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基质金属蛋白酶抑制剂:癌症治疗的有前途的靶点。

Matrixmetalloproteinase Inhibitors: Promising Therapeutic Targets Against Cancer.

机构信息

Department of Biotechnology, Jaypee Institute of Information Technology, A-10, Sector-62, Noida, 201307, Uttar Pradesh, India.

Department of Medical Biotechnology, Yeungnam University, Gyeongsan, 712-749, Korea.

出版信息

Curr Pharm Des. 2021;27(45):4557-4567. doi: 10.2174/1381612827666210830103059.

DOI:10.2174/1381612827666210830103059
PMID:34459380
Abstract

BACKGROUND

Cancer is a wide range cellular level disease that occurs when cells go through uncontrolled division and growth. The mechanisms by which the cells undergo metastasis are complex and involve many interactions between the tumor cells and their cellular environment. Matrix metalloproteinases (MMPs) have been found to over-express at various stages of tumor progression and their inhibition using MMP inhibitors has been a subject of potential therapy against cancer.

OBJECTIVE

This review discusses recent research in MMP inhibitors (MMPI) used for preventing tumor progression.

METHODS

In this review, we explored the role of MMPs in cancer progression and summarized the current developments in MMPIs, their role in cancer suppression in in vitro and in vivo studies and their evaluation in clinical trials from the current research data.

RESULTS

MMPIs have shown to be very successful in in vitro models, cell lines and in some in vivo studies. Unfortunately, their efficacy in clinical trials has been found to be hit and miss. Recent studies have shown that the novel delivery approaches of MMP inhibitors may enhance their therapeutic effects towards the prevention of cancer.

CONCLUSION

In this review, we presented different MMP inhibitors, their performance at different stages of models - in vitro, in vivo, small animal models and eventually clinical trials. We provide newer methods of MMPI delivery that may be better targeted to suppress only specific MMPs and avoid toxic side effects in healthy cells.

摘要

背景

癌症是一种广泛的细胞水平疾病,当细胞经历不受控制的分裂和生长时就会发生。细胞发生转移的机制很复杂,涉及肿瘤细胞与其细胞环境之间的许多相互作用。已经发现基质金属蛋白酶 (MMPs) 在肿瘤进展的各个阶段过度表达,使用 MMP 抑制剂抑制它们已成为针对癌症的潜在治疗方法。

目的

本综述讨论了用于预防肿瘤进展的 MMP 抑制剂 (MMPI) 的最新研究。

方法

在本综述中,我们探讨了 MMP 在癌症进展中的作用,并总结了 MMPIs 的最新进展,它们在体外和体内研究中抑制癌症的作用,以及从当前研究数据中评估它们在临床试验中的情况。

结果

MMPI 在体外模型、细胞系和一些体内研究中非常成功。不幸的是,它们在临床试验中的疗效好坏参半。最近的研究表明,新型 MMP 抑制剂的给药方法可能会增强它们预防癌症的治疗效果。

结论

在本综述中,我们介绍了不同的 MMP 抑制剂,它们在不同模型阶段的表现——体外、体内、小动物模型,最终是临床试验。我们提供了 MMP 抑制剂传递的新方法,这些方法可能更针对特定的 MMP 进行靶向,避免健康细胞的毒性副作用。

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