Department of Biomedical Engineering, Vel Tech Rangarajan Dr Sagunthala R&D Institute of Science and Technology, Chennai, India.
Department of School of Health Sciences & Technology, University of Petroleum and Energy Studies, Dehradun, India; Department of Chemical Engineering, University of Petroleum and Energy Studies, Dehradun, India.
Colloids Surf B Biointerfaces. 2023 Jan;221:113002. doi: 10.1016/j.colsurfb.2022.113002. Epub 2022 Nov 2.
Different therapeutic practices for treating cancers have significantly evolved to compensate and/or overcome the failures in conventional methodologies. The demonstrated potentiality in completely inhibiting the tumors and in preventing cancer relapse has made nucleic acids therapy (NAT)/gene therapy as an attractive practice. This has been made possible because NAT-based cancer treatments are highly focused on the fundamental mechanisms - i.e., silencing the expression of oncogenic genes responsible for producing abnormal proteins (via messenger RNAs (mRNAs)). However, the future clinical translation of NAT is majorly dependent upon the effective delivery of the exogenous nucleic acids (especially RNAs - e.g., short interfering RNAs (siRNAs) - herein called biological drugs). Moreover, nano-based vehicles (i.e., nanocarriers) are involved in delivering them to prevent degradation and undesired bioaccumulation while enhancing the stability of siRNAs. Herein, we have initially discussed about three major types of self-assembling nanocarriers (liposomes, polymeric nanoparticles and exosomes). Later, we have majorly reviewed recent developments in non-targeted/targeted nanocarriers for delivery of biological drugs (individual/dual) to silence the most important genes/mRNAs accountable for inducing protein abnormality. These proteins include polo-like kinase 1 (PLK1), survivin, vascular endothelial growth factor (VEGF), B-cell lymphoma/leukaemia-2 (Bcl-2) and multi-drug resistance (MDR). Besides, the consequent therapeutic effects on cancer growth, invasion and/or metastasis have also been discussed. Finally, we have comprehensively reviewed the improvements achieved in the cutting-edge cancer therapeutics while delivering siRNAs in combination with clinically approved chemotherapeutic drugs.
不同的癌症治疗方法已经有了显著的发展,以弥补和/或克服传统方法的失败。核酸治疗(NAT)/基因治疗的潜力已经被证明可以完全抑制肿瘤和预防癌症复发,因此成为一种有吸引力的治疗方法。这是因为基于 NAT 的癌症治疗高度关注基本机制,即沉默负责产生异常蛋白的致癌基因的表达(通过信使 RNA(mRNA))。然而,NAT 的未来临床转化主要取决于外源性核酸(特别是 RNA,例如短干扰 RNA(siRNA),以下称为生物药物)的有效传递。此外,纳米载体(即纳米载体)参与传递,以防止降解和不必要的生物积累,同时增强 siRNA 的稳定性。本文首先讨论了三种主要类型的自组装纳米载体(脂质体、聚合物纳米颗粒和外泌体)。然后,我们主要回顾了最近在非靶向/靶向纳米载体方面的进展,用于传递生物药物(单独/双重)以沉默诱导蛋白异常的最重要基因/mRNA。这些蛋白质包括 Polo 样激酶 1(PLK1)、存活素、血管内皮生长因子(VEGF)、B 细胞淋巴瘤/白血病-2(Bcl-2)和多药耐药(MDR)。此外,还讨论了它们对癌症生长、侵袭和/或转移的治疗效果。最后,我们全面回顾了在联合临床批准的化疗药物传递 siRNA 时,在尖端癌症治疗方面取得的进展。