,联合组Akt和MEK/ERK通路的激活明显受到抑制,肿瘤细胞的增殖能力明显降低。为了验证SHP099是否脱靶,我们还通过转染siRNA沉默了SHP2的表达,得到了同样的结果。最后,通过建立小鼠耐药模型,我们证实了达拉非尼和SHP099同样可以在体内发挥强大的抗癌作用:SHP2抑制剂SHP099可通过抑制甲状腺癌RAS信号通路的再激活,有效逆转达拉非尼的耐药性。
{"title":"Targeting SHP2 Reverses BRAF Inhibitor Tolerance in Anaplastic Thyroid Carcinoma.","authors":"Tao Tang, Jie Zhou, Li-Xin Zhang, Gang Yang, Wei-Nan Li, Jian-Jiao Zhu, Yong-Fu Xiong, Jing-Dong Li","doi":"10.2174/1871520623666230214093122","DOIUrl":"10.2174/1871520623666230214093122","url":null,"abstract":"<p><strong>Background: </strong>To explore the possibility of a combination of dabrafenib and SHP2 inhibitor in the treatment of anaplastic thyroid carcinoma and to provide a new therapeutic strategy for the treatment of anaplastic thyroid cancer.</p><p><strong>Methods: </strong>Firstly, a drug resistance model was established, and the expression levels of related RTK were detected by qPCR. Western blot was used to detect the protein expression levels of Akt and MAPK signaling pathways in the control group, single-drug group and two-drug combination group. The gene silencing of SHP2 was achieved by transfection of siRNA and verified by Western blot. CCK8 kit and clone formation assay were used to detect cell proliferation activity. <i>In vivo</i> model of mutant thyroid cancer cells was established by subcutaneous injection of mice and then divided into four groups. Tumor diameter was measured every two days. Immunohistochemistry was used to evaluate the expression of p-ERK, p-AKT and Ki67 in mouse tumors.</p><p><strong>Results: </strong>In this study, dabrafenib-resistant ATC cells were first constructed, and the response of RTKs in drugresistant cells was upregulated to activate Akt and MER/ERK pathways. The activation of Akt and MEK/ERK pathways in the combination group was significantly inhibited, and the proliferation ability of tumor cells was significantly reduced compared with Dabrafenib, SHP099 group and DMSO group. To verify that SHP099 was not off-target, we also silenced SHP2 expression by transfection with siRNA and obtained the same results. Finally, by building a mouse drug resistance model, we confirmed that dabrafenib and SHP099 can also play a powerful anti-cancer effect <i>in vivo</i>.</p><p><strong>Conclusion: </strong>The SHP2 inhibitor SHP099 can effectively reverse the drug resistance of dabrafenib through inhibiting the reactivated RAS signaling pathway in anaplastic thyroid cancer.The combination of dabrafenib with SHP2 inhibitor has shown significant tumor suppressive effects for dabrafenib-resistant cells and it may be a new therapeutic strategy with longer lasting therapeutic benefits.</p>","PeriodicalId":7934,"journal":{"name":"Anti-cancer agents in medicinal chemistry","volume":" ","pages":"70-76"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10767562","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: 0
Discovery of Lead Compounds Targeting Transcriptional Regulation. 靶向转录调控先导化合物的发现。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206452637251023043925
Yihua Chen
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引用次数: 0
Synthesis and Evaluation of Optical Properties, SHP2 Inhibitory Activity, and Cellular Imaging for Novel 2-Quinolone Derivatives. 新型2-喹诺酮类衍生物光学性质、SHP2抑制活性及细胞成像的合成与评价。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206337347250219112715
Chun Zhang, Yuting Yang, Li-Xin Gao, Suya Gan, Jia Li, Xin Wang, Yu-Bo Zhou, Wen-Long Wang

Introduction: Although the development of SHP2 inhibitors has made striking progress, there is no inhibitor in clinical evaluation because of the potential side effects induced by poor drug distribution. Fluorescence imaging technology is widely used in the process of diagnosis and treatment of diseases because of the advantages of rapid imaging and non-destructive detection and might provide a new way to explore the mechanism of drug-target interactions in intact tissue.

Methods: A series of 2-quinolone derivatives as fluorescent inhibitors against SHP2 were designed and synthesized, and their spectral properties and biological activities were evaluated in this report. The representative compound 8A had excellent fluorescence properties (λemimax : 562 nm, Stokes shift: 170 nm, fluorescence quantum yield: 0.072) and optical stability.

Results: Moreover, compound 8A emitted a blue signal in SHP2WT U2OS cells and inhibited the SHP2 enzyme abilities (IC50: 20.16 ± 0.95 μM) without the extra combination of suitable fluorophores, linker, or selectiveactivated molecules.

Conclusion: Therefore, we hope that compound 8A could act as a lead to develop novel, convenient, and bifunctional chemical tools to explore the mechanism of drug-target interactions in intact tissue and promote the integrated research progress of diagnosis and treatment of SHP2 related diseases.

虽然SHP2抑制剂的开发取得了惊人的进展,但由于药物分布不良可能引起的副作用,尚无抑制剂进入临床评价。荧光成像技术因其快速成像和无损检测的优势,在疾病的诊断和治疗过程中得到了广泛的应用,并可能为探索完整组织中药物-靶点相互作用的机制提供新的途径。方法:设计并合成了一系列2-喹诺酮类衍生物作为SHP2荧光抑制剂,并对其光谱特性和生物活性进行了评价。代表化合物8A具有优异的荧光性质(λ: 562 nm, Stokes位移:170 nm,荧光量子产率:0.072)和光学稳定性。结果:化合物8A在不添加合适的荧光团、连接体或选择性激活分子的情况下,能在SHP2WT U2OS细胞中发出蓝色信号,抑制SHP2酶的活性(IC50: 20.16±0.95 μM)。结论:因此,我们希望以化合物8A为先导,开发出新颖、便捷、双功能的化学工具,探索完整组织中药物-靶标相互作用的机制,推动SHP2相关疾病诊断与治疗的综合研究进展。
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引用次数: 0
Talimogene Laherparepvec (T-VEC): Expanding Horizons in Oncolytic Viral Therapy Across Multiple Cancer Types. T-VEC:扩展溶瘤病毒治疗多种癌症的视野。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206379105250429115604
Run-Bin Tan, Yeannie Hui-Yeng Yap

Talimogene laherparepvec (T-VEC), the first FDA-approved oncolytic viral therapy, has transformed cancer immunotherapy since its 2015 approval for unresectable melanoma. Engineered from Herpes Simplex Virus type 1 (HSV-1) with deletions in ICP34.5 and ICP47 genes and GM-CSF insertion, T-VEC selectively replicates within the tumor cells, inducing lysis and releasing tumor-derived antigens while stimulating systemic antitumor immunity through dendritic cell activation. Although extensively studied for melanoma, its potential extends beyond this malignancy, with emerging applications in breast cancer, Head and Neck Squamous Cell Carcinoma (HNSCC), and other solid tumors. This review synthesizes T-VEC's mechanism of action, leveraging dysregulated Ras signalling, impaired interferon pathways in cancer cells, its clinical outcomes, and safety profile across these indications. While prior literature emphasizes melanoma monotherapy and combinations with immune checkpoint inhibitors, less attention has been given to its efficacy in non-melanoma cancers and synergistic potential with chemotherapy or radiation therapy. By exploring recent trials, such as T-VEC with neoadjuvant chemotherapy in triple-negative breast cancer and pembrolizumab in HNSCC, highlighting its versatility. Comparative analysis with other oncolytic viruses like HF-10, oncorine (H101), and measles virus variants positions T-VEC within the virotherapy landscape. Key challenges-systemic delivery, immune clearance, and biomarker development for patient selection-are addressed alongside strategies to enhance immune modulation through novel combinations. This review underscores T-VEC's expanding role in cancer treatment, offering clinicians' and researchers' insights to optimize its therapeutic horizons across diverse malignancies.

Talimogene laherparepvec (T-VEC)是首个获fda批准的溶瘤病毒疗法,自2015年被批准用于不可切除的黑色素瘤以来,已经改变了癌症免疫疗法。T-VEC由1型单纯疱疹病毒(HSV-1)基因ICP34.5和ICP47基因缺失和GM-CSF插入而设计,在肿瘤细胞内选择性复制,诱导裂解和释放肿瘤源性抗原,同时通过树突状细胞激活刺激全身抗肿瘤免疫。尽管对黑色素瘤进行了广泛的研究,但其潜在的应用范围已经超出了这种恶性肿瘤,在乳腺癌、头颈部鳞状细胞癌(HNSCC)和其他实体肿瘤中也出现了应用。这篇综述综合了T-VEC的作用机制,利用失调的Ras信号,癌细胞中受损的干扰素通路,其临床结果,以及这些适应症的安全性。虽然先前的文献强调黑色素瘤的单一治疗和与免疫检查点抑制剂的联合治疗,但很少关注其在非黑色素瘤癌症中的疗效以及与化疗或放疗的协同作用潜力。通过探索最近的试验,如T-VEC联合新辅助化疗治疗三阴性乳腺癌和派姆单抗治疗HNSCC,突出了其多功能性。与其他溶瘤病毒如HF-10、oncorine (H101)和麻疹病毒变体的比较分析将T-VEC定位在病毒治疗领域。关键挑战-系统递送,免疫清除和患者选择的生物标志物开发-与通过新组合增强免疫调节的策略一起解决。这篇综述强调了T-VEC在癌症治疗中不断扩大的作用,为临床医生和研究人员提供了优化其在不同恶性肿瘤治疗范围的见解。
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引用次数: 0
Luteolin Enhances Anticancer Effects of PX-478 during Hypoxic Response in Metastatic Breast Cancer Cells. 木犀草素增强PX-478在转移性乳腺癌细胞缺氧反应中的抗癌作用。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206384227250901064037
Muzaffer Dukel, Fatema Zarzour

Introduction: The presence of severe hypoxic stress can drive tumor growth, angiogenesis, and metastatic characteristics via up-regulated hypoxia-inducible factor 1-alpha (HIF-1α). Hence, targeting HIF-1α is considered a promising strategy, as increased HIF-1α activity is a key factor in the aggressive phenotype of malignancies. In this study, we aimed to investigate the anti-cancer effects of several flavonoids, both single and in combination with PX-478, in breast cancer cell lines.

Methods: We tested the effects of luteolin and PX-478, both alone and in combination, on HIF-1α level in breast cancer cells under hypoxia using the cell viability assay. To determine the rationale for the cell growth inhibition induced by the luteolin+PX-478 combination, we conducted experiments to assess cell survival, apoptosis, cell cycle, invasion, and migration under both normoxic and hypoxic conditions. Furthermore, we evaluated the effect of this combination on DNA damage response under hypoxic stress via Comet assay and immunofluorescence staining.

Results: Our findings revealed that the luteolin+PX-478 combination significantly suppressed the growth of MDA-MB-231 cells. In addition, we assessed time-dependent expression of HIF1α in MDA-MB-231 cells and observed that the combination of luteolin and PX-478 down-regulated the HIF-1α level. Finally, we found that the luteolin+PX-478 combination induced apoptosis and G2 cell cycle arrest and enhanced DNA damage response. This combination also sensitized breast cancer cells to ionizing radiation in hypoxic stress.

Discussion: The findings suggested that targeting HIF-1α with a combination of luteolin and PX-478 may provide a synergistic approach to suppressing tumor growth and enhancing therapeutic response under hypoxic conditions. The observed effects on apoptosis, cell cycle arrest, and DNA damage response indicated that this combination could be a promising strategy for overcoming hypoxia-induced resistance in breast cancer therapy.

Conclusion: Collectively, our results suggested the combination of luteolin and PX-478 to enhance the anticancer effects of PX-478 in breast carcinoma cells by impeding the cell growth and inducing DNA damage response under hypoxia.

重度缺氧应激的存在可以通过缺氧诱导因子1- α (HIF-1α)的上调来驱动肿瘤生长、血管生成和转移特征。因此,靶向HIF-1α被认为是一种很有前途的策略,因为HIF-1α活性的增加是恶性肿瘤侵袭性表型的关键因素。在这项研究中,我们旨在研究几种黄酮类化合物(单独或与PX-478联合)对乳腺癌细胞株的抗癌作用。方法:采用细胞活力法检测木犀草素和PX-478单独或联合使用对缺氧条件下乳腺癌细胞HIF-1α水平的影响。为了确定木犀草素+PX-478联合抑制细胞生长的基本原理,我们进行了常氧和缺氧条件下细胞存活、凋亡、细胞周期、侵袭和迁移的实验。此外,我们通过彗星试验和免疫荧光染色评估了这种组合对缺氧应激下DNA损伤反应的影响。结果:木犀草素+PX-478联合用药可显著抑制MDA-MB-231细胞的生长。此外,我们评估了MDA-MB-231细胞中HIF-1α的时间依赖性表达,发现木犀草素和PX-478联合使用可下调HIF-1α水平。最后,我们发现木犀草素+PX-478联合使用可诱导细胞凋亡和G2细胞周期阻滞,并增强DNA损伤反应。这种组合也使乳腺癌细胞对缺氧应激下的电离辐射敏感。讨论:研究结果表明,木犀草素和PX-478联合靶向HIF-1α可能提供一种协同方法来抑制肿瘤生长并增强缺氧条件下的治疗反应。观察到的对细胞凋亡、细胞周期阻滞和DNA损伤反应的影响表明,这种组合可能是克服缺氧诱导的乳腺癌治疗抵抗的有希望的策略。结论:木犀草素与PX-478联用可通过抑制乳腺癌细胞生长和诱导缺氧条件下的DNA损伤反应,增强PX-478对乳腺癌细胞的抗癌作用。
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引用次数: 0
Computational Optimization and In silico Analysis for the Discovery of New HER2 and CDK4/6 Drug Candidates for Breast Cancer. 发现新的乳腺癌HER2和CDK4/6候选药物的计算优化和计算机分析。
IF 3 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2026-01-01 DOI: 10.2174/0118715206382065250507114908
Salma Elmallah

Background: Breast cancer is an abnormal cell growth that develops in the breast and spreads throughout the body. Despite cancer being the second leading cause of death, survival rates are increasing as a result of progress in cancer screening and therapy. Breast cancer is the most frequently diagnosed cancer type among women, but in most cases, there are no obvious symptoms. Screening mammograms can be used for early detection of cancer. The size of the tumor and the extent of cancer spread determine the type of needed treatment. There are different forms of treatment, where targeted therapy is generally the least harmful. It targets specific characteristics of cancer cells, such as human epidermal growth factor receptor 2 (HER2). Tyrosine kinase inhibitors are effective targeted treatment of HER2 positive breast cancer. A newer class has emerged, cyclin dependent kinase (CDK4/6), which is used to treat metastatic breast cancer.

Objectives: Although CDK4/6 inhibitors class of therapy has revolutionized the treatment of metastatic breast cancer, some patients showed resistance and decreased efficacy. This study is the first to propose innovative computational strategies to improve the effectiveness and pharmacokinetic properties of existing HER2/CDK4/6 inhibitors anti-cancer agents. Through computer-aided drug design, the activity of existing breast cancer drug candidates has been tested. Structural modifications have been applied for in-silico optimization of their biological activity.

Methods: In this research, twenty-two analogues of the tested compounds have been proposed. Their biological activity and pharmacokinetic properties (ADMET) have been tested using BIOVIA Discovery Studio software.

Results: Out of the designed analogous compounds, seven proposed structures demonstrated superior efficacy compared to the original drugs. The research study docking studies revealed that modifications to lapatinib and tucatinib improved binding affinity to HER2 by 15-25%, with docking scores of -18.34 kcal/mol and -1.04 kcal/mol, respectively. Similarly, CDK4/6 inhibitors exhibited enhanced selectivity, with abemaciclib showing the highest binding energy of -13.2 kcal/mol. ADMET predictions suggested improved solubility and reduced toxicity risks compared to the original drugs.

Conclusion: The research study results demonstrate that the synthesis of more lipophilic analogues of lapatinib or tucatinib and, likewise designing of fluorinated derivatives of CDK4/6 inhibitors play a crucial role in improving the efficacy of these anti-cancer agents. These findings highlight the potential of the proposed modifications as promising candidates for further pharmacological and in vitro and in vivo clinical validation.

背景:乳腺癌是一种发生在乳房并扩散到全身的异常细胞生长。尽管癌症是第二大死亡原因,但由于癌症筛查和治疗方面的进展,生存率正在提高。乳腺癌是女性中最常见的癌症类型,但在大多数情况下,没有明显的症状。乳房x光检查可用于早期发现癌症。肿瘤的大小和癌症扩散的程度决定了所需治疗的类型。有不同形式的治疗,其中靶向治疗通常危害最小。它针对癌细胞的特定特征,如人表皮生长因子受体2 (HER2)。酪氨酸激酶抑制剂是HER2阳性乳腺癌的有效靶向治疗。细胞周期蛋白依赖性激酶(CDK4/6)已经出现,用于治疗转移性乳腺癌。虽然CDK4/6抑制剂类治疗已经彻底改变了转移性乳腺癌的治疗,但一些患者表现出耐药性和疗效下降。本研究首次提出了创新的计算策略,以提高现有HER2/CDK4/6抑制剂抗癌药物的有效性和药代动力学特性。通过计算机辅助药物设计,现有的乳腺癌候选药物的活性已经被测试。结构修饰已应用于其生物活性的计算机优化。方法:在本研究中,提出了22种被试化合物的类似物。它们的生物活性和药代动力学特性(ADMET)已使用BIOVIA Discovery Studio软件进行了测试。结果:在设计的类似化合物中,有7种结构与原药相比表现出优越的疗效。对接研究表明,对拉帕替尼和图卡替尼的修饰使其与HER2的结合亲和力提高了15-25%,对接评分分别为-18.34 kcal/mol和-1.04 kcal/mol。同样,CDK4/6抑制剂表现出增强的选择性,abemaciclib的结合能最高,为-13.2 kcal/mol。ADMET预测表明,与原始药物相比,其溶解度提高,毒性风险降低。结论:研究结果表明,合成更亲脂的拉帕替尼或图卡替尼类似物以及设计CDK4/6抑制剂的氟化衍生物对提高这些抗癌药物的疗效起着至关重要的作用。这些发现突出了所提出的修饰作为进一步药理学和体外和体内临床验证的有希望的候选物的潜力。
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Anti-cancer agents in medicinal chemistry
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