Department of Biophysics, Basic Medical Sciences, Panjab University, Block-II, South Campus, Sector-25, Chandigarh 160014, India.
Pharmacol Res. 2021 May;167:105529. doi: 10.1016/j.phrs.2021.105529. Epub 2021 Mar 4.
Despite recent advances in the treatment of colorectal cancer (CRC), low patient survival rate due to emergence of drug resistant cancer cells, metastasis and multiple deleterious side effects of chemotherapy, is a cause of public concern globally. To negate these clinical conundrums, search for effective and harmless novel molecular entities for the treatment of CRC is an urgent necessity. Since antimicrobial peptides (AMPs) are part of innate immunity of living beings, it is quite imperative to look for essential attributes of these peptides which may contribute to their effectiveness against carcinogenesis. Once identified, those characteristics can be suitably modified using several synthetic and computational techniques to further enhance their selectivity and pharmacokinetic profiles. Hence, this review analyses scientific reports describing the antiproliferative action of AMPs derived from several sources, particularly focusing on various colon cancer in vitro/in vivo investigations. On perusal of the literature, it appears that AMPs based therapeutics would definitely find special place in CRC therapy in future either alone or as an adjunct to chemotherapy provided some necessary alterations are made in their natural structures to make them more compatible with modern clinical practice. In this context, further in-depth research is warranted in adequate in vivo models.
尽管在结直肠癌 (CRC) 的治疗方面取得了一些进展,但由于耐药癌细胞的出现、转移以及化疗的多种有害副作用,导致患者的生存率仍然较低,这在全球范围内引起了公众的关注。为了解决这些临床难题,寻找有效且无害的新型分子实体来治疗 CRC 是当务之急。由于抗菌肽 (AMPs) 是生物固有免疫的一部分,因此寻找这些肽可能有助于其抗癌作用的基本特性是非常必要的。一旦确定了这些特性,可以使用几种合成和计算技术对其进行适当修饰,以进一步提高它们的选择性和药代动力学特性。因此,本综述分析了描述来源于多种来源的 AMPs 的抗增殖作用的科学报告,特别是特别关注了各种结肠癌的体外/体内研究。从文献中可以看出,基于 AMPs 的治疗方法肯定会在未来的 CRC 治疗中找到特殊的位置,无论是单独使用还是作为化疗的辅助手段,只要对其天然结构进行一些必要的改变,使其更符合现代临床实践即可。在这方面,需要在适当的体内模型中进行进一步的深入研究。