Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of basic science, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran.
Biomolecules. 2019 Sep 25;9(10):530. doi: 10.3390/biom9100530.
Autophagy modulation is considered to be a promising programmed cell death mechanism to prevent and cure a great number of disorders and diseases. The crucial step in designing an effective therapeutic approach is to understand the correct and accurate causes of diseases and to understand whether autophagy plays a cytoprotective or cytotoxic/cytostatic role in the progression and prevention of disease. This knowledge will help scientists find approaches to manipulate tumor and pathologic cells in order to enhance cellular sensitivity to therapeutics and treat them. Although some conventional therapeutics suffer from poor solubility, bioavailability and controlled release mechanisms, it appears that novel nanoplatforms overcome these obstacles and have led to the design of a theranostic-controlled drug release system with high solubility and active targeting and stimuli-responsive potentials. In this review, we discuss autophagy modulators-related signaling pathways and some of the drug delivery strategies that have been applied to the field of therapeutic application of autophagy modulators. Moreover, we describe how therapeutics will target various steps of the autophagic machinery. Furthermore, nano drug delivery platforms for autophagy targeting and co-delivery of autophagy modulators with chemotherapeutics/siRNA, are also discussed.
自噬调控被认为是一种有前途的程序性细胞死亡机制,可以预防和治疗许多疾病。设计有效治疗方法的关键步骤是了解疾病的确切原因,以及自噬在疾病的发展和预防中是否发挥细胞保护或细胞毒性/细胞抑制作用。这方面的知识将有助于科学家找到操纵肿瘤和病理细胞的方法,以增强细胞对治疗的敏感性并进行治疗。尽管一些传统疗法存在溶解度差、生物利用度和控制释放机制的问题,但新型纳米平台似乎克服了这些障碍,并导致了设计具有高溶解度、主动靶向和刺激响应潜力的治疗控制药物释放系统。在这篇综述中,我们讨论了与自噬调节剂相关的信号通路和一些已经应用于自噬调节剂治疗应用领域的药物传递策略。此外,我们还描述了治疗剂将如何针对自噬机制的各个步骤。此外,还讨论了用于自噬靶向的纳米药物递送平台以及与化学疗法/siRNA 共递送自噬调节剂。
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