Baroud Milad, Lepeltier Elise, Thepot Sylvain, El-Makhour Yolla, Duval Olivier
Micro et Nanomédecines Translationnelles, MINT, UNIV Angers, UMR INSERM 1066, UMR CNRS 6021 Angers France
University Hospital of Angers, Hematology 49933 Angers France.
Nanoscale Adv. 2021 Feb 22;3(8):2157-2179. doi: 10.1039/d0na01084g. eCollection 2021 Apr 20.
Nucleoside and nucleotide analogs are essential tools in our limited arsenal in the fight against cancer. However, these structures face severe drawbacks such as rapid plasma degradation or hydrophilicity, limiting their clinical application. Here, different aspects of nucleoside and nucleotide analogs have been exposed, while providing their shortcomings. Aiming to improve their fate in the body and combating their drawbacks, two different approaches have been discussed, the prodrug and nanocarrier technologies. Finally, a novel approach called "PUFAylation" based on both the prodrug and nanocarrier technologies has been introduced, promising to be the supreme method to create a novel nucleoside or nucleotide analog based formulation, with enhanced efficacy and highly reduced toxicity.
核苷和核苷酸类似物是我们对抗癌症的有限武器库中的重要工具。然而,这些结构面临着严重的缺点,如血浆快速降解或亲水性,限制了它们的临床应用。本文阐述了核苷和核苷酸类似物的不同方面,同时也指出了它们的缺点。为了改善它们在体内的命运并克服其缺点,讨论了两种不同的方法,即前药和纳米载体技术。最后,引入了一种基于前药和纳米载体技术的名为“多不饱和脂肪酸化”的新方法,有望成为创建新型核苷或核苷酸类似物制剂的最佳方法,具有更高的疗效和更低的毒性。