Cancer & Translational Lab, Dr. D. Y. Patil Biotechnology & Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth, Pune 411033, Maharashtra, India.
Future Oncol. 2020 Apr;16(11):687-700. doi: 10.2217/fon-2019-0458. Epub 2020 Apr 7.
In recent, intra- and inter-tumor heterogeneity is seen as one of key factors behind success and failure of chemotherapy. Incessant use of doxorubicin (DOX) drug is associated with numerous post-treatment debacles including cardiomyopathy, health disorders, reversal of tumor and formation of secondary tumors. The module of cancer treatment has undergone evolutionary changes by achieving crucial understanding on molecular, genetic, epigenetic and environmental adaptations by cancer cells. Therefore, there is a paradigm shift in cancer therapeutic by employing amalgam of peptide mimetic, small RNA mimetic, DNA repair protein inhibitors, signaling inhibitors and epigenetic modulators to achieve targeted and personalized DOX therapy. This review summarizes on recent therapeutic avenues that can potentiate DOX effects by removing discernible pitfalls among cancer patients.
近年来,肿瘤内和肿瘤间异质性被认为是化疗成败的关键因素之一。阿霉素(DOX)药物的不断使用与许多治疗后失败有关,包括心肌病、健康障碍、肿瘤逆转和继发性肿瘤形成。通过对癌细胞的分子、遗传、表观遗传和环境适应性的关键理解,癌症治疗模式发生了演变性变化。因此,通过采用肽模拟物、小 RNA 模拟物、DNA 修复蛋白抑制剂、信号抑制剂和表观遗传调节剂的组合,实现靶向和个性化 DOX 治疗,癌症治疗发生了范式转变。本综述总结了最近的治疗途径,这些途径可以通过消除癌症患者中明显的陷阱来增强 DOX 的效果。